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尼日利亚拉各斯医生和护士自杀未遂的频率及对自杀行为的态度

Frequency of suicide attempts and attitudes toward suicidal behaviour among doctors and nurses in Lagos, Nigeria.

作者信息

Olibamoyo Olushola, Coker Olurotimi, Adewuya Abiodun, Ogunlesi Oluwaseun, Sodipo Olujimi

机构信息

Department of Behavioural Medicine, Lagos State University College of Medicine, Lagos, Nigeria.

Department of Psychiatry, Lagos State University Teaching Hospital, Lagos, Nigeria.

出版信息

S Afr J Psychiatr. 2020 Jul 27;26:1402. doi: 10.4102/sajpsychiatry.v26i0.1402. eCollection 2020.

Abstract

BACKGROUND

Competence and attitudes toward suicidal behaviour affect practice. These attitudes may influence the consideration of suicide during personal crisis among doctors and nurses.

AIM

The attitudes of doctors and nurses towards suicidal behaviour was assessed using the Attitudes Toward Suicide Scale (ATTS), which was validated in another study by the authors, evaluated for the possible factors affecting this relationship and estimated the frequency of suicide attempts among doctors and nurses.

SETTING

Lagos State University Teaching Hospital Lagos, Nigeria.

METHODS

The cross-sectional survey about attitudes toward suicide was done among 226 doctors and nurses working at a tertiary institute hospital in Lagos, Nigeria, using the ATTS. Sociodemographic profile and self-rated competence, commitment, empathy and irritation toward suicide were obtained. Stratified random sampling was used, data were analysed using Statistical Package for Sociological Sciences. Data was summarised, reliability of the ATTS was assured and variables compared by -test and ANOVA. Independent predictors were identified via multiple regression ( ≤ 0.05).

RESULTS

Frequency of suicide attempts of 7.50% was found among respondents with a mean age of 35.84 ± 6.76 years. Attitudes toward suicidal behaviour were slightly positive (77.92 ± 9.90) and the independent predictors of less positive attitudes were nursing profession (β = 0.025, < 0.001) and high self-rated irritation toward suicide (β = 0.18, < 0.01).

CONCLUSION

The frequency of suicide attempts is higher among doctors and nurses when compared to the general population. Doctors and nurses reported slightly positive attitudes toward suicidal behaviour with significant differences in the type of profession and levels of self-rated irritation toward suicide.

摘要

背景

对自杀行为的能力和态度会影响实际工作。这些态度可能会影响医生和护士在个人危机期间对自杀的考量。

目的

使用自杀态度量表(ATTS)评估医生和护士对自杀行为的态度,该量表已在作者的另一项研究中得到验证,评估影响这种关系的可能因素,并估计医生和护士中自杀未遂的频率。

地点

尼日利亚拉各斯州立大学教学医院。

方法

在尼日利亚拉各斯一家三级医疗机构工作的226名医生和护士中,使用ATTS进行了关于自杀态度的横断面调查。获取了社会人口学资料以及对自杀的自我评定能力、投入度、同理心和恼怒程度。采用分层随机抽样,使用社会科学统计软件包对数据进行分析。对数据进行汇总,确保ATTS的可靠性,并通过t检验和方差分析对变量进行比较。通过多元回归确定独立预测因素(P≤0.05)。

结果

在平均年龄为35.84±6.76岁的受访者中,自杀未遂频率为7.50%。对自杀行为的态度略呈阳性(77.92±9.90),态度较不积极的独立预测因素是护理专业(β = 0.025,P<0.001)和对自杀的自我评定恼怒程度较高(β = 0.18,P<0.01)。

结论

与普通人群相比,医生和护士中自杀未遂的频率更高。医生和护士报告对自杀行为的态度略呈阳性,在职业类型和对自杀的自我评定恼怒程度方面存在显著差异。

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