School of Public Health, Weifang Medical University.
Department of Foreign Languages, Weifang Medical University, Weifang.
J Nerv Ment Dis. 2021 Jan;209(1):17-22. doi: 10.1097/NMD.0000000000001249.
This study aimed to explore the relationship and the effects of community problems on anxiety and suicide. Data were from a case-control psychological autopsy study (392 suicides and 416 community living controls) carried out in 16 rural counties from three provinces in China. The World Health Organization Suicide Prevention-Multisite Intervention Study on Suicidal behaviors scale of community stress and problems and Spielberger State-Trait Anxiety Inventory were used to measure the community problems and trait anxiety. Spearman's correlation and multivariable regression methods were used to probe the effect of community problems on anxiety and suicide. There were 12 and 6 community problems correlated with anxiety (rs = 0.169, p < 0.001) and suicide (rs = 0.081, p = 0.022), respectively. Medical care, alcohol abuse, superstition, and job security were important community problems for anxiety and suicide. Community problems had stronger correlation with anxiety than suicide. It might be an effective method to reduce anxiety and suicide risk by solving different community problems.
本研究旨在探讨社区问题与焦虑和自杀之间的关系及其影响。数据来自于在中国三个省份的 16 个农村县进行的病例对照心理解剖研究（392 例自杀者和 416 例社区生存对照者）。使用世界卫生组织自杀预防-多地点干预研究自杀行为量表的社区压力和问题以及斯皮尔伯格状态-特质焦虑量表来测量社区问题和特质焦虑。采用 Spearman 相关和多变量回归方法探讨社区问题对焦虑和自杀的影响。有 12 个和 6 个社区问题分别与焦虑（rs=0.169，p<0.001）和自杀（rs=0.081，p=0.022）相关。医疗保健、酗酒、迷信和工作保障是焦虑和自杀的重要社区问题。社区问题与焦虑的相关性强于与自杀的相关性。通过解决不同的社区问题可能是降低焦虑和自杀风险的有效方法。
