Seo Jinhee, Kim Gaeun
Child Health Nurs Res. 2019 Apr;25(2):175-183. doi: 10.4094/chnr.2019.25.2.175. Epub 2019 Apr 30.
This study was conducted to analyze physical symptom-related and life-style factors affecting suicidal ideation of senior grade students in elementary school.
Physical symptom-related and life-style factors were used to investigate suicidal ideation among 663 elementary school students. From February 11 to 15, 2018, data were collected using a structured questionnaire and analyzed using the x2 test, Pearson correlation analysis, and logistic regression analysis in SPSS for Windows version 22.0.
The factors affecting suicidal ideation were gender, family structure, economic status, academic performance, exposure to school violence during the past year, physical symptoms, drinking experience, smoking experience, sleeping time, and ramen noodle consumption. The regression analysis showed that exposure to school violence during the past year (odds ratio [OR]: 102.99, 95% confidence interval [CI]: 51.19207.19, =.001), number of physical symptoms (OR: 1.25, 95% CI: 1.121.41, =.001), drinking experience (OR: 3.17, 95% CI: 1.666.06, =.001), and game and internet usage time (OR: 2.08, 95% CI: 1.084.01, =.029) affected suicidal ideation.
This study revealed that physical symptoms and life-style significantly influenced suicidal ideation. Therefore, interventions to reduce suicidal ideation in children must focus on improving children's physical symptoms and life-style.
本研究旨在分析影响小学高年级学生自杀意念的身体症状相关因素和生活方式因素。
采用身体症状相关因素和生活方式因素对663名小学生的自杀意念进行调查。2018年2月11日至15日,使用结构化问卷收集数据,并在Windows版SPSS 22.0中采用卡方检验、Pearson相关分析和逻辑回归分析进行分析。
影响自杀意念的因素有性别、家庭结构、经济状况、学业成绩、过去一年遭受校园暴力情况、身体症状、饮酒经历、吸烟经历、睡眠时间和拉面食用量。回归分析显示,过去一年遭受校园暴力(优势比[OR]:102.99,95%置信区间[CI]:51.19207.19,P =.001)、身体症状数量(OR:1.25,95% CI:1.121.41,P =.001)、饮酒经历(OR:3.17,95% CI:1.666.06,P =.001)以及游戏和上网时间(OR:2.08,95% CI:1.084.01,P =.029)会影响自杀意念。
本研究表明,身体症状和生活方式对自杀意念有显著影响。因此,减少儿童自杀意念的干预措施必须侧重于改善儿童的身体症状和生活方式。