高中生自杀风险：哪些是最脆弱的群体？
Suicide risk in high school students: who are the most vulnerable groups?
机构信息
Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Universidade Católica de Pelotas, Pelotas, RS, Brazil.
出版信息
Rev Paul Pediatr. 2022 Jul 6;41:e2021236. doi: 10.1590/1984-0462/2023/41/2021236. eCollection 2022.
OBJECTIVE
To investigate the prevalence and factors associated with suicide risk among high school students from a federal educational institution in Rio Grande do Sul (IFRS).
METHODS
This is a cross-sectional study based on a census of students (n=510) enrolled in IFRS, campus Rio Grande, in the second half of 2019. Data were collected through a self-administered questionnaire. Suicide risk was measured with the instrument Mini-International Neuropsychiatric Interview, and data were analyzed using Poisson regression with robust variance adjustment.
RESULTS
The prevalence of high suicide risk was 17.3% (95% confidence interval - 95%CI 14.0-20.0), with the following independent associated factors: female gender, higher socioeconomic status, alcohol consumption, less social support, attempt to lose weight, self-harm behavior, and increased risk of depression, anxiety, and stress.
CONCLUSIONS
One in six students showed a high suicide risk. The identification of factors associated with the outcome is useful for detecting the most severe cases and referring them to specialized care.
目的
调查南里奥格兰德州联邦教育机构（IFRS）高中生自杀风险的流行情况和相关因素。
方法
这是一项基于 2019 年下半年 IFRS，里奥格兰德校区（n=510）学生普查的横断面研究。通过自填式问卷收集数据。采用 Mini-国际神经精神访谈量表测量自杀风险，采用稳健方差调整泊松回归进行数据分析。
结果
高自杀风险的患病率为 17.3%（95%置信区间-95%CI 14.0-20.0），以下为独立相关因素：女性、较高的社会经济地位、饮酒、较少的社会支持、试图减肥、自残行为，以及抑郁、焦虑和压力的风险增加。
结论
六分之一的学生表现出高自杀风险。识别与结果相关的因素有助于发现最严重的病例并将其转介至专业护理机构。
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