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2016 年法国学生抑郁和自杀意念的流行情况及其相关因素:一项全国性研究。

Prevalence and factors associated with depression and suicidal ideation among French students in 2016: A national study.

机构信息

Institute of Psychiatry and Neurosciences de Paris, INSERM UMR 1266, Pathophysiology of Psychiatric Diseases, University of Paris, 75014 Paris, France; Institute of Psychiatry GDR 3557 of Psychiatry, 75014 Paris, France; MOODS Team, INSERM U1178, CESP, Université Paris-Saclay, Faculté de Médecine Paris- Saclay, Le Kremlin Bicêtre, F-94275, France; Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Mood Center Paris Saclay, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, F-94275, France.

Center for Research and Epidemiology and Statistics, Université de Paris, Inserm UMR 1153 Hôtel Dieu, Paris; Service d'épidémiologie clinique, Hôpitaux Paris Centre, APHP, Paris.

出版信息

Psychiatry Res. 2023 Aug;326:115263. doi: 10.1016/j.psychres.2023.115263. Epub 2023 May 30.

Abstract

Depression is one of the leading causes of morbidity worldwide and increases the risk of suicide. Students are known as a population at risk for depression. This study aimed to evaluate the prevalence of 12 months major depressive episode (MDE) and suicidal thoughts in French students and investigate associated factors. A questionnaire was sent by email to a representative sample of the French student population between April 28th and June 27th 2016. MDE was assessed using the Composite International Diagnostic Interview Short Form (CIDI-SF). The response rate was 18.7% (N= 18,875). Prevalence of 12 months MDE was 15.8%, and suicidal thoughts was 9%. Factors associated with MDE were being a woman, study field (law/eco, human/social sciences, and medical), having failed midterms exams or dropout, refusal or stop social scholarship, and subjective financial difficulties. Factors associated with suicidal thoughts were study field (human/social sciences), having failed midterms exams or dropout, and important subjective financial difficulties. The use of CIDI-SF allows comparison with the 2017 French national study, and showed more MDE in students than in the general population. This is the only national study on French students before COVID 19 pandemic.

摘要

抑郁是全球导致发病的主要原因之一,增加自杀风险。学生是已知的抑郁高危人群。本研究旨在评估法国学生中 12 个月重度抑郁发作(MDE)和自杀意念的患病率,并探讨相关因素。2016 年 4 月 28 日至 6 月 27 日,通过电子邮件向法国学生人群的代表性样本发送问卷。使用复合国际诊断访谈短表(CIDI-SF)评估 MDE。应答率为 18.7%(N=18875)。12 个月 MDE 的患病率为 15.8%,自杀意念为 9%。与 MDE 相关的因素是女性、学习领域(法律/经济、人文/社会科学和医学)、期中考试不及格或辍学、拒绝或停止社会奖学金以及主观经济困难。与自杀意念相关的因素是学习领域(人文/社会科学)、期中考试不及格或辍学以及严重的主观经济困难。使用 CIDI-SF 可以与 2017 年法国全国性研究进行比较,结果显示学生中 MDE 的发病率高于普通人群。这是 COVID-19 大流行前针对法国学生的唯一一项全国性研究。

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