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伊朗西部青少年自杀未遂动机及风险因素:一项横断面研究。

Motivations for suicide attempts and risk factors among youths in Western Iran: A cross-sectional study.

作者信息

Darabi Fatemeh, Ziapour Arash, Ahmadinia Hassan

机构信息

Department of Public Health Asadabad School of Medical Sciences Asadabad Iran.

Cardiovascular Research Center, Health Institute, Imam-Ali Hospital Kermanshah University of Medical Sciences Kermanshah Iran.

出版信息

Health Sci Rep. 2024 Aug 7;7(8):e2297. doi: 10.1002/hsr2.2297. eCollection 2024 Aug.

Abstract

BACKGROUND AND AIMS

Suicide attempts are a fundamental problem in health care systems and are known for their complex and multifaceted nature. This study aimed to explore the reasons for suicide attempts and to identify associated factors in western Iran.

METHODS

In Asadabad, western Iran, a cross-sectional study was carried out between April 2020 and March 2021. A nonrandom sampling method was used to select 110 participants, ages 15-35. Structured questionnaires such as the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI-II), and the Suicide Motivation Scale (IMSA) were used to gather the data. Multiple linear regression, one-way analysis of variance, Pearson's correlation coefficient, and independent tests were all used in the data analysis.

RESULTS

The majority of participants (59.1%) were female, with a mean age of 25.78 years. The most common reason for suicide attempts (43.6%) was family issues, and the most popular means (66.4%) were pills and medication. Eighty-nine percent of participants had symptoms of depression. The mean scores were calculated for motivation for suicide attempts (32.46 ± 16.11), depression (34.60 ± 20.50), and anxiety (34.14 ± 15.69). The analysis showed that the motivation for suicide attempts and anxiety was greater in single persons than in married and divorced persons ( < 0.05). Motivation for suicide attempts was also greater in low- to middle-income individuals with a history of divorce ( < 0.05). The multiple regression model showed that anxiety, sex, education, and medical history significantly influenced the motivation for suicide attempts ( < 0.001).

CONCLUSION

The results showed that a wide range of social, economic, and cultural factors and psychiatric disorders, including anxiety and depression, are involved in suicide attempts. This study aimed to design interventions and strategies to prioritize mental health, improve life skills to control stressful events, and focus on high-risk groups (women, married people, people with low education levels, and those with a history of physical and mental illnesses) for suicide prevention in health promotion programs.

摘要

背景与目的

自杀未遂是医疗保健系统中的一个基本问题,其性质复杂且多面。本研究旨在探究伊朗西部自杀未遂的原因并确定相关因素。

方法

2020年4月至2021年3月期间,在伊朗西部的阿萨达巴德开展了一项横断面研究。采用非随机抽样方法选取了110名年龄在15至35岁之间的参与者。使用诸如贝克焦虑量表(BAI)、贝克抑郁量表(BDI-II)和自杀动机量表(IMSA)等结构化问卷来收集数据。数据分析采用了多元线性回归、单因素方差分析、皮尔逊相关系数和独立检验。

结果

大多数参与者(59.1%)为女性,平均年龄为25.78岁。自杀未遂最常见的原因(43.6%)是家庭问题,最常用的手段(66.4%)是药丸和药物。89%的参与者有抑郁症状。计算出自杀未遂动机(32.46±16.11)、抑郁(34.60±20.50)和焦虑(34.14±15.69)的平均得分。分析表明,单身者的自杀未遂动机和焦虑程度高于已婚和离异者(P<0.05)。有离婚史的低收入至中等收入个体的自杀未遂动机也更高(P<0.05)。多元回归模型显示,焦虑、性别、教育程度和病史对自杀未遂动机有显著影响(P<0.001)。

结论

结果表明,包括焦虑和抑郁在内的广泛社会、经济、文化因素及精神障碍都与自杀未遂有关。本研究旨在设计干预措施和策略,以优先关注心理健康,提高应对压力事件的生活技能,并在健康促进项目中重点关注自杀预防的高危人群(女性、已婚者、低教育水平者以及有身心疾病史者)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c75/11306521/b555be20583e/HSR2-7-e2297-g001.jpg

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