中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
5期
474-477
,共4页
万宇辉%高荣%陶兴永%陶芳标%胡传来
萬宇輝%高榮%陶興永%陶芳標%鬍傳來
만우휘%고영%도흥영%도방표%호전래
自伤%自杀%大学生
自傷%自殺%大學生
자상%자살%대학생
Self-harm%Suicide%College student
目的 了解大学生故意自伤行为和自杀行为的发生情况,并分析其相关性.方法 整群选取某医科大学4063名一、二年级在校生为研究对象,采用x2检验比较不同性别大学生故意自伤行为、自杀行为检出率差异,建立多因素logistic回归模型拟合多种研究变量对故意自伤行为-自杀行为的影响.结果 4063名大学生最近1年故意自伤行为检出率为13.4％,其中单次自伤检出率为3.7％,多次自伤检出率为9.6％,男生高于女生；最近1年自杀意念、自杀计划、自杀未遂和自杀行为的检出率分别为4.5％、1.4％、0 6％和4.9％,性别间差异无统计学意义(P＞0.05).采用多元logistic回归分析,以有自伤无自杀组为参考,有自伤有自杀组表现为积极应对程度低(OR=0.5,95％CI:0.3 ～ 0.8)、伙伴个数相对较少(3～5个vs.≤2个:OR=0.6,95％CI:0.3 ～0.9;≥6个vs.≤2个:OR=0.4,95％CI:0.2～0.8)；消极应对(OR=2.1,95％CI:1.2 ～ 3.7)、抑郁症状(OR=2.9,95％CI:1.6 ～ 5.2)、焦虑症状(OR=2.2,95％CI:1,2 ～ 3.8)、睡眠问题(OR=1.7,95％CI:1.1～2.8)、自评体型偏胖(偏胖vs.正常:OR=2.0,95％CI:1.1～3.6)较为常见.logistic回归分析发现,大学生故意自伤行为者中自杀行为的发生风险显著增加(OR=4.7,95％CI:3.5～6.4),而抑郁、应对方式、自评体型等社会心理因素会减弱两者的关联程度(OR=3.3,95％CI:2.4 ～ 4.5).自杀行为发生的风险随自伤次数的增加而增加(OR=3.1 ～ 10.0),社会心理因素也会减弱两者的关联(OR=2.4～5.9).结论 自伤行为虽然不是个体自杀行为发生的信号,但有必要在自伤者中开展自杀行为发生可能性的评估.
目的 瞭解大學生故意自傷行為和自殺行為的髮生情況,併分析其相關性.方法 整群選取某醫科大學4063名一、二年級在校生為研究對象,採用x2檢驗比較不同性彆大學生故意自傷行為、自殺行為檢齣率差異,建立多因素logistic迴歸模型擬閤多種研究變量對故意自傷行為-自殺行為的影響.結果 4063名大學生最近1年故意自傷行為檢齣率為13.4％,其中單次自傷檢齣率為3.7％,多次自傷檢齣率為9.6％,男生高于女生；最近1年自殺意唸、自殺計劃、自殺未遂和自殺行為的檢齣率分彆為4.5％、1.4％、0 6％和4.9％,性彆間差異無統計學意義(P＞0.05).採用多元logistic迴歸分析,以有自傷無自殺組為參攷,有自傷有自殺組錶現為積極應對程度低(OR=0.5,95％CI:0.3 ～ 0.8)、夥伴箇數相對較少(3～5箇vs.≤2箇:OR=0.6,95％CI:0.3 ～0.9;≥6箇vs.≤2箇:OR=0.4,95％CI:0.2～0.8)；消極應對(OR=2.1,95％CI:1.2 ～ 3.7)、抑鬱癥狀(OR=2.9,95％CI:1.6 ～ 5.2)、焦慮癥狀(OR=2.2,95％CI:1,2 ～ 3.8)、睡眠問題(OR=1.7,95％CI:1.1～2.8)、自評體型偏胖(偏胖vs.正常:OR=2.0,95％CI:1.1～3.6)較為常見.logistic迴歸分析髮現,大學生故意自傷行為者中自殺行為的髮生風險顯著增加(OR=4.7,95％CI:3.5～6.4),而抑鬱、應對方式、自評體型等社會心理因素會減弱兩者的關聯程度(OR=3.3,95％CI:2.4 ～ 4.5).自殺行為髮生的風險隨自傷次數的增加而增加(OR=3.1 ～ 10.0),社會心理因素也會減弱兩者的關聯(OR=2.4～5.9).結論 自傷行為雖然不是箇體自殺行為髮生的信號,但有必要在自傷者中開展自殺行為髮生可能性的評估.
목적 료해대학생고의자상행위화자살행위적발생정황,병분석기상관성.방법 정군선취모의과대학4063명일、이년급재교생위연구대상,채용x2검험비교불동성별대학생고의자상행위、자살행위검출솔차이,건립다인소logistic회귀모형의합다충연구변량대고의자상행위-자살행위적영향.결과 4063명대학생최근1년고의자상행위검출솔위13.4％,기중단차자상검출솔위3.7％,다차자상검출솔위9.6％,남생고우녀생；최근1년자살의념、자살계화、자살미수화자살행위적검출솔분별위4.5％、1.4％、0 6％화4.9％,성별간차이무통계학의의(P＞0.05).채용다원logistic회귀분석,이유자상무자살조위삼고,유자상유자살조표현위적겁응대정도저(OR=0.5,95％CI:0.3 ～ 0.8)、화반개수상대교소(3～5개vs.≤2개:OR=0.6,95％CI:0.3 ～0.9;≥6개vs.≤2개:OR=0.4,95％CI:0.2～0.8)；소겁응대(OR=2.1,95％CI:1.2 ～ 3.7)、억욱증상(OR=2.9,95％CI:1.6 ～ 5.2)、초필증상(OR=2.2,95％CI:1,2 ～ 3.8)、수면문제(OR=1.7,95％CI:1.1～2.8)、자평체형편반(편반vs.정상:OR=2.0,95％CI:1.1～3.6)교위상견.logistic회귀분석발현,대학생고의자상행위자중자살행위적발생풍험현저증가(OR=4.7,95％CI:3.5～6.4),이억욱、응대방식、자평체형등사회심리인소회감약량자적관련정도(OR=3.3,95％CI:2.4 ～ 4.5).자살행위발생적풍험수자상차수적증가이증가(OR=3.1 ～ 10.0),사회심리인소야회감약량자적관련(OR=2.4～5.9).결론 자상행위수연불시개체자살행위발생적신호,단유필요재자상자중개전자살행위발생가능성적평고.
Objective To describe the prevalence of deliberate self-harm (DSH) and suicidal behaviors (SIB) as well as the relationship between them in a college student population.Methods A total of 4063 medical students were selected under the cluster sampling method in Anhui province.Data were analyzed by Pearson Chi-square and logistic regression.Results A total of 4063 ( 13.4％ )students reported that they had deliberately harmed themselves during the past 12 months.The acts of DSH with 1 and more than or equal to 2 times occurrence accounted for 3.7％ and 9.6％ among all the respondents.The act of DSH was significantly higher among boys than that among girls.Rates of suicide ideation,suicide plan,attempted suicide and SIB in the last year were 4.5％,1.4％,0.6％ and 4.9％,respectively.However no statistically significant difference was found in different sex.Students in the DSH group that with SIB were found to have lower positive coping levels (OR=0.5,95％CI:0.3-0.8),getting less support from fricnds (3-5 vs.less than or equal to 2:OR=0.6,95％CI:0.3-0.9;more than or equal to 6 vs.less than or equal to 2:OR=0A,95％CI:0.2-0.8),with higher negative coping levels (OR=2.1,95％CI:1.2-3.7),having more serious depressive symptoms (OR=2.9,95％ CI:1.6-5.2) and anxiety symptoms (OR=2.2,95％ CI:1.2-3.8),having more serious sleeping problems (OR=1.7,95％CI:1.1-2.8 ) and perceived fat (fat vs.moderate:OR=2.0,95％CI:1.1-3.6) than the DSH group without SIB.The rates of SIB in students with DSH behavior were significantly higher than those in students without those behaviors (OR=4.7,95％ CI:3.5-6.4).Psyehosocial variables could attenuate the relationship between the DSH status and suicidal events (OR=3.3,95％CI:2.4-4.5).The DSH frequency exhibited a curvilinear relationship to SIB (OR=3.1-10.0) and psychosocial variables also attenuated this relationship (OR=2.4-5.9).Conclusion It was well known that SIB was not a suicidal gesture but our findings suggested that the presence of DSH might trigger the suicidal attempts.
