CAJ | 학술논문

目的探讨自杀未遂者自杀行为发生后18个月时的应对方式与社会支持.方法采用应对方式问卷、社会支持量表对111例自杀未遂者(自杀后18个月)及与其性别、年龄和居住地匹配的111例无自杀行为者进行调查并比较.结果自杀未遂者问题解决、求助、客观支持、主观支持、支持利用度、支持总分明显低于对照组,而退避、自责得分明显高于对照组,差异有统计学意义(t值为3.12～6.24,P均小于0.05).73例无精神疾病自杀未遂者问题解决、求助、客观支持、主观支持、支持利用度、支持总分明显低于其匹配的对照组,差异有统计学意义(t值为2.48～5.88,P均小于0.05).有精神疾病自杀未遂组问题解决、求助得分比无精神疾病组明显低,而退避、自责得分明显高于无精神疾病组,差异均有统计学意义(t值为2.22～5.48,P均小于0.05),两组社会支持方面得分差异无统计学意义(P>0.05).结论出院18个月时的自杀未遂者应对方式和社会支持系统依然不良,具有持续性.自杀干预工作应努力提高自杀未遂者的应对能力和支持感受,以减少他们再自杀的可能性.
목적 탐토자살미수자자살행위발생후18개월시적응대방식여사회지지.방법 채용응대방식문권、사회지지량표대111례자살미수자(자살후18개월)급여기성별、년령화거주지필배적111례무자살행위자진행조사병비교.결과 자살미수자문제해결、구조、객관지지、주관지지、지지이용도、지지총분명현저우대조조,이퇴피、자책득분명현고우대조조,차이유통계학의의(t치위3.12～6.24,P균소우0.05).73례무정신질병자살미수자문제해결、구조、객관지지、주관지지、지지이용도、지지총분명현저우기필배적대조조,차이유통계학의의(t치위2.48～5.88,P균소우0.05).유정신질병자살미수조문제해결、구조득분비무정신질병조명현저,이퇴피、자책득분명현고우무정신질병조,차이균유통계학의의(t치위2.22～5.48,P균소우0.05),량조사회지지방면득분차이무통계학의의(P>0.05).결론 출원18개월시적자살미수자응대방식화사회지지계통의연불량,구유지속성.자살간예공작응노력제고자살미수자적응대능력화지지감수,이감소타문재자살적가능성.
Objective To describe the copying style and social support of suicide attempters 18 months after the attempt. Methods Eighteen months after the suicide attempt, the presence of mental illness was assessed in 111 suicide attempters and 111 controls without prior suicide attempts using coping style and social support questionnaires. Controls were matched the study cases by gender, age and location of residence. Results The scores for mature coping strategies and for social support measures were significantly lower in attempter than in non-attempters. In contrast, the scores on the less mature coping strategy scales were significantly higher in attempter than in non-attempters. The scores for mature coping strategies and social support were still much lower in 73 attempters without a mental illness than in their matched controls. The coping strategies were less mature in attempters with a mental illness than in attempters without a mental illness. However, there was no significant difference in the social support between attempters with and without a mental illness. Conclusions The coping strategies and social support of suicide attempters is still quite poor at 18 months after discharge for the index attempt. It is necessary to improve the coping strategies and strengthen the social support network of suicide attempters to decrease the likelihood of repeat suicidal behavior.