CAJ | 학술논문

目的筛选心理援助热线来电者自杀意念的危险因素.方法北京心理援助热线2004-2008年在接听来电时,接线员使用来电者自杀意念及危险因素调查表询问来电者相关问题以收集资料,用logistic回归分析筛选来电者自杀意念的危险因素.结果 16 228个来电者被纳入研究,其中8844个来电者报告了该次来电前2周内有自杀意念,741例同时有自杀计划.在控制了性别等人口学因素后,有精神症状[OR=3.35,95％可信区问(CI):2.93 ～3.82,P＜0.001]、无望(OR=3.32,95％CI:3.06～3.60,P＜0.001)、既往自杀未遂史(OR=2.21,95％CI:1.99～2.46,P＜0.001)、物质滥用(OR=1.42,95％CI:1.26～1.61,P＜0.001)、严重躯体问题(OR=1.34,95％ CI:1.20 ～ 1.50,P＜0.001)、亲友自杀史(OR=1.33,95％CI:1.23～1.44,P＜0.001)、急性生活事件(OR=1.30,95％CI:1.20～1.40,P＜0.001)及慢性生活事件(OR=1.23,95％CI:1.14～ 1.33,P＜0.001)依次是来电者自杀意念的独立危险因素.结论与其他同龄人类似,精神问题、无望、既往自杀木遂史是心理援助热线来电者自杀意念的最主要危险因素.
목적 사선심리원조열선래전자자살의념적위험인소.방법 북경심리원조열선2004-2008년재접은래전시,접선원사용래전자자살의념급위험인소조사표순문래전자상관문제이수집자료,용logistic회귀분석사선래전자자살의념적위험인소.결과 16 228개래전자피납입연구,기중8844개래전자보고료해차래전전2주내유자살의념,741례동시유자살계화.재공제료성별등인구학인소후,유정신증상[OR=3.35,95％가신구문(CI):2.93 ～3.82,P＜0.001]、무망(OR=3.32,95％CI:3.06～3.60,P＜0.001)、기왕자살미수사(OR=2.21,95％CI:1.99～2.46,P＜0.001)、물질람용(OR=1.42,95％CI:1.26～1.61,P＜0.001)、엄중구체문제(OR=1.34,95％ CI:1.20 ～ 1.50,P＜0.001)、친우자살사(OR=1.33,95％CI:1.23～1.44,P＜0.001)、급성생활사건(OR=1.30,95％CI:1.20～1.40,P＜0.001)급만성생활사건(OR=1.23,95％CI:1.14～ 1.33,P＜0.001)의차시래전자자살의념적독립위험인소.결론 여기타동령인유사,정신문제、무망、기왕자살목수사시심리원조열선래전자자살의념적최주요위험인소.
Objective To explore risk factors for suicidal ideation among psychological aids hotline callers.Methods From Aug 2004 to Dec 2008,all the effective callers of psychological aids hotline were interviewed by professional hotline operators with a questionnaire including suicidal ideation and 11 potential risk factors based on prior suicide studies in China.Logistic regression analysis was used.Results Among all the 25 362 effective callers who were seeking for psychological aids hotline service,sixty-four percent (16 228) of them were recruited.Eight thousands eight hundreds and forty-four callers reported having suicidal ideation in 2 weeks prior to the identified calling,741 callers reported suicide plan while having suicidal ideation.Females,older than 19 years old,living in the local site less than 6 years,not unmarried,and unemployed callers were more likely reporting suicidal ideation.Having psychiatric symptoms (OR =3.35,95 ％ CI:2.93-3.82,P ＜ 0.001),hopeless (OR =3.32,95 ％ CI:3.06-3.60,P ＜ 0.001),prior attempt suicide history (OR =2.21,95％ CI:1.99-2.46,P ＜ 0.001),substance abuse (OR =1.42,95％CI:1.26-1.61,P＜0.001),serious physical illness (OR =1.34,95％CI:1.20-1.50,P＜ 0.001),relatives or associates with prior suicide history.(OR =1.33,95％ CI:1.23-1.44,P ＜ 0.001),acute life events (OR =1.30,95％ CI:1.20-1.40,P ＜ 0.001),and chronic life events (OR =1.23,95％ CI:1.14-1.33,P ＜ 0.001) were independent risk fac tors for suicidal ideation among the hotline callers,after sex,age,and the other 4 demographic variables were adjusted.Conclusions Similar with other young population,having psychiatric symptoms,hopeless,and prior attempted suicide history are probably be the most important risk factors for suicidal ideation among hotline callers.