CAJ | 학술논문

目的了解在校大学生自杀意念和自杀行为的现况，分析其影响因素，为大学生自杀干预提供依据。方法通过多阶段分层随机整群抽样抽取广东省21个监测县(区)的学校，从中选择30所职校、3所三年制大学、4所四年制大学和2所五年制大学共7693名18~24岁的在校大学生为研究对象，开展调查，获得自杀意念的相关危险因素，并进行单因素和多因素Logistic回归分析，筛选自杀意念的危险因素。结果在调查的7693名广东省大学生中，在过去12个月内，自杀意念的发生率为8.4%(642/7687)。多因素Logistic回归模型显示：曾经受过欺辱，包括受过一种欺辱(OR=1.293，95%CI：1.019~1.642)和两种及以上欺辱(OR=1.366，95%CI：1.052~1.774)、伤害过自己(OR=2.452，95%CI：1.936~3.107)、醉酒史(OR=1.252，95%CI：1.016~1.544)是可能的危险因素，而遇到问题时会寻求帮助(OR=0.038，95%CI：0.030~0.049)是可能的保护因素。结论大学生自杀意念发生率较高，而遭遇负面事件是产生自杀意念的高危因素，应根据影响因素予以积极干预，防止自杀行为的发生。
목적료해재교대학생자살의념화자살행위적현황，분석기영향인소，위대학생자살간예제공의거。방법통과다계단분층수궤정군추양추취광동성21개감측현(구)적학교，종중선택30소직교、3소삼년제대학、4소사년제대학화2소오년제대학공7693명18~24세적재교대학생위연구대상，개전조사，획득자살의념적상관위험인소，병진행단인소화다인소Logistic회귀분석，사선자살의념적위험인소。결과재조사적7693명광동성대학생중，재과거12개월내，자살의념적발생솔위8.4%(642/7687)。다인소Logistic회귀모형현시：증경수과기욕，포괄수과일충기욕(OR=1.293，95%CI：1.019~1.642)화량충급이상기욕(OR=1.366，95%CI：1.052~1.774)、상해과자기(OR=2.452，95%CI：1.936~3.107)、취주사(OR=1.252，95%CI：1.016~1.544)시가능적위험인소，이우도문제시회심구방조(OR=0.038，95%CI：0.030~0.049)시가능적보호인소。결론대학생자살의념발생솔교고，이조우부면사건시산생자살의념적고위인소，응근거영향인소여이적겁간예，방지자살행위적발생。
ObjectiveTo provide objective data for developing intervention measures against the suicide behaviors in college students by examining the current situation of the motivations and behaviors of suicide among college students and analyzing the risk factors.Methods Stratified multi-stage random sampling method was adopted for this study. Colleges and schools were randomly selected from all 21 monitoring districts within the whole province, including 30 vocational schools, 3 three-year term colleges, 4 four-year term colleges, and 2 five-year term colleges. A total number of 7 693 students aged from 18 to 24 were selected from these schools as the participants. They were asked to provide information relevant to suicidal ideation. The risk factors for suicide were screed out using univariate and multivariate logistic regression analyses.Results Of the 7 693 surveyed college students, the incidence of suicide ideation was 8.4% (642/7 687) in the past 12 months. Logistic <br> regression models showed that: bullying, including single (OR=1.293,95%CI:1.019~1.642), and multiple ones (OR=1.366, 95%CI:1.052~1.774), self-harming (OR=2.452,95%CI:1.936~3.107), and drunk history (OR=1.252,95%CI:1.016~1.544) are main risk factors for suicide; whereas seeking help in face of problems (OR=0.038,95%CI:0.030~0.049) is a protective factor. Conclusion The suicidal ideation is not rare in college students in face of adverse events; proactive intervention measures should be developed based on the risk factors that lead to suicidal ideation.