临床精神医学杂志
臨床精神醫學雜誌
림상정신의학잡지
Journal of Clinical Psychiatry
2015年
5期
292-295
,共4页
自杀%儿童少年%自杀风险%行为问题
自殺%兒童少年%自殺風險%行為問題
자살%인동소년%자살풍험%행위문제
suicide%child and youth%suicide risk%behavior problem
目的：了解四川省6~16岁儿童少年自杀风险的现况，探索自杀风险的相关危险因素。方法：采用分层整群随机抽样方法，随机选取四川省20所小学、20所中学进行问卷调查，问卷包括自编一般情况问卷、家长用Achenbach儿童行为量表和简明儿童少年国际神经精神访谈父母版。自杀风险的相关因素分析采用多因素Logistic回归模型。结果：①本研究共纳入19711名儿童少年，其中男生9938人，女生9773人；②6~16岁儿童少年自杀风险为4.7%，6~11岁儿童自杀风险为0.3%，12~16岁少年自杀风险为8.8%；③6~11岁儿童自杀风险的危险因素是单亲家庭、留守儿童、退缩行为、焦虑抑郁、注意缺陷和攻击行为；12~16岁少年自杀风险的危险因素是女性、单亲家庭、所在地区经济落后、家庭经济差、留守儿童、家长打骂孩子、对孩子不管不问、精神疾病家族史、退缩行为、躯体主诉、焦虑抑郁、社交问题、思维问题、注意缺陷和攻击行为，自杀风险的保护因素是家庭和睦。结论：四川省6~16岁儿童少年自杀风险的现况不容乐观，需引起家庭、学校和社会的高度重视，积极干预儿童少年存在的行为问题及其他危险因素。
目的：瞭解四川省6~16歲兒童少年自殺風險的現況，探索自殺風險的相關危險因素。方法：採用分層整群隨機抽樣方法，隨機選取四川省20所小學、20所中學進行問捲調查，問捲包括自編一般情況問捲、傢長用Achenbach兒童行為量錶和簡明兒童少年國際神經精神訪談父母版。自殺風險的相關因素分析採用多因素Logistic迴歸模型。結果：①本研究共納入19711名兒童少年，其中男生9938人，女生9773人；②6~16歲兒童少年自殺風險為4.7%，6~11歲兒童自殺風險為0.3%，12~16歲少年自殺風險為8.8%；③6~11歲兒童自殺風險的危險因素是單親傢庭、留守兒童、退縮行為、焦慮抑鬱、註意缺陷和攻擊行為；12~16歲少年自殺風險的危險因素是女性、單親傢庭、所在地區經濟落後、傢庭經濟差、留守兒童、傢長打罵孩子、對孩子不管不問、精神疾病傢族史、退縮行為、軀體主訴、焦慮抑鬱、社交問題、思維問題、註意缺陷和攻擊行為，自殺風險的保護因素是傢庭和睦。結論：四川省6~16歲兒童少年自殺風險的現況不容樂觀，需引起傢庭、學校和社會的高度重視，積極榦預兒童少年存在的行為問題及其他危險因素。
목적：료해사천성6~16세인동소년자살풍험적현황，탐색자살풍험적상관위험인소。방법：채용분층정군수궤추양방법，수궤선취사천성20소소학、20소중학진행문권조사，문권포괄자편일반정황문권、가장용Achenbach인동행위량표화간명인동소년국제신경정신방담부모판。자살풍험적상관인소분석채용다인소Logistic회귀모형。결과：①본연구공납입19711명인동소년，기중남생9938인，녀생9773인；②6~16세인동소년자살풍험위4.7%，6~11세인동자살풍험위0.3%，12~16세소년자살풍험위8.8%；③6~11세인동자살풍험적위험인소시단친가정、류수인동、퇴축행위、초필억욱、주의결함화공격행위；12~16세소년자살풍험적위험인소시녀성、단친가정、소재지구경제락후、가정경제차、류수인동、가장타매해자、대해자불관불문、정신질병가족사、퇴축행위、구체주소、초필억욱、사교문제、사유문제、주의결함화공격행위，자살풍험적보호인소시가정화목。결론：사천성6~16세인동소년자살풍험적현황불용악관，수인기가정、학교화사회적고도중시，적겁간예인동소년존재적행위문제급기타위험인소。
Objective:To investigate the prevalence of suicide risk and their related factors among chil-dren and youth aged between 6 and 16 years in Sichuan province. Method:Stratified random cluster sample method was used in the study. Achenbachˊs child behavior checklist( CBCL),mini international neuropsychiat-ric interview for children and adolescents( MINI KID)and a general questionnaire were administrated to 40 schools in Sichuan province. Logistic regression model was applied to identify the factors associated with suicide risk. Results:19 711 children and youth were included in our study. Male 9 938,female 9 773. There were 4. 7% of children and youth aged between 6 and 16 years had suicide risk,0. 3 % of children aged between 6 and 11 years had suicide risk and 8. 8 % of youth aged between 12 and 16 years had suicide risk. Among chil-dren aged between 6 and 11 years,suicide risk was related to single-parent family,unattended children and syn-drome of withdraw,anxious/depress,attention problem,aggressive behavior. Among youth aged between 12 and 16 years,suicide risk was related to female,single-parent family,unattended children,backward city,poor fami-lies,beat kids,child neglect,family history and syndrome of withdraw,somatic,anxious/depress,social problem, thought problem,attention problem,delinquent behavior,aggressive behavior. Protecting factor of suicide risk was harmony of family member. Conclusion:Suicide risk among children and youth aged between 6 and 16 years in Sichuan province should be seriously concerned by family,school and society. Clinicians,teachers and parents should discover behavior problems and try to prevent possible suicide as early as possible.
