南京市三所综合大学新生自杀观念及其影响因素
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南方医科大学南方医院院长基金(2019Z014);广州市哲学社会科学发展“十三五”规划 (2018GZGJ58);广东省科技计划项目(2017B020227010);广州市高校创新创业教育项目(2019KC106); 广东省重点领域研发计划项目(2018B030340001)


Research on the suicidal ideation and its influencing factors in freshmen of the three comprehensive university in Nanjing
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    摘要:

    目的 了解南京3 所公立综合类大学大一新生自杀观念的发生率及其影响因素。方 法 对南京市3 所公立综合类大学8 811 名大一新生发放问卷,包括一般资料(年龄、性别、父母离异、精 神病既往史、自杀既往史等)、艾森克人格量表神经质维度(EPQ-N)、青少年生活事件量表(ASLEC)、社会 支持评定量表(SSRS)的主观支持及支持利用度部分、贝克抑郁量表(BDI),通过Logistics 回归模型分析自 杀观念的影响因素。结果 8 811 名大一新生中,收回有效问卷8 770 份,有效回收率99.5%。其中无自 杀观念7 754人(88.4%),有自杀观念1 016人(11.6%)。多因素Logistic回归分析结果显示,低龄(OR=0.913, 95%CI:0.876~0.952)、女性(OR=1.296,95%CI 1.093~1.535)、父母离异(OR=1.366,95%CI:1.034~1.804)、 精神病既往史(OR=1.957,95%CI:1.445~2.652)、自杀既往史(OR=4.827,95%CI:3.195~7.293)、抑郁 (OR=3.982 ,95%CI:3.384~4.685)、神经质评分高(OR=1.172,95%CI:1.142~1.202)、SSRS 主观社会支持 及社会支持利用程度低(OR=0.936,95%CI:0.916~0.955)、负性生活事件多(ALSEC 评分高,OR=1.020, 95%CI:1.013~1.027)是自杀观念的独立危险因素(均P< 0.05)。结论 大一新生自杀观念发生率较高, 其影响因素较多样且复杂,应从个体人口学特征、家庭、心理特质、社会等多角度预防、干预大一学生自 杀观念。

    Abstract:

    Objective To investigate the incidence of suicidal ideation and its influencing factors among freshmen of the three public comprehensive university in Nanjing. Methods Questionnaires were given to 8 811 freshmen of the three public comprehensive university in Nanjing, including general information (age, gender, parental divorce, previous history of psychosis, suicide history, etc.), Neuroticism component of Eysenck Personality Questionnaire( EPQ-N), Adolescent Self-rating Life Events Checklis(t ASLEC), subjective support and social support availability component of Social Support Rating Scale( SSRS) and Beck Depression Inventory(BDI). Logistic regression model was used to analyze the influencing factors of suicidal ideation. Results Among the 8 811 freshmen, 8 770 valid questionnaires were collected, among which 7 754( 88.4%) had no suicidal thoughts and 1 016( 11.6%) had suicidal thoughts. Multivariate logistic regression results showed that young age( OR=0.913, 95%CI: 0.876-0.952), female( OR=1.296, 95%CI: 1.093-1.535), parental divorce (OR=1.366, 95%CI: 1.034-1.804), previous history of mental illness( OR=1.957, 95%CI: 1.445-2.652), previous suicide history( OR=4.827, 95%CI: 3.195-7.293), depression( OR=3.982, 95%CI: 3.384-4.685), high neuroticism score( OR=1.172, 95%CI: 1.142-1.202), low levels of SSRS subjective social support and the utilization of social support( OR=0.936, 95%CI: 0.916-0.955), more negative life events( high ASLEC score, OR=1.020, 95%CI: 1.013-1.027) were independent risk factors of suicidal ideation( all P < 0.05). Conclusions The incidence of suicidal ideation among freshmen is high, and the influencing factors are diverse and complex. Therefore, it is necessary to prevent and intervene the suicidal ideation of freshmen from multiple perspectives, such as individual demographic characteristics, family, psychological characteristics and society.

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谢丽凯 林连虹 李汇方 张斌.南京市三所综合大学新生自杀观念及其影响因素[J].神经疾病与精神卫生,2020,20(9):
DOI :10.3969/j. issn.1009-6574.2020.09.005.

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  • 在线发布日期: 2020-12-21