Objective To explore the influencing factors of suicide behavior attitudes among female adolescents with depressive disorder. Methods From June 2021 to April 2023, convenience sampling was used to select 170 female adolescents with depressive disorder who received outpatient or inpatient treatment at the Fourth People's Hospital of Wuhu as research subjects. The self-designed questionnaire, 17-Item Hamilton Depression Rating Scale (HAMD-17), Suicide Attitude Questionnaire (QSA), Adolescent Self-Rating Life Events Checklist (ASLEC), and the Egna Minnen av Barndoms Uppfostran (EMBU) were used to investigate general information, depressive disorder, suicide behavior attitude, life event experiences, and parenting styles, respectively. Spearman correlation was used to examine the correlation between patient suicide behavior attitudes and various variables, and multiple linear regression was used to analyze the influencing factors of suicide behavior attitudes. Results A total of 156 valid questionnaires were collected, with an effective response rate of 91.76%. There was a statistically significant difference in the QSA-attitude towards suicide behavior scores of patients with different educational backgrounds of fathers and those with suicidal behavior within six months (Z=8.447, -4.455; P < 0.05). The QSA-attitude towards suicide behavior score of patients was negatively correlated with scores HDMD-17, ASLEC-interpersonal relationship, ASLEC-learning pressure, ASLEC-punishment, ASLEC-health adaptation, ASLEC-others, EMBU-father punishment and harshness, EMBU-father overinvolvement, EMBU-father rejection, EMBU-mother punishment and harshness, EMBU-mother overinvolvement, EMBU-mother favoritism (r=-0.425 to -0.183, P < 0.05), and was positively associated with scores of QSA-attitude towards suicide, QSA-attitude towards euthanasia, EMBU-father emotional warmth and understanding, EMBU-mother emotional warmth and understanding (r=0.180 to 0.459, P < 0.05), and the differences were statistically significant. HDMD-17, ASLEC-punishment, EMBU-father overinvolvement, QSA-attitude towards suicide, QSA-attitude towards euthanasia, and EMBU-mother emotional warmth scores were factors that affected the suicide behavior attitudes in female adolescents with depressive disorder, and the differences were statistically significant (P< 0.05). Conclusions The severity of depressive disorder, attitude towards suicides, attitude towards euthanasia, punishment, overinvolvement from fathers, and emotional warmth from mothers are the influencing factors on the suicide behavior attitudes in female adolescents with depressive disorder.
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刘伟,梁坤,郭小兵,刘瑞,赵嘉玮,潘园,李影.女性青少年抑郁障碍患者自杀行为态度的影响因素研究[J].神经疾病与精神卫生,2024,24(6): DOI :10.3969/j. issn.1009-6574.2024.06.002.