余力, 姜玉, 喻彦, 夏庆华, 朱琦, 周鹏. 上海市长宁区三所高中学生自杀意念及其相关因素[J]. 上海预防医学, 2018, 30(1): 47-51. DOI: 10.19428/j.cnki.sjpm.2018.18471
引用本文: 余力, 姜玉, 喻彦, 夏庆华, 朱琦, 周鹏. 上海市长宁区三所高中学生自杀意念及其相关因素[J]. 上海预防医学, 2018, 30(1): 47-51. DOI: 10.19428/j.cnki.sjpm.2018.18471
Li YU, Yu JIANG, Yan YU, Qing-hua XIA, Qi ZHU, Peng ZHOU. Suicidal ideation and its associated factors among three senior high school students in Changning District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(1): 47-51. DOI: 10.19428/j.cnki.sjpm.2018.18471
Citation: Li YU, Yu JIANG, Yan YU, Qing-hua XIA, Qi ZHU, Peng ZHOU. Suicidal ideation and its associated factors among three senior high school students in Changning District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(1): 47-51. DOI: 10.19428/j.cnki.sjpm.2018.18471

上海市长宁区三所高中学生自杀意念及其相关因素

Suicidal ideation and its associated factors among three senior high school students in Changning District, Shanghai

  • 摘要:
    目的了解高中生自杀意念的发生状况和相关因素。
    方法采用自编问卷,以自填方式对上海市长宁区高中学生进行调查。
    结果被调查的高中生中曾有过不同程度自杀意念的占33.75%。认为自杀是一种疯狂行为的占42.82%,认为自杀是对家庭和社会的不负责任的占66.39%,26.32%的高中生在一般情况下,不愿意和有过自杀行为的人交往,且不同性别高中生对上述提及的自杀态度差异有统计学意义(χ2分别为38.33、9.19及9.84,P均<0.05)。多因素logistics回归分析发现,女生比男生更易出现自杀意念(OR=1.371)。就读普通高中的学生比就读职业高中的学生更易出现自杀意念(OR=1.515)。检出有抑郁倾向的学生更易出现自杀意念(OR=9.195)。经历过人际关系、家庭及健康适应因子方面的压力性生活事件的学生更容易出现自杀意念,OR值分别为2.651、1.372及1.643。
    结论上海市长宁区高中生中有一部分学生曾经有过自杀意念,且女生、就读普高、检出抑郁、经历人际关系、家庭及健康适应生活事件是自杀意念的相关因素。应关注女生的心理情况,尽早发现学生的抑郁倾向,减少自杀行为的发生。

     

    Abstract:
    ObjectiveTo investigate the occurrence, prevalence and influencing factors of suicide ideation in senior high school students.
    MethodsSelf-compiled questionnaires were conducted among the senior high school students in Changning District, Shanghai.
    ResultsIt was found that 33.75% of high school students had different degrees of suicide ideation.And 42.82% of the students thought that suicide was a crazy behavior.66.39% students thought that suicide was irresponsible to the family and society, 26.32% students were unwilling to contact those who had committed suicide in normal circumstances.Furthermore, the suicide attitude among students of different gender had statistically significant differences (χ2= 38.33, 9.19 and 9.84, P < 0.05).Multivariate logistics regression analysis revealed that female students were more likely to have suicidal ideation (OR=1.371) than male students.Students attending high schools were more likely to have suicidal ideation than those attending vocational senior high schools (OR=1.515).Students with depressive tendencies were more likely to have suicidal ideation (OR=9.195).Students who experienced stressful life events in interpersonal relationships, family and health were more likely to have suicidal ideation, and OR values were 2.651, 1.372 and 1.643, respectively.
    ConclusionA small proportion of senior high school students in Changning District have had suicidal ideation.With female students of general high schools, their depression tendency, experiences in their interpersonal relationships, or with their family and health situations all might be risk factors of suicidal ideation.In our future work, we should pay more attention to the psychological situation of girls, finding their tendency to depression as early as possible, reducing the occurrence of negative life events, the occurrence of suicidal behavior.

     

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