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郭丽. 安阳市青少年自杀行为及影响因素分析[J]. 中国公共卫生, 2016, 32(11): 1520-1523. DOI: 10.11847/zgggws2016-32-11-19
引用本文: 郭丽. 安阳市青少年自杀行为及影响因素分析[J]. 中国公共卫生, 2016, 32(11): 1520-1523. DOI: 10.11847/zgggws2016-32-11-19
GUO Li. Prevalence and influencing factors of suicide behaviors among adolescents in Anyang city[J]. Chinese Journal of Public Health, 2016, 32(11): 1520-1523. DOI: 10.11847/zgggws2016-32-11-19
Citation: GUO Li. Prevalence and influencing factors of suicide behaviors among adolescents in Anyang city[J]. Chinese Journal of Public Health, 2016, 32(11): 1520-1523. DOI: 10.11847/zgggws2016-32-11-19

安阳市青少年自杀行为及影响因素分析

Prevalence and influencing factors of suicide behaviors among adolescents in Anyang city

  • 摘要: 目的 了解安阳市青少年自杀行为现况及其影响因素,为采取干预措施提供依据。方法 采用分层整群抽样方法,对河南省安阳市24所监测学校共5 040人进行问卷调查。结果 过去的12个月里,河南省安阳市5 040名大、中学生中有8.9%的学生考虑过自杀(自杀意念),5.0%的学生做过自杀计划,2.3%的学生采取措施试图自杀(自杀行为),且行为发生率均是高中生 >初中生 >大学生(P<0.01),农村高于城市(P<0.01),但无性别差异(P>0.05)。青少年不良心理情绪障碍顺位依次是压力大(84.5%)、孤独(74.8%)、失眠(65.1%)。中学生自杀行为logistic回归分析显示,重组家庭(OR=5.076)、吃快餐天数(OR=3.526)、打架(OR=1.841)、绝望(OR=2.112)、自杀意念(OR=15.102)、出走意念(OR=2.099)、出走行为(OR=3.268)和使用毒品(OR=4.311)是自杀行为的危险因素。结论 家庭、学校和社会应该共同采取综合的干预措施,预防和减少青少年自杀的发生。

     

    Abstract: Objective To explore the prevalence and influencing factors of suicide behaviors among adolescents in Anyang city of Henan province and to provide evidences for relevant prevention and intervention.Methods Totally 5 055 students aged 10-24 years were selected with multistage stratified cluster sampling from 24 high schools,vocational schools,colleges,and universities in Anyang municipality and a self-administered anonymous questionnaire survey was conducted among the students with the Questionnaire on Health Related Behaviors for Chinese Adolescents issued by China Center for Disease Control and Prevention.Results Of the 5 040 students with eligible response,8.9%and 5.0% reported having ideation and plan for suicide during the previous one year;2.3%reported making suicide attempt and the senior high school students reported a higher incidence rate of suicide attempt during the previous one year than the junior high school and university students (P<0.01) and the students in rural areas reported a higher incidence rate of suicide attempt than those in urban areas (P<0.01);no gender difference was observed in the suicide attempt incidence rate (P>0.05).There were high self-reported prevalence rates of stress (84.5%),loneliness (74.8%),and insomnia (65.1%) among the students.The results of logistic regression analyses revealed that from reconstituted family(odds ratioOR=5.076),having fast food frequently (OR=3.526),experience of fighting with others (OR=1.841),depression (OR=2.112),suicidal ideation (OR=15.102),run-away ideation (OR=15.102),run-away behavior (OR=3.268),and drug use (OR=4.311) were risk factors of the suicide behavior among the students.Conclusion Comprehensive interventions on suicide should carried out in the society,families,and schools to prevent the occurrence of suicide among adolescents.

     

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