Association of suicidal ideation and family factors among rural elderly
-
摘要: 目的 了解湖北省麻城市农村老年人自杀意念现状及其与家庭环境因素的关系,为预防农村老年人自杀行为提供参考依据。方法 采用多阶段整群随机抽样方法对在麻城市农村地区抽取的2 025名≥60周岁老年人进行自杀意念情况及家庭环境因素的问卷调查。结果 2 025名农村老年人中,过去1年内有自杀意念者144人,自杀意念发生率为7.1%;不同性别、年龄、婚姻状况、受教育时间、近1年与谁一起生活老年人自杀意念发生率差异均无统计学意义(P>0.05);多因素非条件logistic回归分析结果表明,近1年有经济困难、有亲人或认识的人自杀死亡、近1年受家庭虐待(身体虐待、情感虐待)是农村老年人自杀意念发生的危险因素,子女都孝顺是农村老年人自杀意念发生的保护因素。结论 麻城市农村老年人自杀意念发生率较高,家庭环境因素对农村老年人自杀意念有重要影响。Abstract: Objective To estimate the prevalence and associated family factors of suicidal ideation among the elderly in rural area of Hubei province.Methods Randomly stratified cluster sampling was used in the study and face-to-face interviews were conducted among 2 025 respondents aged 60 years or above.Results Among the respondents,7.1% reported the experience of suicide ideation.The results showed that financial problem,family history of suicide,and suffering from domestic abuse(physical abuse,emotional abuse) were significant risk factors for suicidal ideation in the elderly population(P<0.05).Filial piety was a significant protective factor(P<0.05).Conclusion The prevalence of suicidal ideation among the elders in rural areas of Hubei province is high and family factors contribute to the risk of suicidal ideation.
-
Key words:
- suicidal ideation /
- rural elderly /
- family factor
-
[1] Li X,Xiao Z,Xiao S.Suicide among the elderly in mainland China[J].Psychogeriatrics,2009,9(2):62-66. [2] 陈辉,刘筱娴,郑名烺.湖北省麻城市1984-2008年自杀死亡水平长期趋势分析[J].中华流行病学杂志,2011,32(2):155-158. [3] Pirkis J,Burgess P,Dunt D.Suicidal ideation and suicide attempts among Australian adults[J].Crisis,2000,21(1):16-25. [4] Schofield MJ,Mishra GD.Validity of self-report screening scale for elder abuse:Women's Health Australia Study[J].Gerontologist,2003,43(1):110-120. [5] Mark SL,Karl P.Elder abuse[J].Lancet,2004,364:1263-1272. [6] 严征,彭安辉,张丽荣.贵阳市农民工自杀意念及其社会心理影响因素研究[J].卫生研究,2009,38(5):571-573. [7] Scocco P,De Leo D.One-year prevalence of death thoughts,suicide ideation and behaviours in an elderly population[J].Int J Geriatr Psychiatry,2002,17(9):842-846. [8] Yip PS,Chi I,Chiu H,et al.A prevalence study of suicide ideation among older adults in Hong Kong SAR[J].Int J Geriatr Psychiatry,2003,18(11):1056-1062. [9] 徐慧兰,马贞玉.自杀死亡者心理解剖方法研究进展[J].中国公共卫生,2010,26(4):493-494. [10] 傅卓华,冯珊珊,周亮,等.浏阳市农村居民对自杀意念的自我归因[J].中国临床心理学杂志,2007,l5(1):78-80. [11] Yan E,Tang CSK.Prevalence and psychological impact of Chinese elder abuse[J].Journal of Interpersonal Violence,2001,16(11):1158-1174. [12] De Leo D,Cerin E,Spathonis K,et al.Lifetime risk of suicide ideation and attempts in an Australian community:prevalence,suicidal process,and help-seeking behavior[J].J Affect Disord,2005,86(2-3):215-224. [13] 黄德远,喻茂娟,李新华,等.贵阳市城区居民自杀危险因素分析[J].中国公共卫生,2003,19(9):1115. [14] Cheng ST,Chan AC.Filial piety and psychological well-being in well older Chinese[J].J Gerontol B Psychol Sci Soc Sci,2006,61(5):262-269.
点击查看大图
计量
- 文章访问数: 1396
- HTML全文浏览量: 196
- PDF下载量: 98
- 被引次数: 0