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侯威威, 鲁小华, 侯文鹏, 周福春, 王传跃. 单亲家庭大学生自杀风险影响因素分析[J]. 中国公共卫生. DOI: 10.11847/zgggws1142720
引用本文: 侯威威, 鲁小华, 侯文鹏, 周福春, 王传跃. 单亲家庭大学生自杀风险影响因素分析[J]. 中国公共卫生. DOI: 10.11847/zgggws1142720
HOU Weiwei, LU Xiao-hua, HOU Wenpeng, ZHOU Fuchun, WANG Chuanyue. Influencing factors of suicide risk among university students from single-parent families in China: an online cross-sectional study[J]. Chinese Journal of Public Health. DOI: 10.11847/zgggws1142720
Citation: HOU Weiwei, LU Xiao-hua, HOU Wenpeng, ZHOU Fuchun, WANG Chuanyue. Influencing factors of suicide risk among university students from single-parent families in China: an online cross-sectional study[J]. Chinese Journal of Public Health. DOI: 10.11847/zgggws1142720

单亲家庭大学生自杀风险影响因素分析

Influencing factors of suicide risk among university students from single-parent families in China: an online cross-sectional study

  • 摘要:
    目的  探究单亲家庭大学生自杀风险的影响因素。
    方法  于2023年3 — 4月采取方便抽样方法,在北京某高校选取1465名单亲家庭大学生,使用自杀行为问卷修订版、广泛性焦虑量表、患者健康问卷、社区精神病性体验评估问卷、创伤后应激障碍检查表、匹兹堡睡眠质量指数量表、孤独感量表进行在线问卷调查。
    结果 单亲家庭大学生自杀风险、焦虑、抑郁、精神病性体验、睡眠质量问题、创伤后应激障碍的阳性检出率分别为13.0%、8.3%、13.4%、11.9%、19.9%、19.7%;多因素logistic回归分析结果显示,女性(OR = 1.94,95%CI = 1.37 ~ 2.75)、独生子女(OR = 1.50,95%CI = 1.05 ~ 2.16)、抑郁(OR = 2.20,95%CI = 1.45 ~ 3.35)、高精神病性体验 (OR = 2.78,95%CI = 1.82 ~ 4.23)、睡眠质量问题(OR = 1.95,95%CI = 1.32 ~ 2.89)、较高的孤独感(OR = 1.15,95%CI = 1.09 ~ 1.20)为单亲家庭大学生高自杀危险因素,当前学历为研究生(OR = 0.43,95%CI = 0.29 ~ 0.65)是单亲家庭大学生高自杀风险的保护因素。
    结论 单亲家庭大学生自杀风险的发生受多种因素影响,在学校心理健康工作中应关注单亲家庭学生的心理健康问题,并针对性地开展干预工作。

     

    Abstract:
    Objective To investigate the influencing factors of suicide risk among university students from single-parent families.
    Methods A total of 1 721 individuals from single-parent families (where the parents are single or widowed) were recruited using convenience sampling from 23 163 students at a university in Beijing for an online survey conducted between March and April 2023. The following instruments were used in the study: Suicidal Behaviors Questionnaire-Revised (SBQ-R), Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire (PHQ-9), 15-item positive subscale of the Community Assessment of Psychic Experiences (CAPE-P15), Posttraumatic Stress Disorder (PTSD) Checklist - Civilian (PCL-C), Pittsburgh Sleep Quality Index (PSQI), and the short form of the UCLA Loneliness Scale (UCL-6).
    Results Among the 1 465 participants with valid responses, the detection rates for high suicide risk (SBQ-R score ≥ 7) , anxiety (GAD-7 score ≥ 10), depression (PHQ-9 score ≥ 10), high psychotic experiences (CAPE-P15 score ≥ 23), sleep quality problems, and PTSD (PCL-C score ≥ 38) were 13.0%, 8.3%, 13.4%, 11.9%, 19.9%, and 19.7%, respectively. A multivariate logistic regression analysis revealed that among university students from single-parent households, being female (odds ratio OR = 1.94, 95% confidence interval CI: 1.37 – 2.75), being an only child (OR = 1.50, 95%CI: 1.05 – 2.16), having depression (OR = 2.20, 95%CI: 1.45 – 3.35), having high levels of psychotic – like experiences (OR = 2.78, 95%CI: 1.82 – 4.23), experiencing poor sleep quality (OR = 1.95, 95%CI: 1.32 – 2.89), and feeling more alone (OR = 1.15, 95%CI: 1.09 – 0.20) were risk factors for high suicide risk. Conversely, being a graduate student (OR = 0.43, 95%CI: 0.29 – 0.65) served as a protective factor against high suicide risk.
    Conclusion Many factors influence the likelihood of suicide among university students from single-parent households. Targeted treatment and consideration of the mental health concerns of students from single-parent households should be part of the mental health work in universities.

     

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