發(fā)布時間：2018-09-19 16:57

【摘要】：目的:了解農村成年人自殺風險的現(xiàn)狀,探討其相關因素。方法:采用分階段整群抽樣方法,調查瀏陽市2052名農村成年人(年齡18~60歲),以簡明國際神經精神訪談(MINI)自殺篩選問卷評估自殺風險,并施測自編一般人口學問卷、病人健康問卷抑郁量表(PHQ-9)、簡易應對方式問卷(SCSQ)。結果:瀏陽市農村成年人當前的自殺風險總發(fā)生率為13.8%,其中低、中度和高度自殺風險的發(fā)生率分別為13.0%、0.4%、0.4%。有序多分類logistic回歸分析顯示,女性(OR=2.06,95%CI=1.54~2.76)、小學及以下(OR=1.80,95%CI:1.07~3.05)、消極應對方式(OR=1.07,95%CI:1.03~1.11)及重、中和輕度抑郁(OR=24.61、5.98、2.75,95%CI:12.63~47.99、3.95~9.07、2.01~3.76)為自殺風險的危險因素。結論:瀏陽市農村成年人當前自殺風險的發(fā)生率處于較高水平,女性、受教育程度較低、抑郁、消極應對方式評分高的人更容易發(fā)生自殺風險。
[Abstract]:Objective: to understand the present situation of suicide risk of adults in rural areas and explore its related factors. Methods: 2052 rural adults (aged 1860 years) in Liuyang city were investigated by a cluster sampling method. The risk of suicide was assessed by (MINI) suicide screening questionnaire with brief international neuropsychiatric interview, and a self-designed general demography questionnaire was used to evaluate the risk of suicide. Patient Health questionnaire Depression scale (PHQ-9), simple coping style questionnaire (SCSQ). Results: the total incidence of suicide risk in rural adults in Liuyang was 13.80.The incidence of low, moderate and high suicide risk was 13.00.40. Logistic regression analysis showed that women (OR=2.06,95%CI=1.54~2.76), primary school (OR=1.80,95%CI:1.07~3.05), negative coping style (OR=1.07,95%CI:1.03~1.11) and severe, moderate and mild depression (OR=24.61,5.98,2.75,95%CI:12.63~47.99,3.95~9.07,2.01~3.76) were risk factors of suicide. Conclusion: the incidence of suicide risk of rural adults in Liuyang City is at a high level at present. Women with low education depression and high score of negative coping style are more likely to have suicide risk.
【作者單位】： 中南大學公共衛(wèi)生學院社會醫(yī)學與衛(wèi)生事業(yè)管理系;廣州醫(yī)科大學附屬腦科醫(yī)院;
【基金】：國家科技支撐計劃項目(2009BAI77B08,2009BAI77B01)
【分類號】：C913.9;R749

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