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安徽省低年級(jí)醫(yī)科大學(xué)生自殺意念的心理、社會(huì)影響因素及干預(yù)效果評(píng)價(jià)

發(fā)布時(shí)間:2018-04-17 03:29

  本文選題:自殺意念 + 大學(xué)生; 參考:《安徽醫(yī)科大學(xué)》2009年碩士論文


【摘要】: [目的]了解低年級(jí)大學(xué)生自殺意念的影響因素,評(píng)價(jià)以學(xué)校為基礎(chǔ)的三級(jí)高危個(gè)體干預(yù)和識(shí)別系統(tǒng)對(duì)降低低年級(jí)大學(xué)生自殺意念率的作用。 [方法]選擇安徽省三所省屬醫(yī)學(xué)院校(安徽醫(yī)科大學(xué)、蚌埠醫(yī)學(xué)院和皖南醫(yī)學(xué)院)的10344名一、二年級(jí)在校大學(xué)生作為研究對(duì)象,探討自殺意念的影響因素。將安徽醫(yī)科大學(xué)作為干預(yù)組,蚌埠醫(yī)學(xué)院和皖南醫(yī)學(xué)院同時(shí)作為對(duì)照組評(píng)價(jià)以學(xué)校為基礎(chǔ)的三級(jí)高危個(gè)體干預(yù)和識(shí)別系統(tǒng)對(duì)降低低年級(jí)大學(xué)生自殺意念率的效果。干預(yù)前后用相同的自制的大學(xué)生心理健康狀況與相關(guān)生活經(jīng)歷調(diào)查表(包括自殺態(tài)度量表、自殺可接受性量表、負(fù)性生活事件量表、家庭功能量表(APGAR)、生活質(zhì)量量表、Beck焦慮量表(BAI)、Beck自殺意念量表(BSS)、沖動(dòng)性量表(IMP)、攻擊性量表(AGG)、Beck抑郁量表(BDI)等)對(duì)目標(biāo)人群進(jìn)行調(diào)查。 [結(jié)果]低年級(jí)醫(yī)科大學(xué)生自殺意念率為48.1%(4974/10344);女生自殺意念率52.5%(2921/5564),男生自殺意念率42.9%(2053/4780),女生高于男生,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 基線調(diào)查自殺意念的多因素分析結(jié)果顯示年級(jí)、性別、自殺的自我控制性、對(duì)自殺的歧視、對(duì)自殺的正性態(tài)度、自殺的可接受性、生活質(zhì)量、焦慮、攻擊性、抑郁、社會(huì)支持、負(fù)性生活事件和家庭功能是自殺意念的影響因素。女生與年級(jí)、對(duì)自殺的歧視、對(duì)自殺的正性態(tài)度、自殺的社會(huì)重要性、自殺的可接受性、生活質(zhì)量、焦慮、攻擊性、抑郁、社會(huì)支持和負(fù)性生活事件有關(guān);男生與戀愛(ài)現(xiàn)狀、對(duì)自殺的歧視、對(duì)自殺的正性態(tài)度、自殺的可接受性、生活質(zhì)量、焦慮、攻擊性、抑郁、社會(huì)支持和負(fù)性生活事件有關(guān)。 隨訪分析顯示,以基線自殺意念程度和隨訪中影響自殺意念的因素作為校正變量分析顯示干預(yù)措施——以學(xué)校為基礎(chǔ)的三級(jí)高危個(gè)體識(shí)別和支持系統(tǒng)對(duì)降低自殺意念有一定的效果。 [結(jié)論]低年級(jí)醫(yī)科大學(xué)生自殺意念是多種心理、社會(huì)因素綜合作用的結(jié)果,以學(xué)校為基礎(chǔ)的三級(jí)高危個(gè)體識(shí)別和支持系統(tǒng)可以降低大學(xué)生的自殺意念率,應(yīng)該更加完善已建立的干預(yù)系統(tǒng),切實(shí)做好大學(xué)生自殺預(yù)防工作,并探索更好的防御機(jī)制。
[Abstract]:Objective To understand the factors influencing the suicidal thoughts of low - grade college students , and to evaluate the role of the three - level high - risk individual intervention and identification system based on school to reduce the suicide rate of low - grade college students .



In this paper , the effect of self - made mental health status of Anhui Medical University ( Anhui Medical University , Bengbu Medical College and Southern Anhui Medical College ) on the rate of suicidal thoughts of low grade college students was investigated . The effect of intervention and identification system on suicidal thoughts was evaluated by using the same self - made college students as intervention group , Bengbu Medical College and Southern Anhui Medical College as control group .



Results The suicidal rate of suicide in junior college students was 48.1 % ( 4974 / 10344 ) , the suicide rate of female students was 52.5 % ( 2921 / 5564 ) , the suicide rate of male students was 42.9 % ( 2053 / 4780 ) , the female students were higher than boys , the difference was statistically significant ( P0.05 ) .



The multi - factor analysis of suicidal thoughts from baseline revealed that grade , gender , suicide self - control , suicide - based discrimination , positive attitude towards suicide , suicide acceptability , life quality , anxiety , aggression , depression , social support , negative life events , and family function were related to suicide . Male - to - fall , suicide , life quality , anxiety , aggression , depression , social support and negative sexual life events were related ; male - to - love status , suicide - related discrimination , positive attitudes towards suicide , suicide acceptability , quality of life , anxiety , aggression , depression , social support and negative life events .



The follow - up analysis showed that the factors influencing the suicidal thoughts in the baseline suicide degree and the follow - up were used as correction variables . The three - level high - risk individual identification and support system based on school had a certain effect on reducing suicidal thoughts .



Conclusion The suicidal thoughts of college students in lower grades are the result of various psychological and social factors , and the three - level high - risk individual identification and support system based on school can reduce the suicide rate of college students , and the established intervention system should be perfected , the suicide prevention work of college students should be improved , and better defense mechanism is explored .

【學(xué)位授予單位】:安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2009
【分類號(hào)】:B846

【引證文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前1條

1 黃俊秀;大學(xué)生自殺意念現(xiàn)況及其影響因素研究[D];山西醫(yī)科大學(xué);2011年

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本文編號(hào):1761881

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