| 赵宝春,戴秀华,杨静霞,张援月,冯云波.唐山市居民内科急症患病率现状与趋势[J].Chinese journal of Epidemiology,2003,24(7):550 |
| 唐山市居民内科急症患病率现状与趋势 |
| Relationship beteen deliberate self-harm and suicidal behaviors in college students |
| Received:October 28, 2003 |
| DOI： |
| KeyWord: 自伤|自杀|大学生 |
| English Key Word: Self-harm|Suicide|College student |
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| Abstract: |
| 本文探讨1997-2001年唐山市居民内科急症发病谱变化,初步评估本市居民内科急症发病谱现状及发展趋势. |
| English Abstract: |
| Objective To describe the prevalence ofdeliberate self-harm(DSH)and suicidalbehaviors(SIB)as well as the relationship between them in a college student population.Methods A total of 4063 medical students were selected under the cluster sampling method in Anhui province.Data were analyzed by Pearson Chi—square and logistic regression.Results A total of4063(13.4％)students reported that they had deliberately harmed themselves during the past 12 months.The acts of DSH with 1 and more than or equal to2 times occurence ac+M4counted for3.7％and9.6％among all the respondents.The act of DSH was significantly higher among boys than that among girls.Rates of suicide ideation.suicide plan,attempted suicide and SIB in the last 4. 5％,1.4％.0.6 and4. 9%,respectively.However no statistically significant dilyerence was found in different sex.Students in the DSH groupnlat with SIB were found to have lower positive coping levels(OR=O.5,95％C／：0.3—0.8).getting less support from frithds(3-5 vs.1ess than or equal to 2：OR=O.6,95％c,：0.3—0.9；more than or equal to 6∞.1ess than or equal to 2：OR=O.4,95％C,：0.2-0.8).with highor negative coping levels(OR=2,1,95％CI：1.2—3.7),having more serious depressive symptoms(OR=2. 9,95％c,：1.6—5. 2)and anxiety symptoms(OR=2. 2. 95％CI：1.2—3.8).having more serious sleeping problems(OR=1.7. 95％C,：1.1—2. 8)and perceived fat(fat.moderate：OR=2. 0,95％CI：1.1—3.6)than the DSH group without SIB.The rates of SIB in students with DSH behavior were significantly higher than those in students without those behaviors(OR---4. 7,95％C／：3.5—6.4).Psyehosocial variables could attenuate the relationship between the DSH status and suicidal events (OR=3.3.95％CI：2. 4—4. 5).The DSH frequency exhibited a curvilinear relationship to SIB(OR=3.1一lO.0)and psychosocial variables also attenuated this relationship(OR=2. 4—5. 9).ConclusionIt was well known that SIB was not a suicidal gesture but our findings suggested that the presence of DSH might trigger the suicidal attempts. |
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