| 苏普玉,郝加虎,黄朝辉,陶芳标.2713名大学生自伤行为及其与自杀心理 行为的关联研究[J].Chinese journal of Epidemiology,2010,31(11):1267-1271 |
| 2713名大学生自伤行为及其与自杀心理 行为的关联研究 |
| An investigation on self-harm episodes and their relationship with suicidal psychology and behaviors in 2713 college students |
| Received:August 18, 2010 |
| DOI： |
| KeyWord: 自伤 自杀 大学生 流行病学 |
| English Key Word: Self-harm Suicide College student Epidemiology |
| FundProject:安徽祚教眘厅高校矜级自然科学研究项H (KJ2010B392) |
| Author Name | Affiliation | E-mail | | SU Pu-yu | Department of Maternal and Child Health Care, Anhui Medical University, Hefei 230032, China | | | HAO Jia-hu | Department of Maternal and Child Health Care, Anhui Medical University, Hefei 230032, China | | | HUANG Zhao-hui | Department of Maternal and Child Health Care, Anhui Medical University, Hefei 230032, China | | | TAG Fang-biao | Department of Maternal and Child Health Care, Anhui Medical University, Hefei 230032, China | fbtao@126.com |
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| Abstract: |
| 目的 了解大学生自伤行为的流行状况及其主要影响因素, 探讨自伤行为与自杀心理行为的关系。方法 采取整群方便抽样的方法, 对安徽省安庆市和巢湖布4所高校2713名大学生进行问卷调査, 拟合多因素logistic回归模型探讨各种类型自伤行为的主要影响因素,x2检验分析有尤各类自伤行为青少年自杀心理行为的差异。结果 2713名大学生最近半年内高致命性、组织损伤性、无肉眼可见损伤性、潜在损伤性、心理伤害性自伤行为报告率分别为1.9%, 5.5%、15.3%、21.2%和17.0%;总体自伤行为报告率为31.3%, 其中73.1％的自伤行为者具有反复性(≥3次)。引发大学生自伤行为的前三位原因为:学习问题(43.1%)、恋爱问题(25.0%)和与他人矛盾(23.9%)。抑郁最表得分增高是各类自伤行为的危险因素, 情感辨别不能因子得分增高分别是除高致命性自伤行为外其他类型自伤行为的危险因素, 自尊得分增高是除高致命性自伤行为外其他类型自伤行为的保护因素。有各种不同类型自伤行为者其自杀心理行为的报告率均显著高于无自伤行为者(P值均<0.05), 且趋势性x2检验显示, 随着自伤行为类型对机体组织损伤严重性的增加, 其各种自杀心理行为的报告率也随之增加(P值均<0.01)。结论 2713名大学生近1/3最近半年内有过自伤行为, 且多具有反复性;抑郁得分和情感辨别不能得分增高是多种类型自伤行为的危险因素, 而自尊得分增卨则是多种类型自伤行为的保护W素;青少年自伤行为与自杀心理行为关系密切。 |
| English Abstract: |
| Objective To investigate the episodes and influencing factors on self-harm and to explore the relationship between self-harm episodes and suicidal psychology and behaviors in college students. Methods Four universities were selected using cluster sampling method in Anqing city and Chaohu city. Totally, 2713 college students completed this survey. Data were analyzed by Pearson Chi-square and logistic regression. Results In the last six months, rates of highly lethal self-harm, less lethal self-harm with visible tissue damage, self-injury without visible tissue damage, self-harmful behaviors with latency damage, other self-harmftil behaviors with menticide were 1.9%, 5.5%, 15.3%, 21.2% and 17.0% respectively. The total rate of self-harm was 31.3%. 73.1% of the students with self harm fill experiences had the above mentioned behaviors more than 3 times in the last six months. The top 3 reasons for taking self-harm actions were： having learning problems (43.1%), failed love affairs (25.0%) and having conflicts with others (23.9%). There were different influencing factors among different kinds of self-harm episodes. Depression was the risk factor of self-harm. The higher score of having high self-esteem was the protective factor of all kinds of self-harm actions except highly lethal ones. Higher score of difficulties in identifying feelings was one of the risk factors. The rates of suicidal psychology and behaviors in students with self-harm were significantly higher than those in students without those behaviors. Result from linear x2 test indicated that the graveness of tissue damage of self-harm was higher along with the rates of suicidal psychology and behaviors (P<0.01). Conclusion Among 2713 college students, about 1/3 adolescents having experienced self-harm in the last 6 months, many with repeated ones. Depression and difficulties in identifying feelings were the two risk factors while self-esteem was the protective factor related to most of the self-harm cases. |
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