浏阳市农村成年人自杀风险及相关因素

发布时间：2018-09-19 16:57

【摘要】：目的:了解农村成年人自杀风险的现状,探讨其相关因素。方法:采用分阶段整群抽样方法,调查浏阳市2052名农村成年人(年龄18~60岁),以简明国际神经精神访谈(MINI)自杀筛选问卷评估自杀风险,并施测自编一般人口学问卷、病人健康问卷抑郁量表(PHQ-9)、简易应对方式问卷(SCSQ)。结果:浏阳市农村成年人当前的自杀风险总发生率为13.8%,其中低、中度和高度自杀风险的发生率分别为13.0%、0.4%、0.4%。有序多分类logistic回归分析显示,女性(OR=2.06,95%CI=1.54~2.76)、小学及以下(OR=1.80,95%CI:1.07~3.05)、消极应对方式(OR=1.07,95%CI:1.03~1.11)及重、中和轻度抑郁(OR=24.61、5.98、2.75,95%CI:12.63~47.99、3.95~9.07、2.01~3.76)为自杀风险的危险因素。结论:浏阳市农村成年人当前自杀风险的发生率处于较高水平,女性、受教育程度较低、抑郁、消极应对方式评分高的人更容易发生自杀风险。
[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.
【作者单位】：中南大学公共卫生学院社会医学与卫生事业管理系;广州医科大学附属脑科医院;
【基金】：国家科技支撑计划项目(2009BAI77B08,2009BAI77B01)
【分类号】：C913.9;R749

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