广州市中小学生自杀意念及影响因素研究

Suicidal Ideation and Associated Factors Among Primary and Secondary School Students in Guangzhou

目的了解广州市中小学生自杀意念的发生情况及影响因素,为预防中小学生自杀提供依据。方法采用统一调查表,应用分层整群抽样的方法调查广州市8所中学和8所小学学生7 527名,通过多因素Logistic回归模型筛选自杀意念的危险因素。结果广州市中小学生自杀意念发生率为14.5%。多因素分析显示,自杀意念的影响因素为性别、学生类型、健康状况、因病缺勤、吸烟、饮酒、被恐吓或伤害、轻微自伤行为和伤心绝望。结论自杀意念在中小学生中较为常见。应加强综合干预措施,防止自杀行为的发生。

Objective To study the prevalence of suicidal ideation and the influencing factors, and to provide evidence for the prevention measures. Methods With a questionnaire, a stratified cluster sample of 7 527 students were investigated. Multivariate logistic regression analysis was performed to assess factors for suicidal ideation. Results The incidence of suicidal ideation was 14.5 % among the students in Guengzhou. Multivariate analysis revealed that the associated factors for suicidal ideation were gender, types of students, health status, absence from class, cigarette smoking, alcohol use, being threatened, serf-harm and despair. Conclusion Suicidal ideation is common among primary and secondary schools. Strategies should he taken to prevent the suicide.