湖南某镇农村居民自杀意念影响因素

Risk Factors of Suicidal Ideation in a Rural Community Sample of Hunan

目的:探讨农村居民自杀意念的影响因素,为自杀干预提供依据。方法:对湖南浏阳市永安镇常住农村居民,采用分层随机整群抽样法确定样本人群,使用自行设计的调查表,采取入户、单独面谈的方式进行调查。结果:共851名调查对象接受了面谈并完成调查问卷。终生自杀意念发生率为23．6％,经多因素logistic嘲归分析,自评心理健康状况、自评经济水平、性别、自评躯体健康状况为自杀意念的影响因素(OR值分别为2．107、1．910、1．630、1．596)。结论:农村常住居民自杀意念发生率处于较高水平。自评心理健康状况差、自评经济水平低、女性、自评躯体健康状况差是产生自杀意念的危险因素。应针对危险因素予以积极的干预。

Objectives： To explore the prevalence and risk factors of suicidal ideation in a rural community sample. Methods： A representative sample was selected from the Yong＇an town, Liu Yang City, Hunan, China, by a two-stage random cluster sampling method proportionate to size. Then face-to-face interview with a self-devised questionnaire was conducted. All data were processed using the SPSS software package （version 11.0 ） for logistic analysis. Results： Totally 851 individuals accepted interview and completed questionnaires. 23.6% of them reported lifetime suicidal ideation. Logistic Regression Analyses showed that gender, perceived economic status and physical and mental health levels were correlated to suicidal ideation （ （OR： 2. 107, 1. 910, 1. 630, 1. 596） ） . Conclusions： The prevalence of suicidal ideation among rural residents is high. Female, low reported economic status, perception of poor physical health and mental health are main risk factors of suicidal ideation. These findings support that there is a need of screening for suicidality in primary health care settings, and suicide could be preventable through appropriate health care system responses.