安徽省医学生自杀相关行为及其影响因素分析

Suicide Behavior and Its Risk Factors Among Medical Undergraduates in Anhui Province

目的了解安徽省医学生自杀相关行为的发生情况及其危险因素,为探索适合医学生的自杀干预模式提供依据。方法采用自我管理式的调查方法,以安徽省3所本科医学院校一、二年级在校生为研究对象,采用Logistic逐步回归法分析危险因素。结果大学生自杀未遂报告率为1.43%,女生为1.91%,男生为0.88%,差异有统计学意义(P<0.05);自杀意念报告率为16.42%,女生为18.49%,男生为13.39%,差异有统计学意义(P<0.05)。Logistic逐步回归分析结果表明,女性、家庭功能障碍、抑郁和焦虑是自杀未遂的危险因素,女性、家庭经济状况差、家庭功能障碍、生活质量差、抑郁、焦虑和对专业不满意是自杀意念的危险因素。结论学校、家庭和心理因素是产生自杀相关行为的主要影响因素。有效的自杀干预措施应针对这些因素来制定。

Objective To describe the prevalence and the risk factors for suicide behaviors among the medical students, and to provide evidence for suicide prevention. Methods The freshmen and sophomore from three medical universities in Anhui were selected as the subjects. Logistic regression was employed to explore risk factors for suicide behavior. Results The reported rate of attempting suicide was 1.43% and 16.42% had suicide ideation. Of them, 1.91% of female and 0.88% of male had attempted suicide. The rate of attempting suicide for genders was significantly different（P〈0.05）. About 13.39% of male and 18.49 of female had suicide ideation, and statistical significant difference was also found in genders. Step-wise logistic regression analysis indicated that female, family function disorder, depression and anxiety were the risk factors for attempting suicide; female, poor family economic status, family function disorder, depression and anxiety were the risk factors for suicide ideation. Conclusion College, family and psychological factors are the main influencing factors for suicide related behaviors.