农村地区自杀未遂者家庭亲密度及适应性分析

Family adaptability and cohesion among rural attempted suicides

目的了解家庭亲密度和适应性对自杀未遂者影响。方法采用北京回龙观医院自制家庭结构问卷和家庭亲密度和适应性量表(中文版)(FACESⅡ-CV)对广西某农村地区的52例自杀未遂者和对照组75人进行问卷调查。结果病例组52例中男性18例,占34.6%,女性34例,占65.4%;汉族16例,占30.8%,少数民族36例,占69.2%;年龄为15～65岁;病例组和对照组的家庭亲密度得分分别为(62.90±10.81)、(70.07±8.78)分,家庭适应性得分分别为(43.02±10.05)、(49.93±6.48)分,差异均有统计学意义(P=0.00);与对照组比较,病例组平均年龄构成偏低(2χ=14.302,P=0.001);非条件Logistic回归分析结果表明,年龄(OR=3.174)、受教育年限(OR=2.649)、家庭亲密度得分(OR=2.473),家庭适应性得分(OR=4.489)为自杀未遂的影响因素。结论家庭亲密度和适应性是自杀未遂的重要危险因素,在预防时应予以关注。

Objective To explore the relationship between family adaptability and cohesion and attempted suicide in the rural of Guangxi.Methods Totally 52 attempted suicides and 75 controls living in Guangxi countryside received the test of Family Aadaptability and Cohesion Scale（FACESⅡ-CV）.Results Significant differences in gender and age were found between 52 attempted suicides and 75 controls（P0.05）.Significant differences were found in family adaptability and cohesion between the two groups（P0.05）.The number of extreme model in the suicide attempter was significantly higher than that in the control group with the Circumpolar Model（P0.01）.Multivariate unconditional logistic regression analysis showed that age,regular education time,family cohesion,and family adaptability were risk factors of attempted suicide with the odds ratio values of 3.174,2.649,2.473,and 4.489,respectively.Conclusion Family cohesion and adaptability are important factors of attempting suicides,which should not be ignored when carrying out prevention and interference.