摘要
目的了解中学生非自杀性自伤行为的检出率及其危险因素。方法采用青少年危险行为评定量表(RBQ—A)、家庭环境量表简式(FES—F)、调查用抑郁自评量表(CES—D)、青少年生活事件量表(ASLEC)、青少年社会支持量表(SSSA)及自制的一般情况调查量表,于2011年4月以多阶段抽样的方法对四川省彭州市和三台县抽取的1312名中学生进行调查,收回有效问卷1288份;采用多因素logistic回归分析,筛选出中学生非自杀性自伤行为的主要危险因素。结果1288名中学生中,有22.67%的人在近一年内曾有过非自杀性自伤行为,男女生检出率分别为22.70%、22.64%,两者差异无统计学意义(P〉0.05)。有63.36%的人曾采用多种不同的方式进行自我伤害,割伤或烫伤白已者中以男牛居多,为26.88%,女生为11.36%。有非自杀性白伤行为者的ASLEC、CES-D的量表分数较无自伤行为者高,而SSSA量表分数则低于无自伤者:logistic回归分析结果显示,家庭矛盾、抑郁情绪、负性生活事件、社会支持少是中学生发生非自杀性自伤行为的主要危险因素。结论当地中学生非自杀性自伤行为发生率很高,应依据其主要危险因素采取必要的干预措施。
Objective To understand the prevalence and risk factors of non-suicidal self-injury in middle school students. Methods 1312 middle school students of Pengzhou and Santai were selected to fill in a Risky Behavior Questionnaire for Adoluscents (RBQ-A) , Family Environment Scale (FES), Center for Epidemiological Survey, Depression Scale ( CES-D ), Adolescent Self-Rating Life Events Check List (ASLEC) , Social Support Scale for Adolescents (SSSA) and self-administered questionnaire. In all the research subjects, 1288 were qualified for the study in April 2011 before the risk factors for non-suicidal self-injury were identified by logistic regression. Results In 1288 middle school students, 22.67% had a history of non-suicidal self-injury, with 22.70% in boys and 22.64% in girls. 63.36% of students had injured themselves through variously ways, more seen in boys(26.88% ) than in girls (11.36% ) who cut or burnt themselves. The scores of ASLEC and CES-D in non-suicidal self-injury group appeared higher than that in the control group and the score of SSSA was found higher in the control group. The main risk factors for non-suicidal self-injuries were family conflict, depressive emotion, negative life events and receiving less social support. Conclusion The prevalence of non-suicidal self-injury among middle school students in Pengzhou was high, whicn called for more attention.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2012年第1期46-49,共4页
Chinese Journal of Epidemiology
基金
国家科技支撑计划(2009BA77B00)
关键词
非自杀性自伤
中学生
危险因素
Non-suicidal self-injury
Middle school students
Risk factors