农村老年人自杀意念及其与家庭环境因素关系

Association of suicidal ideation and family factors among rural elderly

目的了解湖北省麻城市农村老年人自杀意念现状及其与家庭环境因素的关系,为预防农村老年人自杀行为提供参考依据。方法采用多阶段整群随机抽样方法对在麻城市农村地区抽取的2025名≥60周岁老年人进行自杀意念情况及家庭环境因素的问卷调查。结果 2 025名农村老年人中,过去1年内有自杀意念者144人,自杀意念发生率为7.1%;不同性别、年龄、婚姻状况、受教育时间、近1年与谁一起生活老年人自杀意念发生率差异均无统计学意义(P>0.05);多因素非条件logistic回归分析结果表明,近1年有经济困难、有亲人或认识的人自杀死亡、近1年受家庭虐待(身体虐待、情感虐待)是农村老年人自杀意念发生的危险因素,子女都孝顺是农村老年人自杀意念发生的保护因素。结论麻城市农村老年人自杀意念发生率较高,家庭环境因素对农村老年人自杀意念有重要影响。

Objective To estimate the prevalence and associated family factors of suicidal ideation among the elderly in rural area of Hubei province. Methods Randomly stratified cluster sampling was used in the study and face-to-face interviews were conducted among 2 025 respondents aged 60 years or above. Results Among the respondents, 7. 1% reported the experience of suicide ideation. The results showed that financial problem, family history of suicide, and suffering from domestic abuse （ physical abuse, emotional abuse） were significant risk factors for suicidal ideation in the elderly population （P 〈 0. 05 ）. Filial piety was a significant protective factor （ P 〈 0. 05 ）. Conclusion The prevalence of suicidal ideation among the elders in rural areas of Hubei province is high and family factors contribute to the risk of suicidal ideation.