中国大学生自杀意念影响因素的元分析

Determinant Factors of Suicidal Ideation among College Students: a Meta-analysis

目的:探讨大学生自杀意念的影响因素,为采取早期干预提供依据。方法:检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库,收集1994年-2012年公开发表的有关大学生自杀意念的文章,应用stata11.0软件进行统计分析。结果:共纳入24篇文献,累计研究对象47007人。各因素的合并OR值依次为:女性1.57、对自杀的认识2.04、神经质人格1.25、精神质人格1.31、曾有自杀行为2.75、身边的人自杀2.11、SCL-90人际敏感1.33、强迫5.58、偏执2.76、抑郁3.22、焦虑2.37、精神病性2.93、父母离异1.94、家庭成员关系1.58、负性生活事件1.39、学习压力1.65、受惩罚1.41、消极应对2.21。结论:大学生自杀意念产生的影响因素主要有性别(女性)、人格特征、精神症状、负性生活事件、人际关系、家庭关系、消极应对等。

Objective： To study determinant factors of suicidal ideation among college students, and to provide basis for its early intervention. Methods： Systematic searches of electronic database CNKI, CBM, Wangfang, VIP with keywords： col- lege students, sueidal ideation and determinant factors. Software Stata 11.0 was applied to perform Meta-analysis. Results： 24 studies including 47007 college students was analysis in the Meta-analysis, and 13 provinces was involved. The com- bined OR values were： female（1.57）, cognition of suicide（2.04）, neuroticism（1.25）, psychotics（1.31）, attempted suicide （2.75）, people suicide around（2.11）, interpersonal relationship（1.33）, obsessive-compulsive symptoms（5.58）, bigotry（2.76）, depression（3.22）, anxiety（2.73）, parental divorce（1.94）, negative life event（1.39）, study pressure（1.65）, suffered punishment （1.41）, negative coping style（2.12） and mental disorder（2.93）. Conclusion： The major Determinant factors of suicidal ideation among college students were gender（female）, personality characteristics, mental illness, negative life event, interpersonal relationship, family relationship, negative coping style, study pressure and mental disorder.