儿童期虐待对新兵自杀意念影响的相关因素

Study on relative factors between childhood abuse and the suicidal ideation among recruits

目的 研究儿童期虐待对新兵自杀意念的影响及相关因素.方法 采取整群抽样法,对南京军区某部505名入伍新兵进行儿童受虐问卷、简易应对方式问卷、青少年社会支持量表、自杀意念量表和贝克绝望量表评定.结果 ①儿童期经历虐待的新兵自杀意念和绝望程度得分[（5.56±4.58）分、（5.93±3.01）分]明显高于无虐待的新兵[（2.11±2.79）分、（3.10±2.27）分],差异有统计学意义（P＜0.01）.②儿童期经历虐待的新兵积极应对得分[（18.98±6.16）分]明显低于无虐待的新兵[（23.27±7.45）分],差异有统计学意义（P＜0.05）;儿童期经历虐待的新兵消极应对得分[（9.27±5.04）分]明显高于无虐待的新兵[（6.93±4.98）分],差异有统计学意义（P＜0.01）.③儿童期经历虐待的新兵社会支持总分及各维度得分[依次（69.38±10.43）分、（20.16±3.97）分、（25.73±3.68）分、（22.82±5.52）分]均明显低于无虐待组的新兵[依次（75.55±9.67）分、（23.25±2.50）分、（27.56±3.51）分、（24.67±5.33）分],差异有统计学意义（P＜0.05）.④儿童期虐待与自杀意念、绝望程度、消极应对正相关（r=0.379,0.402,0.228）,相关均达到显著性（P＜0.01）;儿童期虐待与积极应对方式、社会支持负相关（r=-0.285,-0.302）,相关均达到显著性（P＜0.01）.结论 儿童期遭受虐待的新兵有更明显的自杀意念;儿童期虐待导致不良的应对方式和社会支持的缺乏可能是产生自杀意念的主要因素.

Objective To explore the effect of childhood abuse on suicidal ideation and the influencing factors among recruits.Methods Through stratified sampling,505 recruits in Nanjing were tested by childhood Trauma Questionnaire （CTQ）,Simplified Coping Style Questionnaire （SCSQ）,Social Support Rating Scale （SSRS）,Self-rating Idea of Suicide Scale（SIOSS） and Beck Hopelessness Scale （BHS）.Results 1.The scores of suicidal ideation and hopelessness in recruits who had childhood abuse were significantly higher than those in control group （（5.56±4.58） vs （2.11±2.79）,（5.93±3.01）vs （3.10±2.27）,P〈0.01）.2.The score of positive coping in recruits who had childhood abuse was significantly lower than that in control group（18.98±6.16 vs 23.27±7.45; P〈0.05）.The score of negative coping in recruits who had childhood abuse was significantly higher than that in control group（9.27±5.04 vs 23.27±7.45; P〈0.01）.3.The scores of social support in recruits who had childhood abuse were significantly lower than that in control group （（69.38± 10.43）,（20.16±3.97）,（25.73±3.68）,（22.82±5.52） vs（75.55±9.67）,（23.25±2.50）,（27.56±3.51）,（24.67±5.33） ; P〈0.05）.4.The score of total CTQ was positively correlated with suicidal ideation,hopelessness,negative coping（r=0.379,0.402,0.228; P〈0.01）,but negatively correlated with active coping style,social support（r=-0.285,-0.302; P〈0.01）.Conclusion The recruits who had childhood abuse are susceptible to suicidal ideation.The negative coping style and lacking of social support may be the main factors to the suicidal ideation.