医学生自杀意念与家庭因素关系的研究

The influence of family factors on suicidal thoughts of medical students

目的探讨医学生家庭各因素及生活事件对自杀意念的影响,为医学生自杀的预防提供科学依据。方法采用一般情况、自杀意念和生活事件编成问卷对新疆医科大学820名学生进行分层整群随机抽样调查,利用SPSS 17.0进行统计分析。结果医学生自杀意念发生率为21.1%;不同性别、有无自杀史、是否单亲、生活满意度和家庭关系的医学生,自杀意念表现差异有统计学意义(χ2=4.897、42.109、6.371、12.892、33.428,P均<0.05);有无自杀意念组医学生生活事件多维度差异均有统计学意义(t=9.931、10.842、11.161、7.845、10.257、14.875,P均<0.05);多元分析发现:家庭关系、是否单亲、自杀史和人际关系综合影响医学生自杀意念。结论家庭中的多个因素和所经历的生活事件对医学生自杀意念的产生有影响,因此要动员家庭参与才能有效干预医学生的自杀行为。

Objective To discuss the influence of family factors on suicidal thoughts of medical students in Xinjiang,and to provide scientific evidence for the prevention. Methods A self-designed questionnaire survey was conducted among 820 students from Xinjiang Medical University randomly selected by multistage cluster sampling method,and SPSS17.0software was used for statistical analysis. Results 21.1% of students surveyed claimed of having suicidal thoughts and the suicide rates varied significantly between male and female students,students with or without suicidal history,as well as students from single parent family,being satisfied with life or having nice and family relationship（χ2=4.897,42.109,6.371,12.892,33.428,P〈0.05）.The differences of multi-dimension of life events were significant among students with or without suicidal thoughts（t=9.931,10.842,11.161,7.845,10.257,14.875,P〈0.05）.Multivariate analysis showed that family relationship and pattern,history of suicide,and social network were major factors related to suicidal thoughts of medical students. Conclusions Family factors and life events influence the suicidal thoughts among students in Medical University,therefore,family involvement can effectively prevent the suicide attempt of medical students.