军人自杀意念的相关因素

Related factors of suicide ideation in military personnel

目的:探索军人自杀意念现患率及自杀意念的相关因素。方法:通过分层随机抽样方法于2015年5-8月选取军人2071名,使用自编一般人口学情况调查问卷、贝克抑郁问卷(BDI)的条目7进行调查,条目7得分≥1分者纳入自杀意念组。采用多因素logistic回归分析探讨自杀意念的相关因素。结果:2071名军人中,条目7得分≥1分者有382人(占18.4%)。自杀意念的危险因素为家族有自杀史(OR=42.97,95%CI=29.14~63.35)、周围出现过自杀事件(OR=2.46,95%CI=1.75~3.46)、饮酒(OR=1.64,95%CI=1.31~2.07)、受教育程度(OR=1.38,95%CI=1.01~1.90);保护因素为军兵种(OR=0.60,95%CI=0.50~0.72)及现驻地(OR=0.15,95%CI=0.03~0.64)。结论:在军人自杀预防中,应重视有家族自杀史、周围出现过自杀事件、饮酒、受教育程度低、空军、驻地在艰苦边远地区的人群。

Objective： To explore the prevalence rate of suicidal ideation and its risk and protective factors in military personnel. Methods： A total of 2071 military personnel were investigated by stratified random cluster sampling in May to August of 2015. The Question 7 of Beck Depression Scale （BDI） was used to test suicide ideation （item 7 score ≥ 1 was dovetailed in suicide ideation group）. Family, social demographic and occupational factors were assessed with the self-made general characteristics questionnaire. The data were analyzed with multiple stepwise logistic regression. Results： There were 382 （ 18. 4% ） military personnel whose scores of item 7 were≥1. Family history of suicide （ OR = 42. 97, 95% CI = 29.14 - 63.35）, surrounding suicide （ OR = 2.46, 95% CI = 1.75 -3.46）, drinking （OR = 1.64, 95% CI = 1.31 -2. 07） and level of education （OR = 1.38, 95% CI = 1.01 - 1.90） were risk factors of suicidal ideation. Protective factors were （OR = 0. 60, 95% CI = 0. 50 -0. 72） and station （OR = 0. 15, 95% CI = 0. 03 -0. 64）. Conclusion： It suggests that in suicidal prevention for military, more attention is deserved paying to those military personnel who have family history of suicide, surrounding suicide, drinking habit, and are stationed in remote areas and air force.