长沙市艾滋病患者自杀意念的社会心理因素调查

Socio-psychological factors relevant to suicidal ideation among patients with AIDS in Changsha

目的:了解长沙市艾滋病患者的自杀意念率及其影响因素,为降低艾滋病患者自杀意念制定科学依据。方法:采用自制的人口学量表、Zung氏抑郁量表、Zung氏焦虑量表及贝克自杀意念量表中文版对长沙市某专科医院的504名就诊或住院的艾滋病患者进行匿名现场问卷调查。结果:长沙市艾滋病患者最近1周、最严重时及终身自杀意念率分别为13.9%,26.6%和27.2%。同性恋(OR=4.79,2.66,2.37)及有过自杀未遂史(OR=8.56,5.63,5.56)是最近1周、最严重、终身3种自杀意念的危险因素。焦虑是最严重时(OR=3.28)及终身(OR=3.05)自杀意念的危险因素,抑郁是最近1周有自杀意念(OR=4.97)的危险因素。结论:长沙市同性恋艾滋病患者为存在自杀意念的高危人群,而有过自杀未遂史则为高危因素。

Objective：To explore the rates of suicide ideation and the relevant factors among patients with HIV/AIDS（PLWHA） in Changsha for obtaining scientific evidence to reduce suicidal ideation rates among PLWHA.Methods：A total of 504 PLWHA were surveyed in an AIDS hospital in Changsha,by using SelfMade Socio-Demographic Scale,Self-rating Depression Scale,Self-rating Anxiety Scale,and Beck Scale for Suicide Ideation-Chinese Version.Results：There were 13.9%,26.6% and 27.2% of PLWHA suffered suicidal ideation in the last week,at the most depressive moments and all their lives,respectively.Being a gay（OR=4.79,2.66,2.37） or with suicide history（OR=8.56,5.63,5.56） were the risk factors for suffering suicidal ideation in the last week,at the most depressive moments and all their lives.Moreover,anxiety was the risk factor for suffering suicidal ideation at the most depressive moments and all their lives（OR=3.28,3.05）,and depression was the risk factor for suffering suicidal ideation in the last week（OR=4.97）.Conclusion：Among PLWHA,gay is a high risk factor for suffering suicidal ideation,and suicide history is a risk factor.