某高职学校学生抑郁症状和手机依赖与自杀意念的相关性研究

The correlation analysis of depressive symptoms and mobile phone dependence with suicidal ideation among students in a high vocational school

目的探讨高职学生抑郁症状及手机依赖与自杀意念的相关性。方法在安徽省六安市某高职学校选取1 826名一至三年级在校学生为研究对象,使用青少年手机使用依赖自评问卷(SQAPMPU)和抑郁自评量表(SDS)对研究对象进行抑郁症状和手机依赖行为进行评估。结果高职学生有自杀意念检出率12.49%(228/1 826)。抑郁症状(OR=2.89,95%CI:2.13~3.89)和手机依赖(OR=2.43,95%CI:1.82~3.26)是自杀意念的独立危险因素。分层分析结果显示,相比较有抑郁症状且无手机依赖(OR=1.30,95%CI:1.07~1.75)和无抑郁症状且有手机依赖(OR=1.95,95%CI:1.60~2.51)的学生,有抑郁症状且有手机依赖的高职学生自杀意念的风险最高(OR=3.12,95%CI:2.28~4.27)。结论自杀意念在高职学生中的检出率较高,抑郁症状和手机依赖与自伤意念均呈正相关,相比较仅有抑郁症状或仅手机依赖行为的学生,同时有抑郁症状和手机依赖行为的学生出现自杀意念的危险更高。

Objective To discuss the correlation of depressive symptoms and mobile phone dependence with suicidal ideation among students in a high vocational school. Methods A questionnaire survey was conducted among total 1 826 students randomly selected from a high vocational school in Liuan city of Anhui using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use（SQAPMPU）and Self-rating Depression Scale（SDS）.The Pearson chi-square test and logistic regression analysis were used for data statistical analysis. Results The prevalence of suicidal ideation was 12.49%.After adjustment for potential confounding factors,depressive symptoms（OR=2.89,95%CI：2.13-3.89）and mobile phone dependence（OR=2.43,95%CI：1.82-3.26）were found to be independent risk factors of suicidal ideation.Stratified analysis showed students with both depressive symptoms and cell phone addiction are more likely to have suicidal ideation（OR=3.12,95%CI：2.28-4.27）compared to those with only depressive symptoms（OR=1.30,95%CI：1.07-1.75）or cell phone dependence（OR=1.95,95%CI：1.60-2.51）. Conclusions The prevalence of suicidal ideation is higher among high vocational school students.Depressive symptoms and mobile phone dependence are positively correlated with student suicidal ideation,and the risk of suicide is much higher if the students both depressive symptoms and mobile phone dependence.