乡村医生自杀认知、态度与自尊的关系

Relation of self-esteem to suicide knowledge and attitudes toward suicide in village physicians

目的:探讨乡村医生对自杀的认知、态度与自尊的关系。方法:以山东省邹城市为调查点,非随机取样选取乡村医生开展横断面调查。采用一般社会调查中的有关自杀态度量表,自杀态度问卷中对自杀行为性质的认识维度和群众自杀态度与知识量表中对自杀的社会重要性、自杀可预防性的看法,对自杀者的正性态度3个分量表以及3个自杀基本知识条目评估自杀认知、态度;采用自尊量表(SES)调查自尊。结果:616位乡村医生参加调查,对自杀行为性质的认识、自杀问题社会重要性、预防自杀难度及自杀的正性态度4个分量表的得分均值分别为2.7、27、60、67分,SES得分均值为31分。回归分析显示,SES得分越高,越不赞同自杀。SES得分与自杀问题社会重要性分量表得分呈负相关,与自杀的预防难度及对自杀的正性态度分量表得分呈正相关。结论:乡村医生的自尊与对自杀的态度、对自杀社会重要性及可预防性的看法有关。

Objective： To assess the relationship of suicide knowledge and attitudes toward suicide to self-es- teem among village physicians. Methods： A cross-sectional study was implemented in Zoucheng City of Shandong province. Non-probability sampling was conducted to select participants. A self-made questionnaire and the Self-es- teem Scale （SES） were used. The knowledge of suicide and attitudes toward suicide were measured with the Gener- al Social Survey （GSS） for suicidal attitudes, the Suicide Attitude Questionnaire （QSA） for nature of suicidal be- havior and the Scale of Public Attitudes about Suicide （SPAS） for suicide knowledge, prevention of suicide, social importance of suicide and positive attitude to suicide. Results： The scores of subscales for nature of suicidal behav- ior, social importance of suicide, preventability of suicide and positive attitudes toward suicide were 2. 7, 27, 60, and 67. Mean score of the SES was 31. Regression analysis revealed the correlations between the scores of attitudes for the approvals of suicide, prevention of suicide subscale and social importance of suicide subscale and Self-esteem Scale. The village physicians with higher SES score were more likely to disapprove suicide and tended to believe that suicide was an important social problem and preventable. Conclusion： Self-esteem of village physicians could be related to the attitudes toward suicide for the approvals of suicide, and to its social importance and prevention of suicide.