探究与大学生抑郁症自杀未遂行为相关的社会心理因素

Social and Psychological Factors Related to Suicide Attempt in College Students with Depression

目的:探究与大学生抑郁障碍患者自杀未遂行为相关的童年创伤、家庭功能及社会支持。方法:招募大学生抑郁障碍患者156例,根据既往是否存在自杀行为分为自杀未遂组(n=78)和非自杀未遂组(n=78)。采用儿童创伤问卷中文版(CTQ)、家庭功能量表(FAD)、社会支持量表(SSRS)对2组进行评估。结果:与非自杀未遂组相比,自杀未遂组的情感虐待(P<0.001)、情感忽视(P=0.001)、性虐待(P=0.002)、躯体虐待(P<0.001)、躯体忽视(P=0.001)因子评分及总分(P<0.001)更高;角色(P=0.039)、情感介入(P=0.023)、家庭总功能(P=0.010)及总分(P=0.018)更高;主观支持(P=0.007)、支持利用率(P=0.005)因子评分及总分(P=0.011)更高。情感虐待、性虐待、支持利用率是导致自杀行为发生的独立危险和保护因素。结论:伴自杀未遂行为的大学生抑郁障碍患者存在更严重的童年创伤、更差的家庭功能以及更少的社会支持。

Objective:To explore childhood trauma,family functioning,and social support related to attempted suicide in college students with depression.Methods:A total of 156 college students with depressive disorder were recruited and divided into the attempted suicide group(n=78)and non-attempted suicide group(n=78)according to previous suicidal behavior.The two groups were evaluated with the Childhood Trauma Questionnaire(CTQ),Family Assessment Device(FAD),and Social Support Rating Scale(SSRS).Results:Compared with the non-attempted suicide group,the attempted suicide group had higher scores of emotional abuse(P<0.001),emotional neglect(P=0.001),sexual abuse(P=0.002),physical abuse(P<0.001),and physical neglect(P=0.001)and a higher total score(P<0.001);role(P=0.039),emotional intervention(P=0.023),total family function(P=0.010),and total(P=0.018)scores were higher;the subjective support(P=0.007),support utilization rate(P=0.005),and total(P=0.011)scores were higher.Emotional abuse,sexual abuse,and support utilization are independent risk and protective factors for suicidal behavior.Conclusion:College students with attempted suicide have more serious childhood trauma,worse family functioning,and less social support.