蒙古族高校学生非自杀性自伤行为与抑郁焦虑的关联

Non-suicidal self-injury behavior and its relationship with depression and anxiety in Mongolian college students

目的了解高校蒙古族学生非自杀性自伤行为状况及其与抑郁焦虑的关联,为高校蒙古族学生保持心理健康及干预提供参考。方法2019年4月采用分层整群抽样的方法,在呼和浩特市5所高校选取8422名蒙古族大学生进行非自杀性自伤行为(NSSI)及抑郁和焦虑状况的调查,采用Logistic回归进行关联分析。结果蒙古族大学生NSSI检出率为22.94%(1932名),焦虑症状检出率为11.11%(936名),抑郁症状检出率为28.57%(2406名)。男生、非医学专业、内向型性格、与父母关系不和睦家庭学生的NSSI检出率较高,组间差异均有统计学意义(χ^(2)值分别为9.20,100.14,60.71,53.05,P值均<0.01)。大四年级、非医学专业、内向型性格、与父母关系不和睦家庭学生的焦虑检出率较高,组间差异均有统计学意义(χ^(2)值分别为28.45,92.88,60.22,66.10,P值均<0.01)。大四年级、非医学专业、内向型性格、父母关系不和谐家庭学生的抑郁检出率较高,组间差异均有统计学意义(χ^(2)值分别为57.06,58.45,108.88,136.30,P值均<0.01)。Logistic回归分析显示,抑郁(OR=1.47,95%CI=1.31~1.67)、焦虑(OR=2.83,95%CI=2.45~3.29)与NSSI的发生均呈正相关(P值均<0.01)。结论高校蒙古族学生非自杀性自伤行为和抑郁、焦虑状况检出率较高,且非自杀性自伤行为与抑郁和焦虑之间存在正相关。应重视高校蒙古族学生心理健康问题的疏导和教育。

Objective To understand the non-suicidal self-injury(NSSI)behavior among Mongolian college students and its relations with depression and anxiety,and to provide reference for mental health prevention and intervention.Methods In April 2019,a stratified cluster sampling method was used to select 8422 Mongolian college students from 5 colleges and universities in Hohhot.NSSI,depression and anxiety were collected.Results The proportion of NSSI,anxiety and depressive symptoms among Mongolian college students were 22.94%,11.11%,and 28.57%,respectively.Male,non-medical major,introverted personality,and family disharmony were associated with higher detection rates of NSSI(χ^(2)=9.20,100.14,60.71,53.05,P<0.01).The detection rate of anxiety among students in the fourth grade,non-medical majors,introverted personality,and disharmonious family was significantly higher compared to peers(χ^(2)=28.45,92.88,60.22,66.10,P<0.01).The detection rate of depression among students in the fourth grade,non-medical major,introverted personality,and discordant parental relationships was higher(χ^(2)=57.06,58.45,108.88,136.30,P<0.01).Logistic regression analysis showed that depression(OR=1.47,95%CI=1.31-1.67),anxiety(OR=2.83,95%CI=2.45-3.29)were positively correlated with the risk of NSSI(P<0.01).Conclusion Non-suicidal self-injury behavior,depression and anxiety in Mongolian college students is high,and there are significant positive correlations between NSSI with depression and anxiety.Mental health education and intervention among college Mongolian students should be paid colse attention.