摘要
目的了解自杀者亲友抑郁状况,探讨其原因及影响因素。方法用序贯抽样方法抽取自杀死亡者并匹配正常对照,对109例自杀者亲友与128例正常对照亲友的抑郁自评量表（CES-D）得分及其可能影响因素进行分析。结果自杀者亲友CES-D得分高于其对照的亲友（P=0.000）,自杀者亲友患抑郁的风险是对照亲友的5.685倍;2组在年龄、性别比例、受教育年限、人格顺同性维度和家庭年均收入差异有统计学意义,但其中仅有家庭年均收入对CES-D得分有影响。自杀者的配偶和父母的CES-D得分均高于自杀者其他亲友（P=0.000,0.007）。自杀者亲友抑郁的影响因素由主到次为：人格神经质维度、是否与自杀者同住、距自杀事件的时间长短（以月计）;这3个因素的OR及其95%CI分别为1.129（1.048～1.216）,4.810（1.883～12.285）,0.870（0.768～0.985）。结论自杀者亲友抑郁水平高于对照亲友,与自杀事件、收入低有关;对自杀者亲友进行干预有助于改善全民精神卫生状况。
Objective To examine the depression levels of suicide survivors and to explore its causes and influencing factors. Methods Completed suicides were consecutively sampled and matched with living controls. Then, 109 relatives and friends of the suicide and 128 those of living controls were compared for their CES- D levels and the influencing factors. Resuits The CES- D scores of the suicide survivors were much higher than those of the controls＇ relatives and friends（ P = 0. 000）. The risk of suffering depression for suicide survivor was 4. 685 times higher than that for the controls＇ relatives and friends; and there were statistical differences between the two groups in age, gender proportion, education, agreeableness dimension of personality, and average annual family income. However, only average annual family income was correlated with the CES - D score. Among suicide survivors, CES - D scores of suicides＇ parents and spouses were higher than others （ P = 0. 000, 0. 007）. In the order of importance from high to low, the influencing factors were （1） neuroticism dimension of personality, （2） having lived with the suicide, （3） proximity in time of the suicide （measured in month）. The odd ratios and 95 % confidence intervals of those influencing factors were respectively： 0. 870（0. 768- 0. 985）, 4.810 （ 1. 883 - 12. 285）, 1. 129 （1. 048-1. 216）. Conclasion The CES-D scores for suicide survivors are higher than those of the relatives and friends of living controls, and they are associated with suicide events and low income. Appropriate interventions may be exercised on sui- cide survivors to improve mental health status in China.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2007年第5期549-551,共3页
Chinese Journal of Public Health
基金
美国国家卫生研究院资助(R03MH60828-01A1)
关键词
自杀
亲友
抑郁
对照研究
suicide
survivors
depression
control study
