摘要
目的了解自杀未遂人群的生活事件等特征,合理判断自杀未遂的危险生活事件及关联强度,以期为自杀行为的预防提供依据。方法以Paykel生活事件量表的修改补充版本作为研究工具,以山东省132例自杀未遂者作为病例组,从自杀未遂者所在社区选取与自杀未遂者的性别、年龄具有可比性的人群作为对照组,进行1∶1配对的病例对照研究。结果病例组与父母或子女的融洽程度低于对照组(OR=2.19,95%CI=1.91-2.51,P<0.01),病例组中患有躯体或精神疾病者的比例均高于对照组(P<0.01),病例组中患有绝症或重病、住院者的比例均高于对照组(上述P值均小于0.01);婚姻状况的差异与自杀未遂的发生无关,与岳父/公公、岳母/婆婆融洽程度的差异均与自杀未遂的发生无关(P>0.05)。结论与父母或子女关系不融洽、患有躯体或精神疾病是自杀未遂的负性生活事件。
Objective To explore the characteristics of life events in people with suicide attempt and deduce the riskfactors for suicide attempt at a certain degree thus provide the basis for the prevention of suicide attempt behavior. Methods A modified life event questionnaire developed on the Paykel＇s Interview was employed for the survey in 132 cases of suicide attempt in Shandong province. Persons matched with age and gender and lived in the samecommunity, but with no history of suicide attempt, was recruited as controls. And the 1：1 matched case-control studywas conducted. Results The degree of familiarity among the parents and children in the case group was significantlylower than that in the control group（OR=2.19,95%CI=1.91-2.51, P〈0.01）. The proportion of being physical ormental illness was higher in the case group than in the control group（P〈0.01）. The proportion of suffering fromincurable diseases, serious diseases, or being hospitalized in the case group was higher relative to the control group（P〈0.01）. No differences was found between two groups in marital status. No differences was found between the twogroups in the degree of compatibility with father-in-law and mother-in-law（P〈0.05）. Conclusions Disharmoniousrelationship among parents and children and suffering from physical or mental illness were negative life events forsuicide attempt.
作者
姜文冲
汪心婷
JIANG Wen-chong;WANG Xin-ting(Department of Epidemiology,School of Public Health,Shandong University,Jinan 250012,China)
出处
《伤害医学（电子版）》
2018年第2期5-9,共5页
Injury Medicine(Electronic Edition)
基金
国家自然科学基金项目"基于孟德尔随机化的自杀未遂与维生素D关系的研究"的资助(项目编号:81602915)
