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目的了解重庆市大学生自杀未遂的特征、发生率及其危险因素。方法采用北京回龙观医院北京心理危机研究与干预中心提供的《自杀态度与心理健康状况问卷(大学版-Ⅳ)》在重庆市随机抽取的11所大学中调查了9808名大学生,了解自杀未遂发生情况及相关因素,并通过多因素logistic模型分析其危险因素。结果大学生自杀未遂报告率为1.7%(169/9808),男女性别构成比为1∶1.8;多因素logistic回归分析显示,其危险因素排列为:近一年感到绝望的频率高(OR=4.2,95%CI:3.1～5.9)、一级亲属有过自杀行为(OR=2.8,95%CI:1.7～4.7)、认识的人有过自杀行为(OR=2.8,95%CI:2.1～3.9)、已发生性行为(OR=2.7,95%CI:1.9～3.9)、近1个月心理问题对学习及日常生活的影响(OR=2.5,95%CI:1.8～3.6)、女性(OR=2.5,95%CI:1.8～3.5)、其他血缘关系亲属有自杀行为(OR=2.4,95%CI:1.6～3.4),P值均小于0.001。结论大学生自杀现象并不罕见,应在高校制定和执行有针对性的自杀预防计划。
Objective To understand the characteristics, incidence and risk factors of college students attempting suicide in Chongqing. Methods 9808 college students were surveyed in 11 randomly chosen universities in Chongqing by suicide attitude and mental health status questionnaire (University Version-Ⅳ) provided by Beijing Huilongguan Hospital Beijing Psychological Crisis Research and Intervention Center to understand the incidence of attempted suicide And related factors, and analyzed the risk factors by multivariate logistic model. Results The reported rate of attempted suicide among college students was 1.7% (169/9808). The sex ratio of male to female was 1: 1.8. Multivariate logistic regression analysis showed that the risk factors were as follows: despair frequency was higher in recent one year (OR = 4.2, (OR = 2.8, 95% CI: 1.7-4.7), and those who knew had suicide (OR = 2.8, 95% CI: 2.1-3.9) (OR = 2.7, 95% CI: 1.9-3.9), the impact of psychological problems on learning and daily life in the past month (OR = 2.5,95% CI: 1.8-3.6) 2.5, 95% CI: 1.8-3.5). Other kinship relatives had suicide behaviors (OR = 2.4, 95% CI: 1.6-3.4), P values were less than 0.001. Conclusions It is not uncommon for college students to commit suicide. A targeted suicide prevention plan should be formulated and implemented in colleges and universities.