目的了解青海省青少年自杀意念及其影响因素,为采取干预措施提供依据。方法采用多阶段随机抽样法,抽取青海省6个地区14 064名学生进行问卷调查。结果高中生的自杀意念报告率高于初中生和大学生(P<0.01),学习成绩差的学生自杀意念报告率高于学习成绩好的和一般的(P<0.01)。Logistic回归分析结果表明,家庭类型、骑车违规、步行违规、去无安全措施地方游泳、去无安全措施场所滑冰、经常受到欺侮、上下学时经常感到安全无保障、动手打架、曾感到孤独、经常因学习成绩心情不愉快、经常因担心某事失眠、有意伤害自己是自杀意念的危险因素。结论青海省青少年自杀行为受多种因素影响。应针对影响因素积极采取有效措施,减少青少年自杀行为的发生。 Objective To understand the suicidal ideation of adolescents in Qinghai Province and its influencing factors, to provide the basis for the intervention. Methods A multi-stage random sampling method was used to collect 14 064 students from 6 districts of Qinghai Province for questionnaire survey. Results The reported rate of suicidal ideation of high school students was higher than that of junior high school students and college students (P <0.01). The reported rate of suicidal ideation of students with poor academic performance was higher than that with good academic performance (P <0.01). Logistic regression analysis showed that family type, cycling irregularities, walking irregularities, swimming without safety measures, skating wherever unsafe places, frequent bullying, often feeling insecure when going to school, hands-on fighting, feeling lonely and often Because of academic performance unpleasant mood, often because of worry about something insomnia, intentional injury to themselves is a risk factor for suicidal ideation. Conclusion Adolescent suicide behaviors in Qinghai Province are affected by many factors. Effective measures should be taken in the light of influencing factors to reduce the incidence of suicide among young people.