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目的探讨临床医学类高职生自杀意念的发生率及其与气质性乐观、生活事件、抑郁及绝望的关系,为自杀意念的早期干预提供依据。方法采用随机抽样方法,应用一般情况调查表、自杀意念自评量表(SIOSS)、乐观量表(LOT-R)、青少年生活事件量表(ASLEC)、抑郁自评量表(SDS)和贝克绝望量表(BHS),对安徽省某医学高职院校一～三年级373名学生进行调查,通过单因素和多因素分析,探讨自杀意念与生活事件、气质性乐观之间的关系。结果临床医学高职生自杀意念检出率为16.09%,男生高于女生。Logistic回归分析显示,负性生活事件、抑郁、绝望是自杀意念的主要危险因素,而气质性乐观是自杀意念产生的保护性因素。结论临床医学高职生自杀意念的发生率较高。应针对主要危险因素和保护性因素采取有效措施,力求把高职生自杀意念和自杀行为的发生降到最低。
Objective To explore the incidence of suicidal ideation and its relationship with the optimism, life events, depression and despair in clinical medical vocational college students and to provide evidence for the early intervention of suicidal ideation. Methods The randomized sampling methods were used to investigate the relationship between mental health status and family history of children using the general situation questionnaire, self-esteem self-assessment scale (SIOSS), optimistic scale (LOT-R), adolescent life event scale (ASLEC) Desperation Scale (BHS), a survey of 373 students in Grade I and III of a medical vocational college in Anhui Province investigated the relationship between suicidal ideation and life events and temperament optimism through univariate and multivariate analysis. Results The detection rate of suicidal ideation in clinical medical students was 16.09%, and the male students were higher than those of girls. Logistic regression analysis showed that negative life events, depression and despair were the main risk factors of suicidal ideation, while the optimistic view of temperament was a protective factor of suicidal ideation. Conclusion Higher prevalence of suicidal ideation in clinical medicine students. Effective measures should be taken in response to major risk factors and protective factors to minimize the occurrence of suicidal ideation and suicidal behavior among vocational college students.