绍兴市大学生精神障碍患者自杀态度及相关因素

黄磊; 郑春美; 庞卢伟; 赵云飞; 蒋海潮

doi:10.16835/j.cnki.1000-9817.2023.05.019

绍兴市大学生精神障碍患者自杀态度及相关因素

doi: 10.16835/j.cnki.1000-9817.2023.05.019

浙江省绍兴市第七人民医院精神科，312000

详细信息

作者简介:
黄磊(1980-)，男，浙江绍兴人，大学本科，副主任医师，主要研究方向为精神障碍

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R179
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- 文章访问数: 318
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- 被引次数: 0
出版历程
- 收稿日期: 2022-11-21
- 修回日期: 2023-01-03
- 网络出版日期: 2023-05-25
- 刊出日期: 2023-05-25

Suicide attitude and related factors of college students with mental disorders in Shaoxing City

Department of Psychiatry, the Seventh People's Hospital of Shaoxing, Shaoxing(312000), Zhejiang Province, China

摘要

摘要: 目的分析绍兴市大学生精神障碍患者自杀态度及影响因素，为改善大学生精神障碍患者的自杀态度提供依据。方法于2018年1月—2021年12月对绍兴市绍兴文理学院、绍兴越秀外国语学院1 100名大学生完成调查问卷，其中有110名既往被医疗机构确认为存有精神障碍，应用单因素分析及多因素Logistic回归分析大学生精神障碍患者自杀态度的主要相关因素。结果单因素分析显示，大学生精神障碍患者自杀态度(肯定、反对)与年龄、性别、来源地、自杀意念、是否可控制自杀想法、冲动型人格类型、问题解决方式有关，组间差异均有统计学意义(χ²/t值分别为9.01，15.05，5.90，5.86，6.47，4.92，13.48，P值均 < 0.05)。多因素Logistic回归分析结果显示，年龄、性别、来源地、自杀意念、是否可控制自杀想法、冲动型人格类型、问题解决方式为大学生精神障碍患者自杀态度的相关因素(OR值分别为3.13，3.06，2.89，3.22，3.25，3.13，3.16，P值均 < 0.05)。结论冲动型人格类型和问题解决方式可对大学生精神障碍患者自杀态度产生影响。选用针对性的治疗方案可为改善大学生精神障碍状况，促进病情恢复提供依据。
- 精神障碍 /
- 自杀 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To analyze the suicide attitude and influencing factors of college students with mental disorders in Shaoxing City, and to provide a basis for improving the attitude of college students with mentaldisorders towards suicide. Methods From January 2018 to December 2021, 1 100 college students, among which 110 were previously confirmed by medical institutions to have mental disorders, were selected from two schools in Shaoxing, including Shaoxing University and Yuexiu Foreign Languages College, to participate in a questionnaire survey. Univariate and multivariate Logistic regression analysis were used to identify the main factors affecting the suicide attitude of college students with mental disorders. Results Univariate analysis showed that the influence of different nature of college students with mental disorders on suicide attitude was related to age, gender, origin, suicide ideation, whether suicidal thoughts can be controlled, impulsive personality type, problem solving style, the differences were statistically significant (χ²/t=9.01, 15.05, 5.90, 5.86, 6.47, 4.92, 13.48, P < 0.05). Multivariate Logistic regression analysis showed that age, gender, origin, suicidal ideation, uncontrolled suicidal thoughts, impulsive personality type, problem solving style were the main factors influencing the suicidal attitude of college students with mental disorders (OR=3.13, 3.06, 2.89, 3.22, 3.25, 3.13, 3.16, P < 0.05). Conclusion The main influencing factors of suicide attitude of college students with mental disorders in Shaoxing City can be impulsive personality type and problem solving and other factors. The selection of targeted treatment plan can improve the mental disorder condition of college students and promote the recovery of the disease.
- Mental disorders /
- Suicide /
- Mental health /
- Regression analysis /
- Students
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表 1 不同组别大学生精神障碍患者自杀态度构成比较

Table 1. A single factor analysis of suicide attitudes in different groups of college students with mental disorders

组别	选项	人数	肯定态度者	反对态度者	χ²值	P值
性别	女	65	30(46.15)	35(53.85)	15.05	< 0.01
	男	45	5(11.11)	40(88.89)
年龄/岁	≤18	48	8(16.66)	40(83.33)	9.01	< 0.01
	＞18	62	27(43.55)	35(56.45)
来源地	农村	50	10(20.00)	40(80.00)	5.90	0.02
	城市	60	25(41.67)	35(58.33)
精神病症家族史	有	25	5(20.00)	20(80.00)	2.08	0.15
	无	85	30(35.29)	55(64.71)
民族	汉族	80	27(33.75)	53(66.25)	0.51	0.48
	其他少数民族	30	8(26.67)	22(73.33)
宗教信仰	有	20	9(45.00)	11(55.00)	1.96	0.16
	无	90	26(28.89)	64(71.11)
家庭类型	双亲	30	9(30.00)	21(70.00)	0.06	0.80
	单亲	80	26(32.50)	54(67.50)
精神障碍类型	抑郁障碍	77	27(35.06)	50(64.94)	1.30	0.73
	精神分裂症	20	5(25.00)	15(75.00)
	双向情感障碍	8	2(25.00)	6(75.00)
	其他	5	1(20.00)	4(80.00)
自杀意念	未想过	25	3(12.00)	22(88.00)	5.86	0.02
	想过	85	32(37.65)	53(62.35)
是否可控制自杀	是	72	17(23.61)	55(76.39)	6.47	0.01
想法	否	38	18(47.37)	20(52.63)
冲动型人格类型	不冲动	81	21(25.93)	60(74.07)	4.92	0.03
	冲动	29	14(48.28)	15(51.72)
注：()内数字为构成比/%。

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表 2 大学生精神障碍患者自杀态度影响因素的多因素Logistic回归分析(n=1 100)

Table 2. Multivariate Logistic regression analysis of the influencing factors of suicidal attitude in patients with mental disorders among college students(n=1 100)

自变量	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
年龄	1.14	0.45	4.22	0.04	3.13(1.29~7.55)
性别	1.12	0.26	4.53	0.03	3.06(1.84~5.10)
来源地	1.06	0.30	4.52	0.03	2.89(1.60~5.20)
自杀意念	1.17	0.45	4.13	0.04	3.22(1.33~7.78)
是否可控制自杀想法	1.18	0.47	4.25	0.04	3.25(1.30~8.18)
冲动型人格类型	1.14	0.45	4.22	0.04	3.13(1.29~7.55)
问题解决方式	1.15	0.27	4.34	0.04	3.16(1.86~5.36)

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