家庭环境与农村居民自杀及自杀未遂的关联
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北京市医院管理中心临床医学发展专项(ZYLX202130);北京市医院管理中心“登峰”计 划专项项目(DFL20221701);北京市高层次公共卫生技术人才建设项目(2022-2-027)


Association between family environment and suicide and attempted suicide in rural residents in China
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    目的 探讨我国农村居民自杀及自杀未遂的影响因素以及与其家庭环境的关系。方法 在 内蒙古自治区开鲁县、陕西省眉县、河北省丰宁县及四川省崇州市 4 个农业县中,选取于 2008 年 1 月至 2011 年 3 月自杀死亡和自杀未遂的农村居民为自杀组(n=151)和自杀未遂组(n=118),并在 3 个县(除河北 省丰宁县)中采用分层随机抽样选取健康居民为健康对照组(n=140)。收集受试者的一般资料,对受试 者本人(除自杀组)及知情人进行访谈,访谈过程中采用家庭亲密度与适应性量表、家庭分工量表评估受 试者的家庭环境。采用Logistic回归分析农村居民自杀及自杀未遂的影响因素。结果 单因素分析显示, 健康对照组在家庭事务决定、夫妻关系、家庭亲密度、家庭适应性 4 个方面得分分别为 3.5(1.3,5.3)、 11.0(10.0,11.9)、61.3(57.0,65.5)、53.0(49.9,55.5)分,均高于自杀组的2.6(0,4.7)、10.0(8.5,11.0)、56.0(50.6, 60.8)、47.0(42.1,50.9)分和自杀未遂组的1.8(0,4.4)、10.0(8.5,11.0)、55.0(49.9,60.5)、47.0(42.0,50.5)分,差 异均有统计学意义(均P<0.01)。Logistic回归分析显示,家庭适应性良好与夫妻关系良好均是农村居民自 杀[OR(95%CI)=0.12(0.04~0.37)、0.11(0.03~0.36)]和自杀未遂[OR(95%CI)=0.08(0.03~0.22)、0.13(0.04~0.41)] 的保护因素(P<0.01)。结论 改善家庭环境有助于降低我国农村居民自杀和自杀未遂的风险。

    Abstract:

    Objective To explore the influencing factors of suicide and attempted suicide among rural residents in China and its relationship with their family environment. Methods In Kailu County, Inner Mongolia Autonomous Region, Meixian County, Shaanxi Province, Fengning County, Hebei Province and Chongzhou City, Sichuan Province, rural residents who committed suicide and attempted suicide from January 2008 to March 2011 were selected as suicide group (n=151) and attempted suicide group (n=118), In 3 counties (except Fengning County, Hebei Province), healthy residents were selected as health control group by stratified random sampling (n=140). Demographic data of the 3 groups of cases were collected. Interviews were conducted to the subjects themselves (except the suicide group) and the insiders. The family environment of subjects was assessed with Family Intimacy and Adaptation Scale and Family Position and Housework Allocation Scale during the interviews. Logistic regression was used to analyze the influencing factors of suicide and attempted suicide among rural residents. Results Single factor analysis showed that the scores of family affairs decision, marital relationship, family intimacy, family adaptability in healthy control group were 3.5(1.3,5.3), 11.0(10.0,11.9), 61.3(57.0,65.5) and 53.0(49.9, 55.5), respectively, all higher than those of suicide group 2.6(0, 4.7), 10.0 (8.5, 11.0), 56.0(50.6, 60.8) and 47.0(42.1, 50.9) and attempted suicide group 1.8 (0,4.4), 10.0(8.5, 11.0), 55.0(49.9, 60.5) and 47.0(42.0,50.5). The differences were statistically significant (P< 0.01). The results of binomial Logistic regression analysis showed that after controlling for variables such as gender, age, education level and mental illness, good family adaptability and good marital relationship were protective factors for suicide [OR(95%CI)=0.12(0.04-0.37), 0.11(0.03-0.36)] and attempted suicide [OR(95%CI)=0.08(0.03-0.22), 0.13(0.04-0.41)] (P< 0.05). Conclusions Improving family environment can reduce the risk of suicide and suicide attempts among rural residents in China.

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龚明月,吴涧蓝,童永胜.家庭环境与农村居民自杀及自杀未遂的关联[J].神经疾病与精神卫生,2023,23(2).
DOI :10.3969/j. issn.1009-6574.2023.02.008.

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  • 在线发布日期: 2023-04-03