张家港市中学生自杀行为及其影响因素分析.pdfVIP

1076 中国学校卫生2007年l2月第28卷第l2期 Chin J Sch Health，December 2007，Vo1．28，No．12 【心理卫生】 张家港市中学生自杀行为及其影响因素分析 袁飞，俞晓红，于颖慧 【摘要】 目的 了解张家港市中学生自杀行为现状及其影响因素，为学校健康教育和社会干预提供理论依据。方法 采用分层抽样 方法，选取张家港市普通和重点初、高中以及职业高中l6所共5 012名初一～高三年级学生进行调查。结果 张家港市中学生自杀意念、 自杀计划和自杀未遂的总体报告率分别为15．3％，6．1％和2．1％，其中自杀意念报告率呈现出随年级升高而逐渐上升的趋势，高中生报告 率(18．6％)明显高于初中生(11．2％)；普通高中和重点初中学生的各种自杀行为报告率与同阶段学校差异均有统计学意义；女性、经常感 到孤独、因长相或身体缺陷而被嘲笑、因学习压力感到不愉快、连续2周以上感到伤心绝望、过去1 a曾和别人打架、网络成瘾及赌博等均是 自杀意念的危险因素。结论 预防中学生自杀需强调心理健康教育，并建立起有效的干预机制和社会支持系统。 【关键词】 自杀；因素分析，统计学；学生 【中图分类号】 R 179 R 395．6 B 846【文献标识码】A 【文章编号】 1000．9817(2007)12-0-0 Smddal Beha~orsandItsmsl【FactorsAmongMiddleSchool Studentsin mlgi．m YUANFei， Xiao-1wng。 Ying-hui．Zhom~gangMu— n Cenlerfor Disease Control and Prevention，z (215600)， H Province，China 【Abstract】 Objective To investigate prevalence of suicidal behaviors and its risk factors among middle~hool students in Zhangjiagang and to provide basis for the school health education and social jntervention．Methods By stratified sampling method．5 012 students from 16 common or key IIliddle schools in Zhangjiagang were surveyed Results Percentage of suicidal ideation，planning and attempt was 15 3％，6．1％and 2 l％，respectively，among them prevalence of suicidal ideation increased with grades．qhe prevalence of suicidal ideation in senior ddle school students was hi小er than that in junior middle school students，Common senior middle school students and key iunior middle school students showed the highest prevalence of snjc试al behavior by coIrIpari． son．Finally，it was found that female，feeling isolated，being bullied，study pressure，being desperate，intemet addiction and gambling and so on were risk factors for suicidal ideation，Conclusion Suicidal behaviors are complicat