服农药与其他方式自杀未遂者特征.docVIP

服农药与其他方式自杀未遂者特征 　　【摘 要】 目的：比较服农药与其他方式自杀未遂留院观察者的特征。方法：本研究是横断面研究，以我国6省市9所市县级综合医院为研究现场，由经培训的调查员用自制调查表对留院观察的617例自杀未遂者及家属等知情者进行调查，主要了解自杀意图强度、生活事件、生命质量等，并由精神科医师做精神科诊断。诊断依据美国精神障碍分类与诊断标准第4版(the Diagnostic and Statistical Manual of Mental Disorders-IV DSM-IV)进行。用非条件logistic回归模型分析自杀的危险因素。结果：617例被试以女性为主，占74%，平均年龄(33±13)岁，平均受教育年限(5.5±3.4)年。将被试分为服农药组468例，其他方式组149例，服农药组居住农村比例高(OR=4.7,95%CI=3.1~7.1)。控制居住地、性别和年龄后，服农药组受教育年限低(OR=2.6,95%CI1.6~4.1)，家庭人均月收入低(OR=1.8,95%CI=1.2~2.8)，生命质量高(OR=1.9,95%CI=1.2~2.8)，前2天有急性严重生活事件影响(OR=2.6,95%CI=1.7~3.8)，客观自杀意图强度低(OR=3.4,95%CI= 2.2~5.1)，诊断为精神障碍比例低(OR=0.4,95%CI=0.3~0.6)，既往有自杀未遂史者所占比例低(OR=0.4,95%CI=0.2~0.6)，但亲友或熟人自杀者所占比例高(OR=1.9,95%CI=1.3~2.9)。结论：服农药自杀者客观自杀意图强度低，且自杀前多存在急性严重生活事件。 　　【关键词】 自杀未遂；农药；农村女性；生活事件；横断面研究 　　中图分类号：C913.9 ，R749.5 文献标识码：A 文章编号：1000-6729(2011）002-0128-06 　　doi:10.3969/j.issn.1000-6729.2011.02.省略 　　【Abstract】Objective:To compare the characteristics between the suicide attempters who ingested pesticides and those who used other methods.Methods:A cross-sectional studies was conducted in the emergency rooms of 9 general hospitals in China.Totally 617 suicide attempters and their accompanying family members were surveyed with a self-made questionnaire for their suicide intent,quality of life,and life event mainly.The diagnosis of mental health was made according to the Diagnostic and Statistical Manual of Mental Disorders-IV?(DSM-IV).Logistic regression models were used to analyze the risk factors for suicide.Results:The 617 subjects were mainly females(74%),and their average age were(33±13)years,the average years of education were(5.5±?3.4).These 617 subjects were divided into two groups,468 individuals who ingested pesticides,and 149 who used other methods.The suicide attempts by pesticides ingestion were more in rural villages than suicide attempts by other methods(OR=4.7,95% CI=3.1~7.1).After controlling for location of residence,gender and age,the pesticide-ingestion suicide attempters had less education years(OR=2.6,95% CI =