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目的探讨军人负性应激事件、抑郁水平与自杀意念的关系。方法通过分层整群随机抽样法抽取1 693名现役军人,采用贝克抑郁问卷(BDI-13)、军人负性应激事件量表进行评估。根据BDI-13得分结果将抑郁状态军人分为轻、中、重度抑郁组,比较3组军人自杀意念检出率;运用二元logistic回归分析军人不同抑郁水平危险因素。结果筛出抑郁状态军人580名(轻度244人,中度276人,重度60人);重度抑郁组的自杀意念检出率最高(65.00%),中度抑郁组次之(18.48%),轻度抑郁组最低(9.84%);中、重度抑郁受到急、慢性负性应激事件的双重影响,轻度抑郁受到急性负性应激事件影响。结论急、慢负性应激事件会诱发不同抑郁水平,及时干预急性应激向慢性应激的发展,有助于减少抑郁和自杀意念发生。
Objective To explore the relationship between military negative stress and depression and suicidal ideation. Methods A total of 1 693 active soldiers were sampled by stratified cluster random sampling and evaluated by using the Baker Depression Inventory (BDI-13) and military negative stress events scale. According to the results of BDI-13, the soldiers in depression were divided into mild, moderate and severe depression group, and the detection rate of suicide ideation among the three groups of soldiers was compared. The binary logistic regression was used to analyze the risk factors of different depression levels in military personnel. Results There were 580 soldiers (244 mildly, 276 moderately) in depression, the highest rate of suicide ideation (65.00%) in severe depression group, followed by moderate depression group (18.48%), Mild depression was the lowest (9.84%); moderate and severe depression was affected by both acute and chronic negative stress events, mild depression was affected by acute negative stress events. Conclusions The acute and chronic negative stress events can induce different levels of depression, timely intervention of acute stress to the development of chronic stress, help to reduce depression and suicidal ideation.