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目的了解广州市小学生自杀行为流行状况及其影响因素,为预防和控制小学生自杀提供科学依据。方法采用自行设计的问卷结合儿童期虐待问卷(CTQ-SF),对广州市10所小学的全体五、六年级小学生3 045名进行问卷调查。结果 3.4%的广州市五、六年级小学生制定过自杀计划,1.3%的学生采取过自杀措施;多因素分析显示,父亲年龄大(OR=1.05)、重组家庭(OR=8.90)、被同学排斥(OR=1.47)、遭恐吓打骂(OR=2.48)等8个因素是小学生自杀行为发生的危险因素。结论小学生自杀行为应引起社会的重视,家庭、学校及社会应共同努力为小学生的健康成长创造良好的环境。
Objective To understand the prevalence and influencing factors of suicide among pupils in Guangzhou and to provide a scientific basis for the prevention and control of pupils’ suicide. Methods A total of 3 045 primary school students in grade five and six in 10 primary schools in Guangzhou were surveyed by using self-designed questionnaire combined with Childhood Abuse Questionnaire (CTQ-SF). Results Multivariate analysis showed that the father was older (OR = 1.05), reorganized family (OR = 8.90), rejected by his classmates (OR = 1.47) and beaten by intimidation (OR = 2.48) were the risk factors of pupils’ suicidal behaviors. Conclusions The pupils should pay more attention to suicide. The families, schools and society should make concerted efforts to create a good environment for the healthy growth of pupils.