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目的:了解农村老年人自杀意念的发生情况,并探讨其影响因素,为预防农村老年人自杀提供科学依据。方法:采用多级随机抽样方法,以670名符合条件的本地农村居民为调查对象,进行自杀意念的筛查,并采用1:1配对的病例对照研究方法,对筛查自杀意念阳性者87人及其对照进行社会人口学资料、Duke社会支持量表评定。结果:总的时点自杀意念发生率为13.0%,男性10.3%,女性15.8%,多因素logistic回归分析结果显示经济来源、家庭地位、夫妻关系、子女关系和疾病有无是农村老年人群产生自杀意念的影响因素。结论:冷水江市农村老年人的自杀意念发生率处于较高水平,有独立的经济来源、家庭地位高、夫妻关系好、子女关系好和无躯体疾病是自杀意念的保护因素,应进行积极干预。
Objective: To understand the incidence of suicidal ideation of the elderly in rural areas and to explore the influencing factors, to provide a scientific basis for preventing suicide among rural elderly. Methods: A multistage random sampling method was used to screen 670 eligible rural residents for suicide ideation and a case-control study of 1: 1 matching was performed to screen 87 suicidal ideation-positive persons And its control socio-demographic data, Duke Social Support Scale assessment. Results: The incidence of suicidal ideation was 13.0%, male 10.3% and female 15.8% in the total time point. Multivariate logistic regression analysis showed that the economic origin, family status, marital status, Influential factors of ideas. Conclusion: The incidence of suicidal ideation in rural elderly in Lengshuijiang City is at a high level. Independent economic sources, high family status, good husband-and-wife relationship, good relationship between children and no physical illness are the protective factors of suicidal ideation. Positive intervention should be made .