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目的了解黔北农村初中生自杀意念、自杀计划、自杀行动现状及其危险因素,为有针对性地开展农村中学危机预防和干预提供依据。方法采取分层整群抽样方法,调查黔北农村初中生5 608名,采用自杀行为问卷、中国中学生心理健康量表和青少年自评生活事件量表进行调查。结果黔北农村初中生自杀意念、自杀计划、自杀行动报告率分别为12.7%,4.6%,2.9%。多因素Logistic回归分析结果表明,女性、抑郁和其他压力是自杀意念、自杀计划、自杀行动的共同危险因素,少数民族是自杀计划和自杀行动的共同危险因素(P值均<0.05)。结论黔北农村初中生自杀行为报告率居于全国一般水平。应针对自杀行为的主要危险因素采取相应预防和干预措施。
Objective To understand the suicidal ideation, suicide plan and the current status of suicidal action among junior middle school students in rural northern Guizhou and their risk factors so as to provide the basis for targeted prevention and intervention in rural middle school. Methods A stratified cluster sampling method was used to investigate 5 608 junior high school students in rural Guizhou, and the suicide behavior questionnaire, mental health of Chinese middle school students and self-rated adolescent life-time questionnaire were used to investigate. Results The reported rate of suicidal ideation, suicide plan and suicidal behavior among junior middle school students in northern Guizhou was 12.7%, 4.6% and 2.9% respectively. Multivariate logistic regression analysis showed that female, depression and other stressors were common risk factors of suicidal ideation, suicide plan and suicide. Minorities were common risk factors of suicide plan and suicide (P <0.05). Conclusions The report rate of junior high school students’ suicide in northern Guizhou province is in the general national level. Relevant prevention and intervention measures should be taken in response to the major risk factors for suicide.