摘要
目的:探讨心理干预对青年期自杀未遂者的作用,了解其生活事件、再自杀及应付方式的变化。方法:96例青年期自杀未遂者随机分到研究组和对照组。研究组在住院时给予常规护理并随访一年及心理干预,对照组在住院时仅给予常规护理及一年后随访。两组在入组及干预后都做心理健康问卷、生活事件量表、应付方式问卷、生活质量综合问卷评定。结果:干预后研究组自杀未遂者各方面均有明显的改观,研究组干预后再次出现自杀未遂者4人(8.33%),对照组出现11人(22.92%),χ2=3.87,P<0.05;研究组再自杀未遂次数6人次(12.50%),对照组再自杀次数16人次(33.33%),χ2=5.89,P<0.05。研究组的依从性也有明显改观。干预后研究组的生活事件评定量表评分均低于干预前(13.4±8.7/17.2±15.4,5.3±2.7/9.5±6.2,2.3±2.5/4.7±6.4,t=3.21、2.31、2.01,P<0.05),应付方式也有明显改观。结论:青年期自杀未遂行为多由与家庭有关的生活事件及不成熟的应付方式引起。通过心理护理干预可明显改善青年期自杀未遂者心理健康状况、减少生活事件频度和再自杀危险、改善其对生活事件的应付方式、提高了自杀未遂者的生活质量。
Objective： To explore the psychological factors of attempted suicide in young people, giving following up and psychological nurse intervention to them to improve their life quality. Methods： 96 young patients with attempted suicide were randomly divided into the study group and the control group. The 2 groups were given routine nurse and followed up and assessed with self-compiled mental health questionnaire , Life events scale, coping style questionnaire and Generic quality of life inventory at the admitted and the end time. The psychological interventions were given to study group at same time. Results： The attempted suiciders in study group had a marked improvement on every individual item at end of the study. There were 4 （8.33% ） persons reattempted in the study group and 11 （ 22. 92% ） in the control group （ χ^2 = 3.87, P 〈 0. 05 ） . There were 6 （ 12. 50% ） times reattempts in the study group, and 16 （ 33.33% ） in control group during the follow - up period （ χ^2 = 5.89, P 〈 0. 05 ） . The compliance of the study group had also a obvious improvement. The coping style of study group had also a obvious improvement. Conclusion： The majority of the suicide behavior of youth with attempted suicide was mostly caused by life events related to family and non - mature coping style. Nursing intervention with psychological method will improve their mental health state, decrease the frequency of life events and risk of re - suicide.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2007年第8期571-574,共4页
Chinese Mental Health Journal
关键词
自杀未遂
心理干预
干预随访研究
青年
attempted suicide
psychological intervention
follow - up study
young people
