摘要
目的:比较重复与单次自杀行为者生活满意度主观感受方面的差异,了解重复与单次自杀行为者出院后不同时期应对方式和社会支持情况,丰富自杀干预理论素材。方法:用生活满意度主观评价条目询问115例住院自杀行为者对自杀5年前、1年前、1个月前、当前、自杀1个月后、1年后、5年后生活满意度,并在其出院18个月、3年、5年时,采用应对方式问卷(CSQ)和社会支持评定量表(SSQ)施测。将有自杀未遂史及出院后6年内再次出现自杀的列为重复自杀行为者,并与单次自杀行为者比较。结果:24例重复自杀行为者就诊住院时对不同时期生活满意度(当前满意度除外)主观评价及累加总分均低于91例单次自杀行为者[如总分(18.9±3.6)vs.(22.6±4.0);均P<0.05]。出院后3年、5年时评定,重复自杀行为者CSQ中的退避、自责、幻想得分高于单次自杀行为者,而CSQ中的解决问题、求助及SSQ的主观支持、支持利用度、支持总分低于单次自杀行为者(均P<0.05)。将应对方式、社会支持、主观满意度分别放入与精神疾病等变量进行logistic回归分析,结果患有精神疾病者(OR=3.39～7.68,均P<0.05)有较高的重复自杀风险,而同时将上述变量一起多因素logistic回归分析,所有变量与重复自杀的相关均无统计学意义(均P>0.05)。结论:相对单次自杀行为者,重复自杀者生活满意度主观评价低,应对方式不良,社会支持差,且具有持续性。精神疾病与生活满意度、应对方式、社会支持相互影响,这些因素中,精神疾病与重复自杀的联系可能更紧密些。
Objectives： To explore the life satisfaction, copying style and social support in patients with repeat or single behavior attempters. Methods： Totally 115 in-patients with suicide behavior were included in this study. They were assessed with the life satisfaction felt questionnaires at hospital to know how satisfied they were with their life at present and 5 years, 1 year, and 1 month before suicide, and 1 month, 1 year, and 5 years after sui- cide. Their coping style and social support were assessed at 18 months, 3 years, and 5 years after discharge fromhospital. The patients who had suicide history and another suicide during 6 year follow-up after discharge were as ones with repeat suicide behavior. Results： There were 24（20. 9% ） cases with repeating suicide behavior among 115 attempters. The scores of life satisfactions were lower in the repeat suicide attempters than in the single suicide attempters at different periods [Ps 〈0.05, e. g., the total scores, （ 18.9 ±3.6） vs. （22. 6 ±4. 0）]. At 3 and 5 years after discharge from hospital, the scores of CSQ avoidance, self-blame and wishful thinking were higher and the scores of CSQ problem-solving and help-seeking, and the SSQ total score and subscores of subjective support, utili- zation of support were lower in the repeat suicide patients than in the single suicide ones （Ps 〈0. 05）. Binary logis- tic regression showed that the mental illness were associated with repeat suicide when coping strategies and social support as well as life satisfactions put separately one by one（ OR = 3.39 - 7.68, Ps 〈 0. 05） and no factor above showed a closely relation with repeat suicide when put them together making logistic regression （Ps 〉 0. 05）. Con- clusion： It suggests that the patients with repeat behavior attempters may have poorer coping strategies, life satisfac- tions and social support. There may be interaction among mental illness, coping skill, social support, and life satis- factions. Repeat suicide behaviors are more likely related to mental illness.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2013年第2期111-115,共5页
Chinese Mental Health Journal
基金
世界卫生组织SUPRE-MISS项目
关键词
自杀行为
生活满意度
应对方式
社会支持
横断面研究
suicide behavior
coping style
social support
life satisfactions
cross-sectional studies
作者简介
通信作者：杨甫德yangfd200@126．com.
