首页|大学生非自杀性自伤的早期风险评估模型研究

大学生非自杀性自伤的早期风险评估模型研究

Study on early risk predication model of non-suicidal self-injury among undergraduate students

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目的 尝试建立大学生非自杀性自伤(NSSI)的早期风险评估模型.方法 首先通过现况调查,获得大学生NSSI的分布特征,然后基于Logistic回归对危险因素进行筛选,最后采用risk score法构建大学生NSSI的早期风险评估模型.通过ROC曲线下面积和阳性预测值等指标考核模型的预测效果.结果 在3 854名大学生中检出具有NSSI行为393人,检出率为10.2%.Logistic回归分析显示,“童年期虐待”(OR=3.493)、“小的过失父母也惩罚我”(OR=1.995)、“在别人面前唠叨我做过的事,使我感到难堪”(OR=1.835)、“非亲生母亲”(哑变量P=0.009)、“遭父母打骂”(OR=1.651)、“当众丢面子”(OR=1.602)、“经常有想摔东西的冲动”(OR=1.601)、“考试失败成绩不理想”(OR=1.553)、“常常感到紧张”(OR=1.527)等为大学生NSSI的主要危险因素.通过风险评分模型计算ROC曲线下的面积为0.738,95%CI(0.707,0.770).在70%样本中当切点选择22.8时灵敏度为72.3%,特异度为64.8%,阳性预测值为19.0%.结论 基于risk score的早期风险评估模型对大学生非自杀性自伤具有一定的预测效果.
Objective This work was to establish an early risk prediction model for non-suicidal self-injury (NSSI) among undergraduate students.Methods Firstly,the distribution characteristics of NSSI were obtained from the current situation survey.Then,the risk factors were screened based on logistic regression.Finally risk score method was used to establish non-suicidal self-injury early risk prediction model.The results of the model were evaluated by the area under the ROC curve and the positive predictive value.Results Among the 3854 college students,393 (10.2%) were diagnosed as probable NSSI-positive individual.Logistic regression analysis showed "childhood maltreatment" (OR =3.493)," parents punished meeven for minor negligence " (OR =1.995),"nagging what I did in front of others made me feel embarrassed" (OR =1.835),"non-biological mother"(dummy variables,P=0.009),"beat and scolded by my parents" (OR=l.651),"be disgraced"(OR=1.602),"often impulse to want to throw things" (OR =1.601),"failure in exams" (OR =1.553),"often feeling nervous"(OR =1.527) were the main risk factors of non-suicidal self-injury among undergraduates.The ROC curve of the subjects was calculated by the risk score model,and the area under the curve was 0.738,95%CI (0.707,0.770).Among 70% of the samples,the sensitivity was 72.3%,the specificity was 64.8% and the positive predictive value was 19.0% if the cut point was set 22.8.Conclusion The early risk prediction model based on risk score can be used to predict NSSI among undergraduates.

Undergraduate studentsNon-suicidal self-injuryInfluencing factorsRisk score

毛绍菊、陈小龙、唐寒梅、傅燕艳、李瑊妮、邱红恒、朱金云、黄鹏

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南昌大学公共卫生学院流行病学教研室,江西南昌330006

江西省民政学校教务处,江西南昌330043

南昌市青云谱区疾病预防控制中心性病艾滋病防治科,江西南昌330001

江西省赣州市卫生和计划生育委员会医政医管科,江西赣州341000

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大学生 非自杀性自伤 影响因素 risk score

江西省教育厅科学技术研究项目南昌大学研究生创新专项资金资助

GJJ150224cx2015157

2017

现代预防医学
中华预防医学会 四川大学华西公共卫生学院

现代预防医学

CSTPCD北大核心
影响因子:1.285
ISSN:1003-8507
年,卷(期):2017.44(14)
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