首页|负性生活事件与社会支持对青少年双相抑郁患者自杀意念的影响

负性生活事件与社会支持对青少年双相抑郁患者自杀意念的影响

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目的 通过探讨负性生活事件及社会支持与青少年双相抑郁患者自杀意念之间的关联,以期为自杀的预防及干预提供理论依据.方法 选取2023年1月-2023年12月在我院临床心理科门诊及住院的186例青少年双相抑郁患者,采用自杀意念自评量表(SIOSS)、青少年生活事件量表(ASLEC)、社会支持评定量表(SSRS)评估患者的自杀意念、负性生活事件及社会支持情况.结果 (1)有自杀意念组青少年双相抑郁患者在人际关系、学习压力、受惩罚、健康适应及其他因子得分均高于无自杀意念组,差异有统计学意义(t=5.232,4.009,2.453,3.517,3.798;P<0.05);两组在丧失因子的比较中差异无统计学意义(t=1.349,P>0.05).(2)有自杀意念组青少年双相抑郁患者在主观支持分、客观支持分及对客观度的利用得分均低于无自杀意念组,差异有统计学意义(t=-4.299,-3.219,-4.132;P<0.05).(3)人际关系因子、受惩罚因子与青少年双相抑郁患者的自杀意念有关(OR=1.129,1.059;P<0.05).结论 人际关系不融洽与受惩罚是青少年双相抑郁患者自杀意念的危险因素.
The effect of negative life events and social support on suicidal ideation in adolescents with bipolar depression
Objective To explore the relationship between negative life events and social support and suicidal ideation in adoles-cents with bipolar depression,in order to provide theoretical basis for suicide prevention and intervention.Methods From January 2023 to December 2023,186 adolescent patients with bipolar depression in the clinical psychology department of our hospital were se-lected.The suicidal ideation Scale(SIOSS),Adolescent Life Events Scale(ASLEC)and Social support Rating Scale(SSRS)were used to assess the suicidal ideation,negative life events and social support of the patients.Results(1)The scores of adolescent bipolar de-pression with suicidal ideation were higher than those without suicidal ideation in interpersonal relationship,learning stress,punish-ment,health adjustment and other factors.The difference was statistically significant(t=5.232,4.009,2.453,3.517,3.798;P<0.05);There was no significant difference in loss factor between the two groups(t=1.349,P>0.05).(2)The scores of subjective support,objec-tive support and objectivity utilization of patients undergoing adolescent bipolar depression with suicidal ideation were lower than those without suicidal ideation,with statistically significant difference(t=-4.299,-3.219,-4.132;P<0.05).(3)Interpersonal factors and pun-ishment factors were associated with suicidal ideation in adolescents with bipolar depression(OR=1.129,1.059;P<0.05).Conclusion Interpersonal disharmony and punishment are risk factors for suicidal ideation in adolescents with bipolar depression.

adolescent bipolar depressionSuicidal ideationNegative life eventsSocial support

沈小琴、努斯来提·艾甫尔丁、邹韶红

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新疆维吾尔自治区人民医院临床心理科,乌鲁木齐 830001

青少年双相抑郁 自杀意念 负性生活事件 社会支持

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(8)