中国神经精神疾病杂志2024,Vol.50Issue(9) :552-556.DOI:10.3969/j.issn.1002-0152.2024.09.006

心理援助热线自杀者亲友自杀意念的危险因素

Risk factors for suicidal ideation among relatives and friends of suicide victims on psychological support hotline

刘梓康 李星雪 郎俊莲 赵丽婷 王若飞 魏子达 梁红
中国神经精神疾病杂志2024,Vol.50Issue(9) :552-556.DOI:10.3969/j.issn.1002-0152.2024.09.006

心理援助热线自杀者亲友自杀意念的危险因素

Risk factors for suicidal ideation among relatives and friends of suicide victims on psychological support hotline

刘梓康 1李星雪 1郎俊莲 2赵丽婷 2王若飞 3魏子达 4梁红2
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作者信息

  • 1. 承德医学院研究生学院(承德 067000);北京回龙观医院(北京心理危机研究与干预中心),WHO心理危机预防研究与培训合作中心
  • 2. 北京回龙观医院(北京心理危机研究与干预中心),WHO心理危机预防研究与培训合作中心
  • 3. 承德医学院研究生学院(承德 067000)
  • 4. 喀什大学教育科学学院
  • 折叠

摘要

目的 探索心理援助热线自杀者亲友自杀意念的危险因素.方法 纳入2009-2023年北京市心理援助热线中的自杀者亲友来电,通过询问来电者2周内是否有自杀想法来评估来电者当下是否有自杀意念.收集来电者的一般人口学资料,采用抑郁症诊断筛查量表评估来电者的抑郁程度,通过访谈评估痛苦感、希望感、自杀未遂史以及生活事件等自杀相关因素.采用logistic回归分析来电者自杀意念的危险因素.结果 共纳入360例自杀者亲友来电.50.3%(181例)来电者报告该次来电前2周内有自杀意念.受教育年限(OR=0.86,95%CI:0.79~0.94)、高希望感(OR=0.19,95%CI:0.11~0.32)是来电者自杀意念的保护因素,而自杀未遂史(OR=2.01,95%CI:1.20~3.36)、高痛苦感(OR=3.28,95%CI:1.92~5.61)、高抑郁情绪(OR=1.73,95%CI:1.05~2.84)是来电者自杀意念的独立危险因素.结论 心理援助热线自杀者亲友的自杀未遂史、高痛苦感、高抑郁情绪是自身自杀意念的危险因素.

Abstract

Objective To explore the risk factors for suicidal ideation among the relatives and friends of suicide victims through psychological support hotline.Methods Calls from the relatives and friends of suicide victims to the Beijing psychological support hotline between 2009 and 2023 were included.Their current suicidal ideation was assessed by asking whether they had suicidal thoughts in the past two weeks.Demographic information of the callers was collected and the severity of their depression was assessed using the depression diagnostic screening scale.Interviews were conducted to evaluate distress,sense of hope,history of suicide attempts,and suicide risk factors.Logistic regression analysis was used to explore the risk factors for suicidal ideation among callers.Results A total of 360 cases were included in this study.There were 50.3%(181 cases)of the callers reporting suicidal ideation within 2 weeks before the call.Years of education(OR=0.86,95%CI:0.79-0.94)and high levels of hope(OR=0.19,95%CI:0.11-0.32)were protective factors against suicidal ideation in callers.History of suicide attempts(OR=2.01,95%CI:1.20-3.36),high levels of distress(OR=3.28,95%CI:1.92-5.61),and high levels of depression(OR=1.73,95%CI:1.05-2.84)were independent risk factors for suicidal ideation in callers.Conclusions History of suicide attempts,high levels of distress and high levels of depression among the relatives and friends of suicide victims calling the psychological support hotline are risk factors for their own suicidal ideation.

关键词

心理援助热线/自杀/自杀意念/自杀未遂/抑郁/危险因素/保护因素

Key words

Psychological support hotline/Suicide/Suicidal ideation/Attempted suicide/Depression/Risk fac-tors/Protective factors

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出版年

2024
中国神经精神疾病杂志
中山大学

中国神经精神疾病杂志

CSTPCD北大核心
影响因子:1.38
ISSN:1002-0152
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