导　　师： 姜潮

学科专业： 120402

授予学位： 硕士

作　　者： ;

机构地区： 大连医科大学

摘　　要： 研究背景:自杀是心理冲突而产生的一种自我毁灭性行为,是蓄意终止自己生命的一种手段。自杀危险因素的研究一直是各国学者研究的热点,目前研究自杀的原因方面有两种方法,一是流行病学的方法,二是应用心理解剖的方法。在自杀研究中,心理解剖方法能够更好地理解自杀者社会,心理和躯体的状况,因此心理解剖的方法在国外被广泛应用,而在国内的自杀研究很多采用的是流行病学的方法,只有费立鹏等人的调查研究应用了心理解剖的方法。对于应用心理解剖的方法对自杀危险因素进行病例对照的条件Logistic回归研究,在国外研究报道并不多,而在国内尚未见报道。 研究目的:本研究的目的是应用心理解剖的方法对66例农村自杀者进行多因素的剖析,找到自杀的社会、心理、生理方面的原因所在,为自杀干预工作提供可靠的依据,有效地减少自杀的发生。 研究方法:选择2000年—2001年辽宁省大连金州区和庄河地区自杀死亡者66例,并按性别、同年龄组/(±5岁/)、居住地选择无自杀行为的正常人进行1:1的病例对照心理解剖学研究。采用自编的自杀者基本情况调查表、自杀意图量表、生活事件评定量表、社会支持量表、DSM—Ⅲ—R诊断结构式临床晤谈指导手册、汉密顿抑郁量表、性格问卷对信息人进行半结构式访谈。对所得信息应用SPSS11.5、SAS8.2统计软件进行统计分析,在Logistic回归模型中用backward LR检验。 研究结果:单因素分析中,两组在教育程度、家庭年收入、婚姻状况、是否相信死后有来世、社会交往量表分、可觉察社会支持量表分、工具性支持量表分、社会支持量表总分、汉密顿抑郁量表分、人格因素的N因子、E因子、A因子、C因子、是否有精神疾病、精神分裂、抑郁症、神经症、生活事件频数的差异都具有统计学意义。把 Background: Suicide is a self-destructive behavior caused by psychological conflict, which is an intentional means to end one’s own life. The study of the suicide risk factors has become one of the hotspots of scholars all over the world. At present, there are two methods to study the causes of suicides: the epidemiology method and the psychological autopsy method. Psychological autopsy is better to understand the social, psychological and physical conditions of suicide, so it is widely used. While in China, most of the studies on suicides still use the epidemiology method except one research by Phillips using the psychological autopsy. There are few studies on the suicide risk factors using case-control conditional logistic regression in the world, and in China, there is no such study. Objective: To analyse the risk factors of suicide with the psychological autopsy method, in order to find out the social, psychological and physical risk factors of suicide and provide reliable evidences for suicide interference. Method: 66 complete suicides in JinZhou and ZhuangHe, DaLian, LiaoNing province from 2000 till 2001 were investigated in the study. Each suicide case was matched with a normal living individual on gender, age /(±5years/) and location. Case-control psychological autopsy method was used in this study. The protocol is a set of questionnaires including the self-structured basic status questionnaire of suicide, Beck’s Suicide Intent Scale /(SIS/), Paykel’s Interview for Recent Life Events /(IRLE/), Duke Social Support Index /(DSSI/), The Structured Clinical Interview for DSM-Ⅲ-R /(SCID/), Hamilton Depression Rating Scale /(HAM-D/), Personality Measurement /(NEO/). SPSS11.5 and SAS8.2 were used to analyse the data. Since the suicides and controls were respectively matched, conditional logistic regression was applied for data analysis. Backward LR statistic was used in the conditional logistic regression model. Result: In univariate analysis there were si

关 键 词： 自杀 心理解剖 病例对照 条件 回归

领　　域： [哲学宗教]