幸福取向与医学生自杀风险的关系

doi:10.6040/j.issn.1671-7554.0.2018.145

摘要/Abstract

摘要： 目的探索医学生的幸福取向与自杀风险的关联强度。方法在山东济南两所大学医学生中按年级分层后整群抽取研究样本,对其自杀风险及幸福取向等因素进行问卷调查。自杀风险采用修订版自杀行为问卷(SBQ-R)获取,幸福取向采用幸福取向量表(OTH)测量。结果分发2 197份问卷,有效问卷2 074份(94.40%)。按SBQ-R得分7分及以上计,具有高自杀风险者达20.64%。幸福取向划分为高意义-高快乐(503人,24.25%)、高意义-低快乐(545人,26.28%)、低意义-高快乐(662人,31.92%)、低意义-低快乐(364人,17.55%)4组。4组SBQ-R评分差异有统计学意义(F=11.736, P<0.001)。在调整学习成绩、单亲家庭、睡眠状况、经济水平等变量后,多因素Logistic回归模型显示,以低意义-低快乐为参照组,高意义-高快乐、高意义-低快乐均与自杀风险呈负关联,OR(95%CI)分别为0.632(0.449~0.887)、0.604(0.430~0.848)。结论医学生的自杀风险处于相对较高水平,高意义感的幸福取向自杀风险低。

关键词: 幸福取向, 自杀风险, 意义感, 快乐感, 医学生

Abstract: Objective To explore the association between different orientations to happiness and suicide risk of medical students. Methods Stratified by grades, a questionnaire survey of undergraduate students in Jinan, Shandong Province was conducted using clustered sampling method. The revised suicide behavior questionnaire(SBQ-R)was applied to identify suicidal risks, while the orientation to happiness(OTH)scale was recommended for measuring different orientations. Results There were 2 197 questionnaires handed out and 2 074(94.40%)questionnaires were valid. According to the total SBQ-R score(≥7), 20.64% of participants had high suicide risk. The OTH scale was divided into four groups: high meaning-high pleasure(503, 24.25%), high meaning-low pleasure(545, 26.28%), low meaning-high pleasure(662, 31.92%), and low meaning-low pleasure(364, 17.55%), with statistical differences in SBQ-R scores(F=11.736, P<0.001). After adjusting to socio-demographic variables including academic performance, single-parent families, good sleep condition as well as economic level, Logistic regression model indicated that high meaning-high pleasure(OR=0.632, 95%CI=0.449-0.887)and high meaning-low pleasure(OR=0.604, 95%CI=0.430-0.848)were negatively associated with suicide risk. Conclusion The suicide risk of medical students is relatively high and students with high meaning life appear to have low suicide risk.

Key words: Orientations to happiness, Suicide risk, Meaning, Pleasure, Medical students

中图分类号:

R749.7

袁璐,刘阳洋,谷灵犀,贾存显. 幸福取向与医学生自杀风险的关系[J]. 山东大学学报 (医学版), 2018, 56(6): 63-68.

YUAN Lu, LIU Yangyang, GU Lingxi, JIA Cunxian. Orientation to happiness in relation to suicide risk among medical students[J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 63-68.

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