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山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (1): 91-94.doi: 10.6040/j.issn.1671-7554.0.2020.0719

• 医学心理学 • 上一篇    下一篇

妊娠期女性自杀意念的危险因素及其累积效应

陈擎仪1,张烜1,王娟1,孙继伟1,曹丹凤2, 曹枫林1   

  1. 1. 山东大学护理与康复学院护理心理教研室, 山东 济南 250012;2. 山东大学附属千佛山医院产科, 山东 济南 250014
  • 发布日期:2021-01-09
  • 通讯作者: 曹枫林. E-mail:caofenglin2008@126.com
  • 基金资助:
    国家社会科学基金(17BSH054)

Risk factors and cumulative effects of suicidal ideation in pregnant women

CHEN Qingyi1, ZHANG Xuan1, WANG Juan1, SUN Jiwei1, CAO Danfeng2, CAO fenglin1   

  1. 1. Department of Nursing Psychology, School of Nursing and Rehabilifation, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Obstetrics, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, Shandong, China
  • Published:2021-01-09

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摘要： 目的 探讨妊娠期女性自杀意念的危险因素及其累积效应,为临床早期识别自杀意念的高风险人群提供参考。 方法 选取山东省某综合性三级甲等医院产科门诊1 825名妊娠期女性。采用自编问卷评估社会经济地位、妊娠相关情况、精神疾病史,采用大五人格量表简化版(NEO-FFI)神经质分量表、儿童期创伤问卷(CTQ-SF)、简易应对方式亚量表、病人健康问卷(PHQ-9)评估神经质人格、儿童期虐待史、消极应对、抑郁以及自杀意念。运用二元Logistic回归探讨自杀意念的危险因素及其累积效应。 结果 精神疾病史、抑郁、神经质人格、儿童期虐待史以及消极应对(OR=9.669、1.262、1.055、1.047、1.094,P均<0.05)是妊娠期女性自杀意念的危险因素;此外,累积风险因素与自杀意念呈正相关(OR=2.751, P<0.001)。 结论 精神疾病史、抑郁、神经质人格、儿童期虐待史、消极应对是妊娠期女性自杀意念的危险因素,且随着危险因素个数增多,其自杀意念的风险增大。

关键词: 妊娠期, 自杀意念, 危险因素, 累积效应

Abstract: Objective To explore the risk factors of suicidal ideation in pregnant women and their cumulative effects, so as to provide reference for early clinical identification of high-risk groups. Methods A total of 1 825 pregnant women were recruited from the obstetrics clinic of a comprehensive grade Ⅲ first-class hospital in Shandong Province. The social and economic status, pregnancy related situation and history of mental illness were surveyed with a self-made questionnaire. The neurotic personality, history of childhood abuse, negative coping, depression and suicidal ideation were evaluated with Neurotic Subscale of Neuroticism Extraversion Openness Five-Factor Inventory(NEO-FFI), Childhood Trauma Questionnaire(CTQ-SF), Simple Coping Style Scale, and Patient Health Questionnaire-9(PHQ-9). The risk factors and cumulative effects of suicidal ideation were analyzed with binary logistic regression. Results The history of mental illness, depression, neurotic personality, history of childhood abuse, and negative coping(OR=9.669, 1.262, 1.055, 1.047, 1.094, all P<0.05)were risk factors of suicidal ideation in pregnant women. In addition, cumulative risk factors were positively correlated with suicidal ideation(OR=2.751, P<0.001). Conclusion The history of mental illness, depression, neurotic personality, history of childhood abuse, and negative coping are risk factors of suicidal ideation in pregnant women. The risk of suicidal ideation increases with the number of risk factors.

Key words: Pregnancy, Suicidal ideation, Risk factors, Cumulative effects

中图分类号: 

  • R749
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