Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (1): 78-85.doi: 10.6040/j.issn.1671-7554.0.2021.0089

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Suicidal ideation and influencing factors in 686 medical students

WANG Chao, ZHANG Yilin, ZOU Guangshun, LYU Juncheng   

  1. School of Public Health, Weifang Medical University, Collaborative Innovation Center for Prediction and Management of Major Social Risks in “Healthy Shandong”, Weifang 261053, Shandong, China
  • Published:2022-01-08

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Abstract: Objective To investigate the rate of suicidal ideation among medical students and the influencing factors, so as to provide theoretical basis for psychological intervention. Methods From May to June 2020, 749 students from various medical colleges and universities were selected by random cluster sampling method and surveyed online with a self-developed Basic Situation Questionnaire and Chinese version of Beck Suicide Ideation Scale. A total of 686 complete and valid questionnaires were collected. The detection of suicidal ideation, protective factors and risk factors were analyzed using univariate and multivariate analyses. Results Suicidal ideation was detected in 62(9.038%)medical students, and there was no statistical significance between genders(P>0.05). However, there were statistically significant differences in the detection rate among variables such as family type, degree of family harmony, relationship with parents, parental divorce or separation, and occurrence of negative events(P<0.05). The average score of students with suicidal ideation was 9.11±4.09, and there was no significant difference in the scores between genders(P>0.05). However, there were significant differences in the scores of variables such as place of residence, mothers educational level, social relations, availability of help during psychological distress, and presence of severe chronic diseases(P<0.05). Binary classification Logistic regression showed that incomplete family type (OR=1.474, P<0.05), unavailability of help during psychological distress(OR=4.269, P<0.05), and chronic diseases(OR=1.989, P<0.05)were risk factors for suicidal ideation. Multiple linear regression showed that residence in rural areas, mother with low education level, severe chronic diseases, and perfectionism affected the scores of suicidal ideation. Conclusion The detection rate of suicidal ideation in medical students in this study is lower than that in previous studies; however, due attention is needed for the psychological intervention aiming at risk factors.

Key words: Medical students, Detection rate of suicidal ideation, Suicidal ideation score, Influencing factors

CLC Number: 

  • R181
[1] 沈可, 黄笛, 刘晴, 等. 中国大陆医学生近十年自杀意念发生率的Meta分析[J]. 中国循证医学杂志, 2017, 17(11): 1332-1339. SHEN Ke, HUANG Di, LIU Qing, et al. Incidence of suicidal ideation of medical students in mainland China over the past ten years: a meta-analysis [J]. Chinese Journal of Evidence-Based Medicine, 2017, 17(11): 1332-1339.
[2] 肖水源, 周亮, 徐慧兰. 危机干预与自杀预防(二): 自杀行为的概念与分类[J]. 临床精神医学杂志, 2005, 15(5): 298-299. XIAO Shuiyuan, ZHOU Liang, XU Huilan. Crisis intervention and suicide prevention(2): concept and classification of suicide behavior [J]. Journal of Clinical Psychiatry, 2005, 15(5): 298-299.
[3] 巢传宣. 我国大学生自杀意念的影响因素[J]. 保健医学研究与实践, 2018, 15(6): 81-85. CHAO Chuanxuan. Influencing factors of suicidal ideation of college students in my country [J]. Health Medicine Research and Practice, 2018, 15(6): 81-85.
[4] 沈可, 黄笛, 刘晴, 等. 2006-2016年医学研究生心理健康状况的元分析[J]. 河南大学学报(医学版), 2017, 36(2): 85-90. SHEN Ke, HUANG Di, LIU Qing, et al. Meta-Analysis of mental health status of medical graduate students in 2006-2016 [J]. Journal of Henan University(Medical Science), 2017, 36(2): 85-90.
[5] 臧谋红, 王侠, 王玉杰, 等. 中国内地医学生自杀意念影响因素系统评价[J]. 中国学校卫生, 2016, 37(5): 711-715. ZANG Mouhong, WANG Xia, WANG Yujie, et al. Risk factors of suicidal ideation among medical students in Chinese mainland: a systematic review [J]. Chinese Journal of School Health, 2016, 37(5): 711-715.
[6] 陆红, 田丽丽, 马孟阳. 自杀意念评估工具概述[J]. 中国特殊教育, 2012(6): 81-86. doi:10.3969/j.issn.1007-3728.2012.06.014. LU Hong, TIAN Lili, MA Mengyang. A review of suicidal ideation assessment tools[J]. Chinese Journal of Special Education, 2012(6): 81-86. doi: 10.3969/j.issn.1007-3728.2012.06.014.
[7] 钱文彩, 刘宝花, 黄悦勤, 等. 医学院学生自杀意念及危险因素分析[J]. 中国公共卫生, 2008, 24(11): 1285-1286. QIAN Wencai, LIU Baohua, HUANG Yueqin, et al. Study on risk factors for suicidal ideation among undergraduates of medical college, China [J]. Chinese Journal of Public Health, 2008, 24(11): 1285-1286.
[8] 文建. 医学生自杀意念影响因素的研究进展[D]. 重庆: 重庆医科大学, 2020.
[9] 袁璐. 医学生自杀行为风险及相关因素研究[D]. 济南: 山东大学, 2018.
[10] Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of Depression, Depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis[J]. JAMA, 2016, 316(21): 2214-2236.
[11] 辛莘, 何成森. 医学生自杀意念相关因素分析[J]. 安徽医学, 2010, 31(5): 521-523. XIN Xin, HE Chensen. Analysis of related factors of suicide ideation in medical students [J]. Anhui Medical Journal, 2010, 31(5): 521-523.
[12] 沈丽琴, 郝清华, 张晓玲. 医科大学生自杀意念调查与心理问题分析[J]. 现代预防医学, 2010, 37(6): 1089-1090. SHEN Liqin, HAO Qinghua, ZHANG Xiaoling. Analysis of suicide idea and analysis of psychological problems in medical undergraduate students [J]. Modern Preventive Medicine, 2010, 37(6): 1089-1090.
[13] Chiu HY, Lee HC, Chen PY, et al. Associations between sleep duration and suicidality in adolescents: a systematic review and dose-response meta-analysis [J]. Sleep Med Rev, 2018, 42: 119-126. doi: 10.1016/j.smrv.2018.07.003.
[14] 邢秀颖, 刘晶, 周振, 等. 生命价值观、完美主义水平与大学生自杀意念的相关性分析[J]. 国际精神病学杂志, 2017, 44(6): 1045-1047. XING Xiuying, LIU Jing, ZHOU Zhen, et al. An analysis of the correlation between life values, perfectionism and college students suicidal ideation [J]. Journal of International Psychiatry, 2017, 44(6): 1045-1047.
[15] 张杰. 自杀的“压力不协调理论”初探(综述)[J]. 中国心理卫生杂志, 2005, 19(11): 63-67. ZHANG Jie. A preliminary study on the “stress incoordination theory” of suicide(summary)[J]. Chinese Mental Health Journal, 2005, 19(11): 63-67.
[16] 张杰, 唐勇. 压力不协调与自杀: 从155个案例看扭力体验[J]. 中国心理卫生杂志, 2009, 23(11): 784-789. ZHANG Jie, TANG Yong. Strain and suicide: an analysis of 155 suicide cases [J]. Chinese Mental Health Journal, 2009, 23(11): 784-789.
[17] OConnor RC. The relations between perfectionism and suicidality: a systematic review [J]. Suicide Life Threat Behav, 2007, 37(6): 698-714.
[18] 叶玉清, 张劲松. 家庭结构缺陷对青少年心理成长的影响[J]. 中国青年研究, 2006(7): 74-77.
[19] 汪雪莲, 许能锋, 江巧瑜. 父母教养方式与医学生自杀意念相关性的病例对照研究[J]. 中国预防医学杂志, 2010, 11(12): 1226-1228. WANG Xuelian, XU Nengfeng, JIANG Qiaoyu. A matched case-control study of relationship between suicidal ideation and parental behavior in medical students [J]. China Preventive Medicine, 2010, 11(12): 1226-1228.
[20] 汪雪莲, 许能锋, 薛洪俤, 等. 医学生自杀意念及其危险因素分析[J]. 中国公共卫生, 2006, 22(6): 653-655. WANG Xuelian, XU Nengfeng, XUE Hongdi, et al. Analysis on suicide ideation and its risk factors among medical undergraduate students [J]. Chinese Journal of Public Health, 2006, 22(6): 653-655.
[21] 陈华, 贾存显, 刘贤臣. 青少年生活事件量表评定及应用研究进展[J]. 中国公共卫生, 2016, 32(8): 1116-1119. CHEN Hua, JIA Cunxian, LIU Xianchen. Psychometric properties and application of Adolescent Self-Rating Life Events Checklist(ASLEC)[J]. Chinese Journal of Public Health, 2016, 32(8): 1116-1119.
[22] Sayil I, Devrimci-Ozguven H. WHO/EURO Multicentre Study of Suicidal Behaviour. Suicide and suicide attempts in Ankara in 1998: results of the WHO/EURO Multicentre Study of Suicidal Behaviour [J]. Crisis,2002, 23(1): 11-16.
[23] Cohen LH, McGowan J, Fooskas S, et al. Positive life events and social support and the relationship between life stress and psychological disorder [J]. Am J Community Psychol, 1984, 12(5): 567-587.
[24] Moak ZB, Agrawal A. The association between perceived interpersonal social support and physical and mental health: results from the national epidemiological survey on alcohol and related conditions [J]. J Public Health(Oxf), 2010, 32(2): 191-201.
[25] 孙连荣, 王沛. 和谐医患关系的心理机制及其促进技术[J]. 心理科学进展, 2019, 27(6): 951-964. SUN Lianrong, WANG Pei. Theory construction on the psychological mechanism of the harmoniousdoctor-patient relationship and its promoting technology [J]. Advances in Psychological Science, 2019, 27(6): 951-964.
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