妊娠期女性自杀意念的危险因素及其累积效应

doi:10.6040/j.issn.1671-7554.0.2020.0719

摘要/Abstract

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

陈擎仪,张烜,王娟,孙继伟,曹丹凤, 曹枫林. 妊娠期女性自杀意念的危险因素及其累积效应[J]. 山东大学学报 (医学版), 2021, 59(1): 91-94.

CHEN Qingyi, ZHANG Xuan, WANG Juan, SUN Jiwei, CAO Danfeng, CAO fenglin. Risk factors and cumulative effects of suicidal ideation in pregnant women[J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 91-94.

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