摘要
目的探讨医学新生生命价值观现状,以及生命价值观与心理健康水平对自杀意念的影响。方法采用整群抽样的方法选取重庆医科大学入校新生3926人,采用大学生生命价值观问卷、90项症状自评量表(SCL-90)、自编生活质量调查问卷进行网络问卷调查。结果共回收有效问卷3762份,有效应答率为95.8%。医学新生自杀意念平均分为(1.23±0.40)分。自杀意念低的医学新生SCL-90评分低于自杀意念高的医学新生,差异有统计学意义[(122.69±29.76)分vs.(225.08±43.43)分,P<0.01]。与自杀意念低的医学新生比较,自杀意念高的医学新生苦难接纳和奉献维度评分降低,死亡接纳维度评分升高(P<0.05)。多元逐步回归分析显示,近期生活质量感受、抑郁、敌对、精神病性、死亡接纳、苦难接纳是自杀意念的重要预测变量。结论提升心理健康水平,培育积极的生命价值观,提升生活质量感受对医学新生自杀预防具有重要意义。
Objective To investigate the status of life values of freshmen in medical school,and explore the impact of life values and mental health on suicidal ideation.Methods A total of 3926 freshmen in Chongqing Medical University were selected via cluster sampling method.The online questionnaire survey was conducted using college students′life values questionnaire,90-item symptom self-assessment scale(SCL-90)and self-designed quality of life questionnaire.Results A total of 3762 valid questionnaires were recovered,and the effective response rate was 95.8%.The average score of medical freshmen′s suicidal ideation was(1.23±0.40)points.Medical freshmen with low suicidal ideation had a lower SCL-90 score than medical freshmen with high suicidal ideation,and the difference was statistically significant[(122.69±29.76)score vs.(225.08±43.43)score,P<0.01].Compared with medical freshmen with low suicidal ideation,the scores of suffering accepting and devoting dimensionsin medical freshmen with high suicidal ideation were decreased,and score of death accepting dimension was increased(P<0.05).Multiple stepwise regression analysis showed that recent perceptions of quality of life,depression,hostility,psychosis,death acceptance,and suffering acceptance were important predictors of suicidal ideation.Conclusion Improving the level of mental health,cultivating positive life values,and improving the perceptions of life quality areof great significance to the suicide prevention of medical freshmen.
作者
罗婷
张代敏
陶亮桥
LUO Ting;ZHANG Daimin;TAO Liangqiao(Mental Health Education and Consultation Center,Chongqing Medical University,Chongqing 400016,China;Students Affairs Department,Chongqing Medical University,Chongqing 400016,China;Department of Gastrointestinal and Neonatal Surgical,Children′s Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《重庆医学》
CAS
2020年第13期2193-2196,共4页
Chongqing medicine
基金
2018年度重庆市教育委员会人文社会科学类规划项目(18SKGH017)。
关键词
生命价值
精神卫生
自杀意念
医学新生
相关性分析
value of life
mental health
suicidal ideation
freshmen in medical school
correlation analysis
