摘要 目的:了解深圳外来务工人员的自杀行为风险,探讨孤独感、抑郁和冲动性与自杀行为风险的关系。方法:采取多阶段分层整群抽样方法,从深圳市8家企业中抽取3095名外来务工人员,应用自编自杀行为风险测量问卷(SRQ)、ULCA孤独量表简版(USL-6)、9项患者健康问卷(PHQ-9)、Barratt冲动量表(BIS-Ⅱ)评估自杀行为风险、孤独感、抑郁和冲动性。采用logistic回归探讨变量间的关联,并构建结构方程模型以及进行Bootstrap检验对模型进行分析。结果:有自杀行为风险87人(占2.81%)。USL-6、PHQ-9、BIS-Ⅱ得分均与SRQ得分呈正向关联(OR=1.28、1.16、1.09)。SEM显示,USL-6、PHQ-9、BIS-Ⅱ得分均与SRQ得分呈正向关联(β=0.32、0.17、0.13);Bootstrap检验显示,USL-6得分与PHQ-9、BIS-Ⅱ得分均有直接的正向关联(β=0.85、0.11),标准化路径系数的95%置信区间均不包括0。结论:基于自杀行为风险评估,深圳市外来务工人员自杀行为风险水平相对较低,而孤独感、抑郁和冲动性可能会增加外来务工人员的自杀行为风险。 Objective:To explore the suicide risk in migrant workers and the relation of suicide risk with loneliness, depression and impulsivity.Methods:A total of 3095 migrant workers from 8 enterprises in Shenzhen were recruited for this cross-sectional study with multi-stage clustered random sampling.The self-made Suicide Risk Questionnaire(SRQ),Short-form of the ULCA Loneliness Scale(USL-6),Patient Health Questionnaire-9(PHQ-9) and Barratt Impulsiveness Scale(BIS-II) were used to evaluate suicide risk, loneliness, depression, and impulsivity.Logistic regression was used to explore the relationship among the variables.Structural equation model and bootstrap method were performed by using R software to test the hypothetical model.Results:The rate of suicide risk was 2.18% in migrant workers.The scores of USL-6,PHQ-9,BIS-Ⅱ were positively associated with risk of suicide(OR=1.28,1.16,1.09).The results of structural equation modeling indicated that the scores of USL-6,PHQ-9,BIS-Ⅱ were positively associated with risk of suicide(β=0.32,0.17,0.13).Bootstrap test results further showed USL-6 scores were positively associated with scores of PHQ-9 and BIS-Ⅱ,with its 95 % confidence interval not including 0.Conclusion:The suicide risk of migrant workers in Shenzhen is relatively low.Loneliness, depression and impulsivity maybe increase the suicide risk of migrant workers.
出处 《中国心理卫生杂志》 CSCD 北大核心 2021年第5期395-402,共8页 Chinese Mental Health Journal
基金 深圳市科技计划项目“深圳市工厂外来劳务工自杀行为的社会流行病学及生物学研究”(JCYJ20170413101017457) 深圳市医学重点学科建设经费资助(SZXK072)
