心理发展与教育 ›› 2024, Vol. 40 ›› Issue (3): 421-430.doi: 10.16187/j.cnki.issn1001-4918.2024.03.13
薛朝霞1, 任子媛1, 荆雷1, 李慧2
XUE Zhaoxia1, REN Ziyuan1, JING Lei1, LI Hui2
摘要: 为了识别大学生自杀行为的风险和保护因素。对在校大学生实施感恩问卷、自我控制双系统量表、自杀问卷及人口学信息调查,获得有效数据11288份,进行分类决策树分析。结果显示:大学生近一年内自杀意念发生率17.1%,近半年内自杀行为发生率3.8%。分类决策树分析发现,自杀意念为根节点,感恩、冲动、控制、家庭阶层、是否独生均为重要的子节点(AUC=0.959)。 结论:自杀意念是大学生自杀行为最重要的近端风险因素,冲动为中端风险因素,感恩特质和适度控制分别为远端保护因素;低社会家庭阶层、中高阶层家庭的非独生子女大学生由自杀意念转变自杀行为的风险较高。
中图分类号:
Adler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R.(2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy, White women. Health Psychology, 19(6), 586-592. Alex, M. W., Jeffrey, J. F., & Adam, W. A. G. (2010).Gratitude and well-being: A review and theoretical integration. Clinical Psychology Review, 30(7), 890-905. Biswas, T., Scott, J. G., Munir, K., Renzaho, A. M., Rawal, L. B., Baxter, J., & Mamun, A. A. (2020). Global variation in the prevalence of suicidal ideation, anxiety and their correlates among adolescents: A population based study of 82 countries. EClinical Medicine, 24,100395. https://doi.org/10.1016/j.eclinm.2020.100395 Chang, E. C., Chang, O. D., Lucas, A. G., Li, M., Beavan, C. B., Eisner, R. S.,& Hirsch, J. K. (2019). Depression, loneliness, and suicide risk among Latino college students: A test of a psychosocial interaction model. Social Work, 64(1), 51-60. Hill, R. M., Oosterhoff, B., & Do, C. (2020). Using machine learning to identify suicide risk: A classification tree approach to prospectively identify adolescent suicide attempters.Archives of Suicide Research, 24(2), 218-235. Ullah Khan, M. A., Rathakrishnan, L., & Choi, L. J. (2021). Suicidal ideation and suicide attempts among university students: Prevalence and what stopped them to actually committing suicide.Sciences, 11(14), 256-269. Kelliher Rabon, J., Sirois, F. M., & Hirsch, J. K. (2018). Self-compassion and suicidal behavior in college students: Serial indirect effects via depression and wellness behaviors. Journal of American College Health, 66(2), 114-122. Klonsky, E. D., Pachkowski, M. C., Shahnaz, A., & May, A. M. (2021).The three-step theory of suicide: Description, evidence, and some useful points of clarification. Preventive Medicine, 152, 106549. https://doi.org/10.1016/j.ypmed.2021.106549 Kim, S., Lee, H. K., & Lee, K. (2021).Which PHQ-9 items can effectively screen for suicide? Machine learning approaches. International Journal of Environmental Research and Public Health, 18(7), 3339. https://doi.org/10.3390/ijerph18073339 Kirtley, O. J., van Mens, K., Hoogendoorn, M., Kapur, N., & de Beurs, D. (2022). Translating promise into practice: A review of machine learning in suicide research and prevention. The Lancet Psychiatry, 9(3), 243-252. Lawrence, H. R., Burke, T. A., Sheehan, A. E., Pastro, B., Levin, R. Y., Walsh, R. F., … Liu, R. T. (2021). Prevalence and correlates of suicidal ideation and suicide attempts in preadolescent children: A US population-based study. Translational Psychiatry, 11(1), 489. https://doi.org/10.1038/s41398-021-01593-3 Lew, B., Kolves, K., Osman, A., Abu Talib, M., Ibrahim, N., Siau, C. S.,& Chan, C. M. H. (2020). Suicidality among Chinese college students: A cross-sectional study across seven provinces. PLoS ONE, 15(8), e0237329. https://doi.org/10.1371/journal.pone.0237329 Lew, B., Lester, D., & Huen, J. (2021).Understanding Suicidal Ideation In Chinese Undergraduate Students. In David Lester (Ed.), Understanding Suicidal Ideation(pp. 63-75). New York, NY: Nova Science Publishers. Lew, B., Osman, A., Chan, C. M. H., Chen, W., Ibrahim, N., Jia, C.,& Siau, C. S. (2021). Psychological characteristics of suicide attempters among undergraduate college students in China: A cross-sectional study. BMC Public Health, 21, 322. https://doi.org/10.1186/s12889-021-10370-2 Lew, B., Osman, A., Huen, J. M. Y., Siau, C. S., Abu Talib, M., Jia, C.,& Leung, A. N. M. (2020). A comparison between American and Chinese college students on suicide -related behavior parameters. International Journal of Clinical and Health Psychology, 20(2), 108-117. Liu, Y., Zhang, J., & Sun, L. (2017).Who are likely to attempt suicide again? A comparative study between the first and multiple timers. Comprehensive Psychiatry, 78, 54-60. Liu, Z., Wang, Z., Bo, Q., Qi, Z., Xu, R., Jia, C., & Liu, X. (2018). Suicidal behaviours among Chinese adolescents exposed to suicide attempt or death. Epidemiology and Psychiatric Sciences, 29,e12. https://doi.org/10.1017/S2045796018000756 Mackenzie, C., Gekoski, W., & Knox, V. (2006).Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging & Mental Health, 10(6), 574-582. Matsubara, T., Yamamoto, N., Chen, C., Okuya, S., & Nakagawa, S. (2021). A 26-year retrospective survey on suicide cases of students at Yamaguchi University (1992-2017): Risk factors and the role of the health administration center. Psychiatry Research, 295, 113566. https://doi.org/10.1016/j.psychres.2020.113566 McCullough, M. E., Emmons, R. A., & Tsang, J.-A. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82(1), 112-127. Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R., Demyttenaere, K., Green, J.,& Bruffaerts, R. (2018). The prevalence of suicidal thoughts and behaviours among college students: A meta-analysis. Psychological Medicine, 48(4), 554-565. Oh, H., Marinovich, C., Jay, S., Marsh, J., Zhou, S., & DeVylder, J. E. (2022). COVID-19 factors and self-injurious behaviors among US college students: Findings from the healthy minds study 2020.Journal of American College Health,70. https://doi.org/10.1080/07448481.2022.2081059 Park, E., Hong, N., Jon, D., Hong, H. J., & Jung, M. H. (2017). Past suicidal ideation as an independent risk factor for suicide behaviours in patients with depression.International Journal of Psychiatry in Clinical Practice, 21(1), 24-28. Probert-Lindström, S., Berge, J., Westrin, Å., Öjehagen, A., & Pavulans, K. S. (2020).Long-term risk factors for suicide in suicide attempters examined at a medical emergency in patient unit: Results from a 32-year follow-up study. BMJ Open, 10, 38794. https://doi.org/10.1136/bmjopen-2020-038794 Rey, L., Quintana-Orts, C., Mérida-López, S., & Extremera, N. (2019). Being bullied at school: Gratitude as potential protective factor for suicide risk in adolescents.Frontiers in Psychology, 10, 662. https://doi.org/10.3389/fpsyg.2019.00662 O'Connor, R. C. & Kirtley, O. J. (2018). The integrated motivational-volitional model of suicidal behavior. Philosophical transactions of the Royal Society of London, Series B, 373(1754), 20170268. https://doi.org/10.1098/rstb.2017.0268 Sánchez-Álvarez, N., Extremera, N., Rey, L., Chang, E., & Chang, O. (2020). Optimism and gratitude on suicide risk in Spanish adults: Evidence for doubling up or doubling down?Journal of Clinical Psychology, 76(10), 1882-1892. Shahram, S., Smith, M., Ben-David, S., Feddersen, M., Kemp, T., & Plamondon, K. (2021). Promoting “Zest for Life”: A Systematic Literature Review of Resiliency Factors to Prevent Youth Suicide. Journal of Research on Adolescence, 31(1), 4-24. Shen, Y., Zhang, W., Chan, B., Meng, F., Kennon, E., Wu, H., … Zhang, X. (2020). Detecting risk of suicide attempts among Chinese medical college students using a machine learning algorithm. Journal of Affective Disorders, 273, 18-23. Shim, G., & Jeong, B. (2018). Predicting suicidal ideation in college students with mental health screening questionnaires. Psychiatry Investig, 15(11), 1037-1045. Veale, J., Peter, T., Travers, R., & Saewyc, E. (2017). Enacted stigma, mental health, and protective factors among transgender youth in Canada.Transgender Health, 2(1), 207-216. 程硕, 贾存显. (2019). 独生子女大学生与非独生子女大学生焦虑和抑郁症状的比较. 中国心理卫生杂志, 33(10), 783-787. 方可, 梁丽, 罗贤. (2016). 大学生心理资本状况调查与统计分析. 高教探索,(10), 123-128. 贺志强, 孙晓娅, 王立群, 丁文清, 王志忠. (2019). 大学生社会支持与负性情绪自杀行为的相关性. 中国学校卫生, 40(05), 704-706. 江瑞辰, 李安民. (2020). 新冠肺炎疫情期间安徽大学生心理健康状况及其影响因素. 环境与职业医学, 37(09), 867-871. 李辉, 刘倩倩, 方晓义, 蔺秀云. (2007). 云南省大学生自杀行为及相关因素分析. 心理发展与教育, 23(3), 56-61. 李彦牛, 王艳芝. (2008). 领悟社会支持及安全感与大学生自杀态度的相关分析. 中国学校卫生, 29(02), 141-143. 林琳, 刘羽, 王晨旭, 莫娟婵, 刘俊岐, 姜喆昊, …贾绪计. (2018). 绝望与感恩在反刍思维与大学生自杀意念之间的作用:一个有调节的中介模型. 心理与行为研究, 16(04), 549-556. 刘晓东, 梁瑞琼. (2019). 大学生心理韧性、自尊与应对方式的关系研究. 教育理论与实践, 39(15), 47-49. 王利刚, 谢东杰, 樊春雷, 高文斌. (2014). 自我控制的干预技术研究:基于双系统理论. 中国临床心理学杂志, 22(02), 377-380. 魏昶, 吴慧婷, 孔祥娜, 王海涛. (2011). 感恩问卷GQ-6的修订及信效度检验. 中国学校卫生, 32(10), 1201-1202. 谢东杰, 王利刚, 陶婷, 樊春雷, 高文斌. (2014). 青少年自我控制双系统量表中文版的效度和信度. 中国心理卫生杂志, 28(5),386-391. 谢其利, 宛蓉, 张睿, 江光荣. (2016). 歧视知觉与农村贫困大学生孤独感:核心自我评价、朋友支持的中介作用. 心理发展与教育, 32(5), 614-622. 杨沈龙, 郭永玉, 胡小勇, 舒首立, 李静. (2016). 低阶层者的系统合理化水平更高吗?——基于社会认知视角的考察. 心理学报, 48(11), 1467-1478. 于德娥, 符元证, 李晓珍. (2018). 海南大学生大五人格影响因素. 中国健康心理学杂志, 26(04), 628-633. 余思, 刘勤学. (2020). 父母忽视对青少年自杀意念的影响:自尊和希望的中介作用. 心理发展与教育, 36(3), 350-358. 喻承甫, 张卫, 李董平, 肖婕婷. (2010). 感恩及其与幸福感的关系. 心理科学进展, 18(07), 1110-1121. 张华玲. (2014). 大学生自尊、自我和谐和人际和谐的关系研究. 卫生研究, 43(02), 240-244. 张珊珊, 张野, 金芳. (2017). 辽宁省师范类大学生社会支持对童年期心理虐待忽视影响自伤行为的中介作用. 中国学校卫生, 38(10), 1510-1512. |
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