15～24岁人群自杀特征及危险因素的病例对照研究 - 北京心理危机 ...

232200511384 Chin J Psychiatry, November 2005, Vol. 38, No. 41. :1524()(,) :2. :145DSP23DSP,20,3199683, 199812000923DSP 35,5;5,, ,,,1 932,67, 65, 1 ,1 79916 22 301087, 101 653 , 15 24 164,84 ,71,5,4,88,76 ,2 5,36,2 h1. :() , 60 ;1,1, () 1(04:) ,, [ 3 ] ,4(DSM 2) [ 4 ] ,, [ 5, 6 ] 2. : (1):1 6(15,)0100,, ( 2):1()(04 ,) (3):(), 108© 1995-2006 Tsinghua Tongfang Optical Disc Co., Ltd. All rights reserved.,()( ICC ):017901770168 0181 0181 0172,0181, 3. :SPSS 1115logisticlogistic,

200511384 Chin J Psychiatry, November 2005, Vol. 38, No. 4 233,,logistic,, C[(ROC) [ 7 ]]Nagelkerke R 2 (logistic [ 8 ] ) 11: 16411( 25% 75%= 815) [ (2015 214) (2012 213)][ (612 312) (619 217)][ (11 5) ( 11 5)][ (209 55) m in ( 208 61) m in ],(P > 0105) 21:,() 72(82% ) ,12( 14% ) ,2( 2% ) ,1(1% ) 72,62( 86% ) ,5(7% ) ,3( 4% ) ,2(3% ) ; 48(67% )() ,21( 28% ) ,15 ( 20% ) , 11 ( 14% ) , 7 (9% ) ,5(7% ) ,3(4% ) ,2(3% ) ,1 (1% ) ,2(3% ) 31:, , ;1015% ( 8)517% ( 5) (2 =1131, P > 0105) 141 :,;1(, % )() ( n = 88) ( n = 76)52(59)77(88)15(20)54(71)OR (95% C I)519(2191119)219(113614)0 7 (8) 4 (5) 110 110167()10010120921043(49)38(43)33(38)29(33)26(30)23(26)27(31)47(53) 14(16)109© 1995-2006 Tsinghua Tongfang Optical Disc Co., Ltd. All rights reserved.67(76)6(7)15(17)28(37)44(58)21(28)22(29)32(43)10(13)46(60)24(32)6( 8)68 3(91)2( 3)6 3( 8)019(012313)015(011118)113(013517)112(013510)110 110018(014118)015(012111)213(110513)019(014211)019(014211)111(014218)110 110313(117616)410(1141116)013(011018)217(0151316)214(019614)315(116717)416(1131515)013(011017)211(0141211)110(013310):[ () ],,2; 3 1(2) ,,1,1,2,, (46% , 40) (36% , 32) (36% , 32) 3( 28% , 21) (24% , 18)(17% , 13) 5. :(2) 30( 34% ) ,6(7% ) ,

234200511384 Chin J Psychiatry, November 2005, Vol. 38, No. 412 (, % )( n = 88)( n = 76)(OR ) (95% CI)OR (95% C I) 15 (17) 40 (53) 110 110 30 (34) 25 (33) 312 (114711) 316 ( 115910) 43 (49) 11 (14) 1014 (4132514) 1217 ( 4163513) 10 (11) 46 (60) 110 110 31 (35) 22 (29) 816 (3152113) 910 ( 3122512) 47 (53) 8 (10) 2617 (9177312) 3815 (111612813)2 55 (63) 5 ( 7) 2216 (8136115) 2610 ( 8187715) 44 (50) 10 (13) 616 (3111415) 810 ( 3131913) 16 (18) 3 ( 4) 514 (1151914) 512 ( 1141914) 3 23 (26) 0 619 (411112 10 25 ) 12 (14) 3 ( 4) 318 (1101410) 410 ( 1101612) 27 (31) 8 (11) 317 (115817) 411 ( 1161015)1(0100)( 70) 11 (12) 35 (46) 110 110(6069) 35 (40) 30 (40) 317 (116816) 312 ( 113810)( < 60) 42 (48) 11 (14) 1211 (4173114) 1216 ( 4153514)1 14 (16) 3 ( 4) 415 (1131615) 410 ( 1101611) 7 ( 8) 9 (12) 016 (012118) 017 ( 012212)1 11 (12) 4 ( 5) 215 (018813) 211 ( 016714)( 1)0 26 (30) 38 (50) 110 11012 35 (40) 28 (37) 118 (019317) 119 ( 018411)3 27 (31) 10 (13) 319 (116915) 316 ( 114915)2 30 (34) 5 ( 7) 713 (2172011) 912 ( 3102810): 3 ,Haldane JBS [ 9 ] OR 95% CI2(2% ) , 1 (1% ) ,2(2% ) ;2 ; 16 (18% ) 6( 8% ) ,2( 3% ) ,1(1% ) logistic,3,21OR ( 95% C I),: 314 ( 019 1314 ) ; : 717 ( 214 2511) ; 2 : 1916 ( 513 7215) ; : 110,: 710(3121513) ,: 4915 (101523310) ;1: 110,: 312 ( 115 618 ) , : 1010(2114613) Nagelkerke R 2= 0175, C= 0195,, 15243, [ 10212 ] , 1524,1524:6, 59%, 88%, 26%, 76%, 6%; 26%, 14%110© 1995-2006 Tsinghua Tongfang Optical Disc Co., Ltd. All rights reserved.

200511384 Chin J Psychiatry, November 2005, Vol. 38, No. 4 235, 31%;50%(,) ,18%;( 46% ) , (36% ) ; 34%2; 82%, ,, [ 5 ] [ 2, 13 ] , [ 5 ] ,; 90%,2 [ 14217 ] ,,1 /41 /3, 17%, [ 14217 ] ,, 15244:2 1 [ 5, 14217 ] 1524, [ 14 ] ,,, ,, [ 5 ] ,DSM 2(),DSM 2, , ,,;, 23 4( )1 , 1 19981, 2001, 17: 658266012 Phillip s MR, L i X, Zhang Y1 Suicide rates in China, 1995991Lancet, 2002, 359: 835284013 Hawton K, App leby L, Platt S, et al1 The p sychological autop syapp roach to studying suicide: a review of methodological issues1 JAffect D isord, 1998, 50: 269227614 First MB, Sp itzer RL, Gibbon M, et al1 Structured ClinicalInterview for DSM2Axis I D isorders2Patient Edition ( SC ID2I/P,Version 210, 8 /98 revision ) 1 New York: B iometrics ResearchDepartment, 199615 Phillip sMR, Yang G, Zhang Y, et al1 R isk factors for suicide inChina: a national case2control p sychological autop sy study1 Lancet,2002, 360: 17282173616 , , , 1 1, 2004, 18: 861286417 Hanley JA, McNeil BJ1 The meaning and use of the area under areceiver operating characteristic ( ROC) curve1 Radiology, 1982,143: 2923618 Nagelkerke, NJD1 A note on general definition of the coefficient ordeterm ination1 B iometrika, 1991, 78: 791279219 HALDANE JB1 The estimation and significance of the logarithm of aratio of frequencies1 Ann Hum Genet, 1956, 20: 3092311110 Anderson RN, Sm ith BL1 Deaths: leading causes for 20021 NatlV ital Stat Rep, 2005, 53: 1289111 Cantor CH1 Suicide in the western world1 In: Hawton K, vanHeeringen K, eds1 The international handbook of suicide andattemp ted suicide1 New York: John W iley, 20001 9228112 Department of mental health1 Figures and facts about suicide1Geneva: World Health O rganization, 19991vii2x113 Phillip s MR1 Suicide and attemp ted suicide2China, 199020021MMWR, 2004, 53: 484114 Gould MS, Greenberg T, Velting DM, et al1 Youth suicide risk andp reventive interventions: a review of the past 10 years1 J Am AcadChild Adolesc Psychiatry, 2003, 42: 3862405115 Agerbo E, NordentoftM, Mortensen PB1 Fam ilial, p sychiatric, andsocioeconom ic risk factors for suicide in young peop le: nested case2control study1 BMJ, 2002, 325: 74116 Gould MS, Fisher P, Parides M, et al1 Psychosocial risk factors ofchild and adolescent comp leted suicide1 A rch Gen Psychiatry, 1996,53: 115521162117 Maris RW , Berman AL, Silverman MM, et al1 Age and thelifespan1 In: Maris RW , Berman AL, Silverman MM, eds1Comp rehensive textbook of suicidology1 New York: The GuilfordPress, 20001 12721451(: 2005201217)(:)111© 1995-2006 Tsinghua Tongfang Optical Disc Co., Ltd. All rights reserved.