.[教育心理学]亚健康对青少年自杀心理行为的预测作用.doc

.[教育心理学]亚健康对青少年自杀心理行为的预测作用【摘要】 目的评价《青少年亚健康多维评定问卷》对自杀心理行为的预测作用,为进一步采取干预措施提供依据。方法　采用定群研究,使用《青少年亚健康多维评定问卷》评定全国8座城市的17 622名在校生(初一、初二、高一、高二、大一、大二)的亚健康状况,随访3个月后在校生自杀心理行为的发生情况,共收回有效问卷16 171份。??? 结果　在校生3个月内自杀意念、自杀计划及自杀未遂的检出率分别为5. 1% , 2. 3%和1. 4%;女生自杀意念的检出率高于男生,差异有统计学意义( P 0. 01) 。随着基线调查中躯体、心理和身心亚健康症状数的增加, 3个月内在校生自杀心理行为的检出率增加,差异均有统计学意义( P值均 0. 01) 。结论　《青少年亚健康多维评定问卷》对青少年自杀心理行为具有较好的预测作用。早期筛查亚健康状况,对青少年自杀心理行为的防制具有重要意义。 ??? Predictive Va lue of Adolescen t Sub2hea lth for Suic ida l Psychology and Behav iors /WAN Yu2hui, TAO Fang2biao, HU Chuan2lai, etal. Depart2m ent ofM aternal and Child Health, School of Public Health, AnhuiMedical University, Hefei ( 230032) , China ??? 【Abstract】　Objective　To evaluate the p redictive value ofMultidimensional Sub2health Questionnaire ofAdolescents(MSQA) tosuicidal p sy2?chology and behaviors, and to p rovide evidence for the further intervention. Methods　A total of 17 622 students ( grade one and grade two of junior high school, grade one and grade two of high school, freshman, sophomore) recruited from eight citieswas evaluated byMSQA. Suicidal p sychology and behaviorswithin three monthswere investigated three months later. A total of 16 171 questionnaireswere valid. Chi2square testwas used to com2 pare rates of suicidal p sychology and behaviors in three moths at different numbers of sub2health symp toms. Results　Rates of suicide ideation, sui2cide p lan and attemp ted suicide within three months in adolescentswere 5. 1% , 2. 3% and 1. 4% , respectively, and the rates in girlswere signifi2 cantly higher than in boys( P 0. 01) . Rates of suicidal p sychology and behaviors within the past three months increased alongwith the increase ofnumbers of symp tom of physiological sub2health, p sychological sub2health and p sychosomatic sub2health ( P 0. 01) .??? ?ConclusionMultidimensional Sub2health Questionnaire ofAdolescents p lays the role of a good p rediction for suicidal p sychology and behaviors in adolescents. It is of significanc