Objective To explore the relationship between childhood maltreatment and suicide ideation of college students, so as to provide basis for physical and mental health of college students.
Methods Students from 6 universities in Shanxi Province (3 854 college students provided eligible questionniare for childhood abuse and 3 882 for suicidal ideation) were selected by multistage random cluster sampling from May to July 2018, the Chinese Version of the Childhood Trauma Questionnaire and the Self-rating Idea of Suicide Scale were used in the survey
Results Of all subjects, 42.4% had at least one kind of abuse experience in childhood and 3.9% had suicidal ideation in the past week. By chi square test, the detection rate of suicidal ideation of college students who suffered physical abuse, emotional abuse, sexual abuse, physical neglect, emotional neglect in childhood was higher than that of college students without maltreatment ( χ 2 = 13.78, 12.97, 17.10, 56.56, 66.58, P<0.01); Spearman correlation analysis showed that there was a positive correlation between each type of maltreatment in childhood and college students’ suicidal ideation ( r = 0.06, 0.06, 0.07, 0.12, 0.13, P<0.01); Multivariate Logistic regression model found that after controlling other influencing factors, physical neglect and emotional neglect in childhood were independent risk factors for suicide ideation of college students ( OR = 2.18, 2.07, P<0.05).
Conclusion Physical neglect and emotional neglect in childhood can increase the risk of college students’ suicidal ideation. Paying enough attention and care to them in early childhood may help to prevent their suicidal ideation in adulthood.
【摘要】 目的 研究儿童期受虐待经历与大学生自杀意念之间的关联，为保障大学生的身心健康提供依据。 方法 2018年5—7月，运用多阶段随机整群抽样的方法，选取山西省6所大学的大学生 (儿童期虐待有效调査人数3 854名，自杀 意念有效调査3 882名), 进行儿童期虐待问卷中文版和自杀意念自评量表调査。 结果 儿童期至少有过1种虐待经历的 占42.4%, 近1周内有过自杀意念的占3.9%。经妒检验, 儿童期遭受过躯体虐待、情感虐待、性虐待、躯体忽视、情感忽视 大学生自杀意念检出率均髙于未遭受相应虐待大学生 (χ 2值分别为13.78, 12.97, 17.10, 56.56, 66.58, P值均<0.01); Spearman相关性分析结果显示, 儿童期各型受虐待经历均和大学生自杀意念存在正相关 (r值分别为0.06, 0.06, 0.07, 0.12, 0.13, P值均<0.01);多因素Logistic回归模型发现, 在控制其他影响因素后, 儿童期遭受躯体忽视以及情感忽视与大学生 自杀意念发生呈正相关 ( OR值分别为2.18, 2.07, P 值均<0.05)。 结论 儿童期遭受躯体忽视和情感忽视可增加大学生自 杀意念的风险。在儿童少年早期给予足够的关注和爱护可能有助于防止成年期自杀意念的产生。