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Study On The Urban And Rural Residents Suicidal Ideation And Its Impact Factors In Hubei Province

Posted on:2009-08-08Degree:DoctorType:Dissertation
Country:ChinaCandidate:J F SongFull Text:PDF
GTID:1115360275470977Subject:Social Medicine and Health Management
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ObjectiveTo descript quality of life, depression, social support and the distribution of suicide ideation for the urban and rural residents, analysis of the of urban and rural survey residents relevance between of suicide ideation and quality of life, depression, social support, research survey of urban and rural residents of factors suicide ideation and provide information and technical support for suicide prevention and control.MethodsThe object of this study is the urban and rural residents in Wuhan City. The diagnostic standards of mild, moderate and severe suicidal ideation is that suicidal ideation in the crowd before the P20 percentile for moderately suicidal ideation, this again in the 1 / 3 to determine severe suicidal ideation. The group of standards: suicidal ideation meets the diagnostic criteria, informed consent; residence time shall not be less than six months, and in this six months period, at a separate time shall not exceed four weeks. Suicidal ideation intensity measurement tool developed by the Beijing Huilongguan Hospital intensity scale suicide ideation, Depression in the measurement tool for Beck Depression Inventory, Quality of life measurement tool developed by Beijing Huilongguan Hospital simple quality of life questionnaire, Social support tools for the measurement of water Xiao social support rating scale.ResultsRural residents suicide ideation overall rate was 44.47%, mild, moderate, severe suicidal ideation incidence rates were 28.50%, 8.85%, 7.12%; Urban suicide ideation overall rate was 40.93%, mild, moderate, severe suicidal ideation incidence rates were 35.94%, 4.63%, 0.36%. The survey of rural suicide ideation severity of the female / male ratio, with the severity of suicidal ideation and the increase trend has increased.Rural and urban residents the best quality of life scores were "nearly a month with their families within your relationship?" with 3.42±0.69, 4.15±0.88, the worst of all is "nearly a month of your financial situation?" with 2.69±0.72, 3.34±0.88. Rural and urban residents in the most serious depression is sleep quality with 1.81±0.95, 1.43±0.68. In rural residents, subjective, objective support and support the use of the scores were 23.16±5.31,6.84±1.92,5.29±1.99, in urban areas, subjective, objective support and support the use of the scores were 23.66±5.85,6.55±1.83,8.19±2.20. Urban and rural residents in the community to support the common features is that the support of intensity subjective than objective support. In rural, Suicidal ideation and their quality of life, subjective, objective support to the use of social support scores have a significant negative correlation (P <0.01), with depression have a significant positive correlation (P <0.01). Suicidal ideation and quality of life, subjective support to the use of social support scores have a significant negative correlation (P <0.01), and depression in a significant positive correlation (P <0.01), but no correlation with the objective support.Gradually linear regression analysis showed that gender (P = 0.03), school age (P = 0.04), family economic status (P <.01), depression (P <0.01), quality of life (P <0.01) on farmers Village residents severity of suicidal ideation have a significant effect, age (P <0.01), quality of life (P <.01), depression (P <0.01), support the use of (P = 0.03) on the urban severity of suicidal ideation have a significant effect.ConclusionIncidences of varying degrees of suicidal ideation of rural residents were higher than those of urban residents. The quality of life in urban areas was generally higher than that of in the rural areas and both of them has disharmony between material and spiritual dimensions. In the urban and rural, the most serious the depression index was both the quality of sleep. In the urban and rural residents, the social support of subjective was objective intensity of support and the weakest link is "faced acute and difficult circumstances". In the urban and rural, suicidal ideation has significantly negatively correlated with quality of life, subjective support and the use of social support, and significantly correlated with depression.Among those, the spirit of negative indicators (depression) is higher than that of the relevance of the spirit of indicators (and subjective quality of life support) and spirit of indicators (subjective support) is higher than the material of relevance indicators (objective support). In the urban and rural, suicidal ideation severity of the impact of factors included the quality of life and depression at the same time, namely the poorer the quality of life, the more serious suicide ideation, the higher the degree of depression, suicide ideation more serious. The main characteristics and innovations embodied in the two areas: the first is the conclusion of the study itself, the second is combined with the statistical description of the results with the results of the statistical analysis.From improving the quality of life, social support and reducing depression in the lower, suicide ideas behavior will be prevented with larger feasibility, namely which can provide more targeted support for suicidal ideation and behavior prevention and control.Due to the special nature of the topic, the numbers refused, particularly in urban high number of refusal to be interviewed, which has not only increased the difficulty of the work, but also affect the number and quality of cases. Therefore, follow-up studies need to increase the number of samples and samples of geographical representation.
Keywords/Search Tags:Suicidal ideation, Social support, Quality of life, Depression, Comparison of urban and rural
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