Study On The Psychosocial Influential Factors Of Suicidal Behavior In College Undergraduates Of AnHui Medical University

Objective To evaluate psychosocial influential factors and patterns on suicidal ideation and attempted suicide of the undergraduates in Anhui Medical University.Methods We selected 5716 undergraduates as the subjects. Data were collected using Suicide Attitude Scale, acceptability of suicide questionnaire, life events Scale, the APGAR, quality of life scale, Beck Anxiety Inventory Scale, Impulsiveness Scale, Aggressiveness Scale, Beck Depression Inventory Scale, Social Support rating Scale and a questionnaire designed by ourselves.Results 13.9% (792/5 716) of undergraduates had suicidal ideation, 1.3% (76/5 716) had attempted suicide previously. Of them, 17.3% (464/2 679) of female and 10.8% (328/3 037) of male had suicide ideation. The difference between them is statistically significant. The main reasons for suicidal ideation of undergraduates included work or school problem (38.0%), family conflicts (19.6%), poor spirits (12.4%), and problem for love offair (10.1%); The main method of last attempted suicide was adopted tools (46.6%); The main reasons for last attempted suicide included work or school (26.3%), family conflicts (25.00%), problem for love offair (14.5%), poor spirits (10.5%) and physical illness (10.5%); The main intentions of last attempted suicide were relieved soreness (52.0%), intimidated others (11.8%), protested against the conditions (10.5%). The rate of problem for love offair, financial difficulties and alcohol problems among the male were higher than the female, but the rate of family conflicts, interpersonal conflict, work or school problem among the female were higher than the male. The results of univariable analysis shows that the suicide ideation was related to sex, speciality, speciality satisfaction, grade, condition of love offair and family economy (P <0.05); The suicide ideation and attempted suicide were related to suicide attitude, acceptability of suicide, negative life events, family functioning, quality of life, anxiety, impulsiveness, aggressiveness, depression, social support (P<0.05). The influential factors for suicide ideation of different sex undergraduates were different. The multivariable logistic regression analysis shows that sex, negative life events, age, similarity of attempted and completed suicide, suicide is not preventable, stigma of suicide behavior, positive aspects of suicide and positive feelings, family functioning, acceptability of suicide, anxiety, depression, social support and aggressiveness were the significant predicting variables of suicidal ideation (P<0.05). The main risk factors for attempted suicide were speciality satisfaction, grade, sex, negative life events, stigma of suicide behavior, family functioning, acceptability of suicide, anxiety and aggressiveness (P<0.05). The risk factors of suicide ideation were different among the first to fourth grade and sex.Conclusion The main factors of undergraduates'suicidal ideation and attempted suicide include sex, age, negative life events, acceptability, family functioning, quality of life, etc. The risk factors of suicide ideation were different among the first to fourth grade and sex, we can take the effective measures to release risk factors of suicide ideation and attempted suicide in medical undergraduates.