Study On Suicide Ideation And Its Influential Factors Among The Medical Students Of Lower Grades In Anhui Province

Objective To understand the mental health status and the occurrence of suicide ideation among the medical students of lower grades to explore the effect way and intensity of influential factors to suicide ideation in order to provide a theoretical basis to establishing an effective suicide prevention mechanism of college students. ?Methods 10340 students from three medical colleges in Anhui Province(Anhui Medical University, Bengbu Medical College and Wannan Medical College) were selected as survey population. The questionnaire about college students'mental health and related life experience was applied in the freshmen and sophomores, The questionnaire included: demographic characteristics, family functioning scale(APGAR), Beck Anxiety Inventory (BAI), Beck Scale for Suicide Ideation (BSSI), Impulsiveness Scale (IMP), Aggressive Scale (AGG), Beck Depression Inventory (BDI), Social Support Rating Scale (SRSS). Chi-square test, t test, univariate logistic regression analysis, multivariate logistic regression analysis and path analysis were used to analyses the data. ?Results The incidence of suicide ideation among the medical students of lower grades was 16.5%. The incidence of suicide ideation was 18.9% for female and 13.7% for male. The incidences of suicide ideation of female student was higher than that of male, the difference was statistically significant (χ2 = 50.478, p<0.01). The score of impulsive and aggressive in the group of suicide ideation were significantly higher than non-suicide ideation group (t=16.486,p<0.01;t=24.875,p<0.01). The prevalence of suicide ideation in anxiety and depression group was significantly higher than those without anxiety and depression (χ2=3.354, p<0.01;χ2=6.888, p<0.01). The rate of suicide ideation in group of moderate and serious family dysfunction were significantly higher in well group (χ2=5.002, p<0.01). Anxiety, depression, impulsive, aggressive can directly or indirectly impact on suicide ideation, good social support and family functioning as intermediate factors can effective buffer the relationship between suicide ideation and anxiety, depression.Conclusion There were a variety of psychological and social factors impact on suicide ideation among the medical students of lower grades. The intervention which applied in mid-factors might take a good effects, and college institutions should explore more effective mechanism for suicide prevention.