上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (3): 352-.doi: 10.3969/j.issn.1674-8115.2012.03.025

• 论著（卫生事业管理） • 上一篇    下一篇

医学院新生有无自杀意念的人格特征比较

李 娜1, 张 浩2, 王 芳1, 马 进1   

  1. 上海交通大学 1.公共卫生学院, 上海 200025； 2.医学院教务处, 上海 200025
  • 出版日期:2012-03-28 发布日期:2012-03-28
  • 作者简介:李 娜（1980—）, 女, 讲师, 硕士；电子信箱: nali@sjtu.edu.cn。
  • 基金资助:

    上海市教育委员会科研(创新)项目资助（09YS112）

Personality characteristics of suicide ideation of freshmen in medical schools

LI Na1, ZHANG Hao2, WANG Fang1, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China；2.Office of Academic Affairs, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2012-03-28 Published:2012-03-28
  • Supported by:

    Shanghai Education Committee Foundation, 09YS112

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摘要：

目的 了解医学院新生自杀意念的发生情况及其与人格特征的关系。方法 以整群随机抽样的方法对上海交通大学医学院2007级8个专业的675名新生进行问卷调查。调查内容包括一般情况（性别、年龄、所学专业、生源）和卡特尔16种个性特征量表（16PF）的人格测定，并通过单因素分析和多因素Logistic回归模型筛选出有自杀意念者的主要人格特征。结果 9名（1.33%）医学院新生有自杀意念，666名新生无自杀意念。有自杀意念者与无自杀意念者的性别、专业、生源差异均无统计学意义（P>0.05）。有自杀意念者的聪慧性、稳定性、有恒性、心理健康因素、专业有成就个性因素5个因子得分均显著低于无自杀意念者，差异有统计学意义（P<0.05或P<0.01）；而怀疑性、忧虑性、紧张性、适应与焦虑型4个因子的得分显著高于无自杀意念者，差异也有统计学意义（P<0.01）。多因素Logistic回归分析显示，聪慧性和稳定性人格与自杀意念呈负相关（β=－0.46，P=0.04； β=－0.23，P=0.02）；怀疑性人格与自杀意念呈正相关（β=0.30，P=0.02）。结论 怀疑性人格是医学院新生产生自杀意念的危险因素，而聪慧性和稳定性人格是预防其自杀意念发生的保护因素。

关键词: 自杀意念, 人格, 大学生

Abstract:

Objective To investigate the prevalence of suicide ideation and relationship between suicide ideation and personality characteristics among freshmen of  medical schools. Methods Questionnaire survey was conducted in 675 freshmen selected with random cluster sampling from 8 majors of grade 2007 of Shanghai Jiaotong University School of Medicine. The general conditions (gender, age, major and registered permanent residence) were investigated, Cattells 16 Personality Factor (16PF) Questionnaire was completed, and main personality characteristics for suicide ideation were screened with univariate analysis and multivariate Logistic regression model. Results Nine freshmen (1.33%) had suicide ideation, and the other 666 did not have suicide ideation. There was no significant difference in gender, major and registered permanent residence between freshmen with suicide ideation and those without (P>0.05). The scores of 5 factors of intelligence, emotional stability, rule-consciousness, mental health and professional success in freshmen with suicide ideation were significantly lower than those in freshmen without suicide ideation (P<0.05 or P<0.01), while the scores of 4 factors of vigilance, apprehensiveness, tension and environmental adaptation in freshmen with suicide ideation were significantly higher than those in freshmen without suicide ideation (P<0.01). Multivariate Logistic regression analysis revealed that personality characteristics of intelligence and emotional stability were negatively related to suicide ideation （β=－0.46，P=0.04；β=－0.23，P=0.02）, and personality characteristic of vigilance was positively related to suicide ideation (β=0.30，P=0.02). Conclusion The personality characteristic of vigilance may be a risk factor, and personality characteristics of intelligence and emotional stability may be protective factors of suicide ideation of freshmen in medical schools.

Key words: suicide ideation, personality, college student