急诊服毒自杀未遂患者心理状态及影响因素分析
文献类型：学位论文
| 作者 | 王海蓉 |
| 答辩日期 | 2022-12 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 刘正奎 |
| 关键词 | 自杀未遂 混合性研究 服毒自杀 急诊科 |
| 学位名称 | 理学硕士 |
| 学位专业 | 临床心理学 |
| 其他题名 | Analysis of psychological state and influencing factors in patients with attempted suicide by talking poison in emergency departmentdy |
| 中文摘要 | Suicide is not only a common social phenomenon, but also a public health problem of global concern. Every year, up to 5 million patients are treated for suicide attempts. In order to further study the mental state of patients with suicide attempts and explore its influencing factors, this paper adopts the research paradigm combining quantitative research and qualitative research. Questionnaire and interview methods were used to discuss the psychological state and influencing factors of patients with attempted suicide by taking poison and analyze the stage characteristics and influencing factors of patients with attempted suicide. This study consists of two parts. First, the purpose of study I was to understand the mental state of patients with attempted suicide by taking poison in the emergency department and analyze its influencing factors. The self-made general data questionnaire, suicide risk assessment form, social support scale, Generalized Anxiety Scale (GDA-2} and patient health questionnaire (PHQ-2} were used to investigate 171 patients who had attempted suicide by taking poison. The results showed that:(1) the number of patients with low risk of suicide was the largest (73.1%}, and 12.9% were repeated suicide; (2) Family disputes accounted for 33% of the suicide reasons, and pesticides accounted for 51 .1% of the poisons. (3) There were 82 patients with anxiety, accounting for 52.0%. There were 90 patients with depression, accounting for 52.6%; (4} The results of multivariate analysis showed that the family per capita monthly income, place of residence, family relationship conflict and social support level were the influencing factors of anxiety and depression in patients with suicide attempt by taking poison. The second study aims to explore the characteristics and influencing factors of suicide over time. Semi-structured interview of 10 patients who attempted suicide by taking poison in three general Grade A hospitals. The results showed that:(1) there were different characteristics in emotions, cognition, physiology, behavior and interpersonal relationship before, during and after suicide. (2} The suicidal behaviors of patients with attempted suicide by taking poison are affected by coping style, personal personality, psychological resilience, negative life events, social and family support and other factors. According to the above results, this study draws the following conclusions:(1) The influencing factors of anxiety and depression in patients with suicide attempt by taking poison are per capita monthly family income, residence, family conflict And level of social support. Therefore, we should strengthen the popularization of mental health knowledge and life education for low-income people and residents in rural areas, create a warm and harmonious family atmosphere through carious forms of publicity, increase community cohesion and enhance social support. (2)Patients with attempted suicide by taking poison present different characteristics at different stages of suicide. Community workers, volunteers and medical workers should provide timely and effective psychological counseling and intervention according to the different characteristics of each stage. Patients with attempted suicide by taking poison in emergency should also analyze their personality characteristics and pay attention to their emotional reactions. |
| 英文摘要 | 自杀不仅是普遍的社会现象，也是全球共同关注的公共卫生问题，每年因自杀未遂就诊的患者高达500万，为深入研究自杀未遂患者的心理状态，探讨其影响因素，本文以量化研究和质性研究相结合的研究范式，采用问卷调查法和访谈法重点探讨服毒自杀未遂患者的心理状态及其影响因素，分析服毒自杀未遂患者的阶段特征及影响因素。本研究由两个部分组成。 首先，研究一旨在了解急诊科服毒自杀未遂患者的心理状态，并分析其影响因素。采用自制一般资料调查表、自杀风险评估表、社会支持量表、广泛性焦虑量表简版(GDA-2 )、患者健康问卷(PHQ-2)对171名服毒自杀未遂患者进行测查，结果发现:C1)所调查患者自杀风险为低风险的人数最多(73.1%)，12.9%为重复自杀;(2)自杀原因中家庭纠纷占33%，毒物种类农药占比最高，占比51.1% C3)所调查服毒自杀未遂患者中存在焦虑的有人82人，占比52.0%。所调查服毒自杀未遂患者中存在抑郁的有90人，占比52.60/a; C 4)多因素分析结果显示家庭人均月收入、居住地、家庭关系冲突、社会支持水平是服毒自杀未遂患者焦虑、抑郁的影响因素。 研究二旨在探讨自杀随时间的变化特征及影响因素。三家综合甲等医院的10名服毒自杀未遂患者半结构化访谈。结果发现:(1}服毒自杀未遂者自杀前、中、后三个时期在情绪、认知、生理、行为以及人际关系呈现不同的特征。(2)服毒自杀未遂患者产生自杀行为受应对方式、个人性格、心理弹性、负性生活事件、社会家庭支持等因素影响。 根据以上的结果，本研究得出如下结论: (1)服毒自杀未遂患者焦虑、抑郁的影响因素为家庭人均月收入、居住地、家庭冲突、社会支持水平。因此，应强化低收入者、农村地区居民的心理健康知识普及及生命教育，通过多形式宣传营造温馨和谐的家庭氛围，增加社区的凝聚力，增强社会支持。 (2)服毒自杀未遂患者在自杀不同阶段呈现不同特征，社区工作者、志愿者、医务工作者应根据各阶段不同的特征给予及时、有效的心理辅导和干预，急诊服毒自杀末遂患者还应分析患者性格特征，注重情绪反应。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/45078]  |
| 专题 | 心理研究所_应用研究版块 |
| 推荐引用方式 GB/T 7714 | 王海蓉. 急诊服毒自杀未遂患者心理状态及影响因素分析[D]. 中国科学院心理研究所. 中国科学院大学. 2022. |
入库方式： OAI收割
来源：心理研究所
浏览0
下载0
收藏0
其他版本
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。