影響自殺結果相關因子之探討－

A Study on the Risk Factors of Suicide

蕭惠玲(hsiao hui ling)

指導教授 ： 何清松

亞洲大學/健康學院/健康管理研究所/碩士(2007年)

摘要

目的：本研究主要探討影響自殺結果的相關因子。方法：以橫斷面的研究來進行，利用彰化縣95 年1 月1 日至95 年2 月31 日期間，發生自殺行為的通報個案為研究對象。從通報個案的人口學特徵、健康狀況、居住地區醫療資源、社會及經濟等層面之相關指標，以及通報單位屬性與通報時效等因子與自殺結果進行描述性統計及羅吉斯回歸分析。結果：有910 位個案納入研究，從羅吉斯回歸分析結果發現，男性、45 歲以上、過去有精神病史者或精神病史不詳者、由醫院以外單位通報、自殺行為發生超過6 天通報及地區指標包括人口密度高（≧1320 人/㎞ 2）、領有精障人口比率低（＜3.4 ‰）、醫療院所家數少（＜ 6 家/104 人）、離婚率低（＜1.8 ‰）、不識字率高（≧7 %）、平均家戶內人口數少（＜4 人）者等因子，自殺死亡機率較高。結論：本研究發現由醫院通報對自殺死亡的保護效果最顯著，其次為人口密度低的地區，因此更需加強醫院參與自殺通報的意願，同時針 對鄉鎮人口稠密地區加強自殺防治工作，應可以有效抑制自殺死亡率的攀升。本研究結果有助於了解可能影響自殺死亡的高危險因子，可作為自殺防治介入措施之參考。

關鍵字

自殺、自殺通報、自殺危險因子、地區指標

並列摘要

Purpose: The Aim of this research was to study the risk factors of suicide death in Changhua county.
Method: This is a cross section study. The study population was consisted of subjects whose suicidal attempt of living in Changhua county and suicide behavior takes place between January 1, 2006 and December 31, 2006(n =910). We analyze the relevant indicators of suicide attempters such as the demographic characteristic, health status, medical resource and socioeconomic indicators of the case’s residence region,reporting unit and time, such factors and suicidal result go on with descriptive statistics and Logistic regression analysis. Result: 910 cases are included in the study, result of Logistic regression analysis to find , man, over 45 year olds, persons who there was psychiatric history or not quite clear, the reporting unit beyond the hospital, suicide behavior was reported by takes place over 6 days and regional indicators to include high density of population (1320 people /km2), low rate of chronic psychiatric population (<3.4‰), the medical families numbers are few (<6 families / 104 people) , low rate of divorce(<1.8‰), high rate of illiteracy (≧7%), average population numbers in the family are few (<4 people), such factors for suicide death probability is the getting higher relatively and there was significant difference. Conclusion: Originally discover that the hospital reporting shows the most protecting result to the suicidal death, secondly the area low for density of population. So we need to strengthen the will that the hospital participates in suicide reporting and notifies even more, strengthen the work of suicide prevention to the populous areas of villages and towns at the same time, answering can suppress the soaring of suicidal death rate effectively. The result of this study contributes to understanding that may influence the high risk factor of the suicide death, can get involved in the reference of the measure as suicide prevention.

並列關鍵字

suicide, suicide reporting, suicide risk factor,

參考文獻

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