自殺行為探討：以BSRS短量表的五年期調查

Investigation of Suicidal Behavior: Study on 5-Year Data Obtained Using the Brief Symptom Rating Scale

陳芬芳(Fen-Fan Chen) ； 周煌智(Frank Huang-Chih Chou) ； 許建彬(Chien-Bin Hsu) ； 黃良志(Liang-Chih Huang)

《榮總護理》 37卷3期 (2020/09) Pp. 279-289

https://doi.org/10.6142/VGHN.202009_37(3).0007

摘要

在台灣每年大約有3700人自殺死亡。本研究主要運用五年期資料對自殺行為者特徵進行分析，以及驗證BSRS-5的適用性。本研究從高雄地區自殺防治中心獲得2011至2015年間自殺個案資料，計18,212例，再排除未填答BSRS-5問卷者，餘10,108例進行分析。除運用二因子變異數分析，並透過羅吉斯迴歸檢驗對自殺行為的預測。對初次自殺者而言，個人背景特徵與BSRS-5的測量結果都有顯著關聯。但是，對再自殺行為者，個人背景特徵則轉變為不顯著，BSRS-5仍維持顯著關聯，而且，BSRS-5對自殺行為的預測勝算也隨之提高。BSRS-5對於第一次或重複的自殺行為都能有效地預測。然而，個人背景如：性別、年齡、就業狀況、精神病史等，都僅對第一次自殺行為具有關聯，對重複自殺行為者，則關聯性並不顯著。因此，本研究建議BSRS-5可用於自殺傾向的評估，並廣泛推廣使用。並建議後續研究者能採用多年期、多區域資料進行研究。

關鍵字

高自殺風險 ； 自殺行為 ； BSRS ； 羅吉斯迴歸

並列摘要

In Taiwan, approximately 3,700 people commit suicide every year. In this study, 5-year data were used to analyze the characteristics of suicidal behaviors and verify the applicability of the 5-item Brief Symptom Rating Scale (BSRS-5). Data of 18,212 suicide cases between 2011 and 2015 were obtained from the Suicide Prevention and Treatment Center located in southern Taiwan. A total of 10,108 cases were analyzed after excluding individuals who could not complete the BSRS- 5 questionnaire. In addition, we used two-way ANOVA and logistic regression to predict suicidal behavior. A significant correlation between background characteristics and BSRS-5 score was discovered in the people who had attempted suicide for the first time. For those who repeatedly attempted suicide, the effect of personal background characteristics became nonsignificant; however, the correlation with BSRS-5 score remained significant. Additionally, the probability of predicting suicidal behavior was found to increase with the BSRS-5 score. The BSRS-5 was effective in predicting both the first and repeated suicidal behaviors. However, the personal background data including data for sex, age, employment status, and psychiatric history were significantly correlated with only the first suicidal behavior; the correlations were nonsignificant for repeated suicidal behavior. Overall, the BSRS-5 can thus be used to predict suicidal tendency and should be widely used. In the future, research should be conducted in multiple areas and data from a longer time period should be analyzed.

並列關鍵字

high risk of suicide ； suicidal behavior ； brief symptoms rating scale ； logistic regression

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