The investigation of suicide related risk factor of the teenagers after trauma_Chinese Journal of Evidence-Based Medicine

Authors：

LI Haimin ^{1,2 #} , ZHAO Gaofeng ^{3 #} , ZHANG Qiang ⁴ , PANG Yan ⁴ , CHEN Ying ² , ZHANG Shusen ² , YANG Yanchun ² ,  DENG Hong ^1,2

1. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
2. Mental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Jining Psychiatric Hospital of Shandong Province, Jining, 272051, P.R.China;
4. School of Public Health, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

DENG Hong, Email: rhdeng88@hotmail.com

Keywords：

Suicide; The Youth Risk Behavior Survey (YRBS); Prevalence; Risk factor; Trauma

DOI：

10.7507/1672-2531.201510020

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Objective To investigate the suicide related factors of the teenagers after trauma and further discuss the prevalence and related factors of suicide idea plan and behavior. Methods Using the general information questionnaire and the Youth Risk Behavior Survey (YRBS) to investigate the primary and secondary students in the nine worst-hit areas in Wenchuan earthquake of 2008, with cluster random sampling and the class as a sampling unit, to extract random 110 primary and middle schools and gather their general information, disaster-related cases and scores of suicide in YRBS. According to the different types of data, we used descriptive statistics,t test,Chi square test and Logistic regression analysis and respectively use single factor analysis and multivariate logistic regression analysis for suicide idea, plan and behavior. Results A total of 7 833 questionnaires were sent out and a total of 7 521 questionnaires were collected and the recovery rate was 96. 02%. Among them, there were 6 875 valid questionnaires (91.41%) and 636 invalid questionnaires. According to the investigation, the prevalence of the primary and secondary students which had seriously considered suicide was 6. 90%, which had a plan to commit suicide was 4.00% and which tried to take over the action of suicide was 2.70%. With general information for the independent variable, logistic regression analysis showed that whether there had seriously considered suicide as the dependent variable: age (OR=1.178, 95%CI 1.098 to 1.178) and changed in family structure after the earthquake (OR=1.360, 95%CI 1.360 to 1.085) were risk factors for post disaster the teenagers with suicide idea; whether there had been plan to commit suicide as the dependent variable: age (OR=1.099, 95%CI 1.050 to 1.150), the history of being buried in ruin (OR=2.155, 95%CI to 1.104 to 4.205) and changed in family structure after the earthquake (OR=1.495, 95%CI 1.128 to 1.981) were risk factors for post disaster the teenagers with suicide plan; whether took over the action of suicide as the dependent variable: male (OR=1.513, 95%CI 1.122 to 2.039) and changed in family structure after the earthquake (OR=1.555, 95%CI 1.112 to 2.175) were risk factors for post disaster the teenagers with suicide behavior. Conclusion Age and changed in family structure after the earthquake were the risk factors for suicide idea and age was positively correlated with suicidal idea. Age, had the history of being buried in ruin and changed in family structure after the earthquake were the risk factors for suicide plan and age was positively associated with suicide plan. Male and changed in family structure after the earthquake were the risk factors for suicide behavior. Among them, changed in family structure after the earthquake was the common risk factor. So there should be targeted psychological assessment and psychological rehabilitation intervention to avoid the risk of suicide among the teenagers after the disaster.

Citation： LI Haimin, ZHAO Gaofeng, ZHANG Qiang, PANG Yan, CHEN Ying, ZHANG Shusen, YANG Yanchun, DENG Hong. The investigation of suicide related risk factor of the teenagers after trauma. Chinese Journal of Evidence-Based Medicine, 2017, 17(3): 262-268. doi: 10.7507/1672-2531.201510020 Copy

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6.	Wilcox HC, Storr CL, Breslau N. Posttraumatic stress disorder and suicide attempts in a community sample of urban American young adults. Arch Gen Psychiatry, 2009, 66(3): 305-311.
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10.	Yu XN, Lau JT. Posttraumatic growth and reduced suicidal ideation among adolescents at month 1 after the Sichuan Earthquake. J of Affect Disord, 2010, 123(1-3): 327-331.
11.	Ronald C. Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ, 2006, 84(12): 930-939.
12.	Yang CH, Xirasagar S, Chung HC,et al. Suicide trends following the Taiwan earthquake of 1999: Empirical evidence and policy implications. Acta Psychiatr Scand, 2005, 112(6): 442-448.
13.	Chou YJ, Huang N, Lee CH,et al. Suicides after the 1999 Taiwan earthquake. Int J Epidemiol, 2003, 32(6): 1007-1014.
14.	Gould MS, Greenberg T, Velting DM,et al. Youth suicide risk and preventive interventions: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry, 2003, 42(4): 386-405.
15.	Kõlves K, Kõlves KE. Natural disasters and suicidal behaviours: a systematic literature review. J Affect Disord, 2013, 146(1): 1-14.
16.	Chen Y, Zhao GF, Deng H,et al. Reliability and validity of the Chinese version of the youth risk behavior survey. J Preven Med Infor, 2011, 27(3): 190-193.

1. Tang CS. Trajectory of traumatic stress symptoms in the aftermath of extreme natural disaster: a study of adult thai survivors of the 2004 Southeast Asian earthquake and tsunami. J Nerv Ment Dis, 2007, 195(1): 54-59.
2. North CS, Kawasaki A, Spitznagel EL,et al. The course of PTSD, major depression, substance abuse, and somatization after a natural disaster. J Nerv Ment Dis, 2004, 192(12): 823-829.
3. Chou FH, Wu HC, Chou P,et al. Epidemiologic psychiatric studies on post-disaster impact among Chi-chi earthquake survivors in Yu-chi, Taiwan. Psychiatry Clin Neurosci, 2007, 61(4): 370-378.
4. 赵高峰, 杨彦春, 张树森, 等. 汶川地震极重灾区社区居民创伤后应激障碍发生率及影响因素. 中国心理学杂志, 2009, 27(7): 487-483.
5. 张本, 张凤阁, 王丽萍, 等. 30 年后唐山地震所致孤儿创伤后应激障碍现患率调查. 中国心理卫生杂志, 2008, 22(6): 469-473.
6. Wilcox HC, Storr CL, Breslau N. Posttraumatic stress disorder and suicide attempts in a community sample of urban American young adults. Arch Gen Psychiatry, 2009, 66(3): 305-311.
7. Davidson JR. Recognition and treatment of posttraumatic stress disorder. JAMA, 2001, 286(5): 584-588.
8. 张晓玲, 沈丽琴, 董勇, 等. 中学生自杀意念和自杀行为及相关因素分析. 中国全科医学, 2004, 7(13): 971-973.
9. 高鸿云, 吴增强, 邓伟, 等. 上海市中小学生自杀行为及心理社会相关因素的研究. 中国循证儿科杂志, 2007, 2(1): 32-37.
10. Yu XN, Lau JT. Posttraumatic growth and reduced suicidal ideation among adolescents at month 1 after the Sichuan Earthquake. J of Affect Disord, 2010, 123(1-3): 327-331.
11. Ronald C. Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ, 2006, 84(12): 930-939.
12. Yang CH, Xirasagar S, Chung HC,et al. Suicide trends following the Taiwan earthquake of 1999: Empirical evidence and policy implications. Acta Psychiatr Scand, 2005, 112(6): 442-448.
13. Chou YJ, Huang N, Lee CH,et al. Suicides after the 1999 Taiwan earthquake. Int J Epidemiol, 2003, 32(6): 1007-1014.
14. Gould MS, Greenberg T, Velting DM,et al. Youth suicide risk and preventive interventions: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry, 2003, 42(4): 386-405.
15. Kõlves K, Kõlves KE. Natural disasters and suicidal behaviours: a systematic literature review. J Affect Disord, 2013, 146(1): 1-14.
16. Chen Y, Zhao GF, Deng H,et al. Reliability and validity of the Chinese version of the youth risk behavior survey. J Preven Med Infor, 2011, 27(3): 190-193.

Chinese Journal of Evidence-Based Medicine

The investigation of suicide related risk factor of the teenagers after trauma

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