目的:了解中国北方城乡居民样本在设定条件下自杀的可能性。方法:本现况调查以18岁及以上人群为研究对象,通过分层随机抽样抽取北京市区10个居委会和河北武安10个村庄作为调查现场,共1007人完成了调查,其中城市503人,农村504人。评定工具为公众对自杀的态度量表,列出24种特殊境遇,评估设定遭遇时可能和肯定考虑自杀的可能性。结果:本样本中,在设定遭遇列举的特殊境遇时会考虑自杀的累计百分比之和位居前7位的依次为患不治之症(65.2%)、是别人的累赘且未来没有希望(62.0%)、吸毒成瘾(61.2%)、因赌博而大量欠债(57.3%)、被强奸或被强暴(54.2%)、严重抑郁或忧郁(51.6%)、年老无人赡养(50.7%);任何情况下不会考虑自杀的仅占14.6%,可能考虑自杀的占50.7%,肯定考虑自杀的占34.8%。进一步分析发现男性和女性、不同年龄段城乡居民对24种负性生活事件的感受不同,在经历某种相同的负性生活事件的时候考虑自杀的可能性存在差别。结论:当城乡居民经历负性生活事件的时候给予及时的心理帮助是必要的,且应建立个体化的干预措施,以期有效降低自杀率。
Objective:To assess the possibility of suicide in setting condition among urban and rural residents samples in northern China.Methods:By randomly sampling,1007 persons aged 18 years or older were selected from 10 urban neighborhoods in Beijing and from 10 rural village in Hebei province.The Survey Schedule of Atti-tudes in China in which 24 negative life events were listed,and the possibility of committing suicide was asked to the subjects when they encountered the supposed events.Results:The rates of thinking about committing suicide when encountered the supposed life events were 65.2% of "incurable illness",62.0% of "burden on other and no future hope",61.2% of "drug dependence",57.3% of "large debt due to gambling",54.2% of "being raped", 51.6% of "severe depression",50.7% of "being elderly and no family to provide support".Only 14.6% of the ur-ban and rural residents would not consider suicide when encountered any type of supposed problems.Conclusion:There is higher possibility of considering suicide in urban and rural residents when encountered negative life events, so it is important to give support to the residents with one or more life events.