58例15～35歲自殺死亡者心理解剖案例分析.pdf

1、中南大學碩士學位論文58例15～35歲自殺死亡者心理解剖案例分析姓名：馬貞玉申請學位級別：碩士專業(yè)：社會醫(yī)學與衛(wèi)生事業(yè)管理指導教師：徐慧蘭20070501中南大學碩士學位論文英文摘要ABSTRACTObjective：Toinvestigatecharacteristicsofyoungsuicidesaged15~35yearsoldinruralHunanasafirststepinthedevelopmentofrelevantp

2、reventionstrategiesMethods：Usingthepsychologicalautopsymethodandtakingallaverageof23hours，weindependentlyinterviewedfamilymembersandassociatesof58completedsuieidesfrom5countiesofHunanProvinceselectedbyrandombetweenJune1，

3、2005andDecember31，2006WeassessedthecharacteristicsofsuicidalbehavioLsuitideintent，GlobalAssessmentofFunctioning，lifeevents，socialsupporthopelessness，impulsion，traitanxietyanddepressionlevelofsuicidesAfterthat，experienced

4、psychiatristsmadethepsychiatrydiagnosisbyDSMIVAxisIcriteriawiththedetailscollectedfromtheinterviewResults：“Iotal58completedsuicideshadthefollowingcharacteristics：76％diedbyingestingpoisons(inmostcasesthepoisonWasstoresint

5、hehome)：46％hadamentaldisorderatthetimeofdeath(mostcommonlydepression)：38％hadaseriousphysicaldisease；21％madeapriorsuicideattempt；19％committedsuicideinthepresenceofsomeoneelse；and60％hadexperiencedseriousnegativelifeeventsT

6、hethreemestcommonnegativelifeeventsinthepastoneyearwereacuteorseriousphysicalillness(38％)，lovefailure(26％)andconflictwithfamilymembers(24％)56％suicideswithmentaldisorderhadneversoughthealthservicesSocialsupport，impulsiven

7、essandtheGlobalAssessmentofFunctioning(GAF)ofthosesuicideswithmentaldisorderwerelowerthanthesuicideswithoutmentaldisordeLandnegativelifeevents，historyofattemptedsuicide，theleverofanxietyhopelessnessanddepressionofthecase

8、swithmentaldisorderwashigherthanthecaseswithoutmentaldisorderBySpearmancorrelationanalysis，therewassignificantcorrelationbetweenthe6factorsoftheGlobalAssessmentofFunctioning(GAF)，lifeevents，socialsupport，traitanxietyhope