| 何欣芙
，戴立磊
，陈佳悦
，杜晖
，张静
，邹韶红.伴有自杀行为的青少年抑郁症自杀态度与父母教养方式的相关性及危险因素分析[J].神经损伤功能重建,2025,(6):316-320 |
| 伴有自杀行为的青少年抑郁症自杀态度与父母教养方式的相关性及危险因素分析 |
| The Correlation Between Suicidal Attitudes and Parenting Styles Among DepressedAdolescents with Suicidal Behaviors: An Analysis of Risk Factors |
| |
| DOI： |
| 中文关键词: 青少年抑郁症 自杀行为 自杀态度 父母教养方式 危险因素 |
| 英文关键词: adolescent depression suicidal behavior suicidal attitude parental rearing behavior risk factors |
| 基金项目:湖北省重点研发计
划项目（青少年抑
郁伴自伤自杀行为
的脑影像学研究及
综合干预模式的构
建，No. 2022BCE0
32）；荆门市科学技
术研究与开发项目
（青少年抑郁症的
序贯治疗研究，No.
2021YFYB044；青
少年抑郁与父母教
养方式、儿童期虐待
的相关性分析，No.
2022YDKY024） |
|
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| 中文摘要: |
| 目的：探讨伴有自杀行为的青少年抑郁症患者自杀态度与父母教养方式的相关性及危险因素分析。
方法：选取2020年6月至2023年5月在荆门市人民医院临床心理科住院，并愿意接受研究的197例青少年
抑郁症患者进行横断面调查；根据近6个月是否有自杀行为分为自杀组115例和非自杀组82例；采用一般情
况调查表和患者健康问卷抑郁症状群量表、自杀态度问卷、父母教养方式评价量表对2组患者进行评估，并
进行组间比较，并将所有变量纳入多因素Logistic回归模型进行分析。结果：①自杀组患者年龄低于非自杀
组，饮酒率高于非自杀组（均P＜0.05）；②自杀态度问卷结果显示，自杀组患者对自杀行为的态度、对自杀者
的态度评分低于非自杀组（P＜0.01，P＜0.05），对自杀者家属的态度评分显著高于非自杀组（P＜0.01），2组
在对安乐死的态度上差异无统计学意义（P＞0.05）；③父母教养方式评价量表结果显示，自杀组的父母教养
方式评价量表总分显著高于非自杀组（P＜0.01）；在各因子比较上，自杀组母亲的情感温暖因子评分低于非
自杀组（P＜0.05），自杀组父亲、母亲的过度保护、拒绝否认、惩罚严厉因子评分显著高于非自杀组（P＜
0.01）；自杀组父亲的过分干涉因子评分显著高于非自杀组（P＜0.01）；④Logistic回归分析结果显示：父亲的
惩罚严厉及过度干涉是青少年抑郁患者自杀的危险因素（OR＞1，P＜0.05）。结论：青少年抑郁症患者自杀
行为发生率较高，有自杀行为的患者对自杀行为及自杀者持肯定理解态度，对其家人持矛盾态度；有自杀行
为者的家庭教育模式中父母情感支持不足，过分干涉、惩罚否定的管教模式较多，其中在父亲过度干涉、严
厉、惩罚式的教养方式下的青少年更容易出现自杀行为。 |
| 英文摘要: |
| To explore the correlation between suicidal attitudes and parental rearing styles in
adolescents with depression who have engaged in suicidal behaviors, and to analyze related risk factors.
Methods: A cross-sectional survey was conducted on 197 adolescent patients with depression hospitalized in
the Department of Clinical Psychology at Jingmen People's Hospital from June 2020 to May 2023, who
voluntarily participated in the study. Patients were divided into a suicidal group (115 cases) and a non-suicidal
group (82 cases) based on whether they had engaged in suicidal behaviors in the past 6 months. Both groups
were assessed using a general information questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the
Questionnaire on Suicide Atitude (QSA), and the Egna Minnen av Barndoms Uppfostran (EMBU). Group
comparisons were made, and all variables were included in a multivariate Logistic regression model for analysis.
Results: (1) The suicidal group was younger in age and had a higher rate of alcohol use than the non-suicidal
group (both P<0.05). (2) QSA results showed that the suicidal group had lower scores than the non-suicidal
group in attitudes toward suicidal behavior and toward suicide victims (P<0.01 and P<0.05, respectively), but
higher scores in attitudes toward the families of suicide victims (P<0.01). There was no significant difference in
attitudes toward euthanasia between the two groups (P>0.05). (3) EMBU results revealed that the total score of
the suicidal group was significantly higher than that of the non-suicidal group (P<0.01). Specifically, the suicidal
group scored lower on maternal emotional warmth (P<0.05) and higher on paternal and maternal overprotection,
rejecting denial, and harsh punishment (P<0.01). Additionally, the suicidal group had higher scores on paternal
overinterference (P<0.01). (4) Logistic regression analysis identified paternal harsh punishment and excessive
interference as risk factors for suicidal behavior in adolescents with depression (P<0.05). Conclusion:
Adolescents with depression have a high incidence of suicidal behaviors. Those who engage in suicidal
behaviors tend to show understanding or approval of suicide and ambivalence toward the families of individuals who have attempted
suicide. Their family education models often lack emotional support and involve excessive interference, punishment, and denial.
Adolescents raised by fathers with overinterference, harshness, and punitive parenting styles are at greater risk of suicidal behavior. |
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