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朱涵涵, 王玉萍, 张猜, 周涛, 潘昱, 郭虹, 董彦彬, 黄鹏, 姜荣环. 武警某部官兵适应不良和自杀意念的关系探讨[J]. 解放军医学院学报, 2022, 43(9): 976-981, 992. DOI: 10.3969/j.issn.2095-5227.2022.09.012
引用本文: 朱涵涵, 王玉萍, 张猜, 周涛, 潘昱, 郭虹, 董彦彬, 黄鹏, 姜荣环. 武警某部官兵适应不良和自杀意念的关系探讨[J]. 解放军医学院学报, 2022, 43(9): 976-981, 992. DOI: 10.3969/j.issn.2095-5227.2022.09.012
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ZHU Hanhan, WANG Yuping, ZHANG Cai, ZHOU Tao, PAN Yu, GUO Hong, DONG Yanbin, HUANG Peng, JIANG Ronghuan. Relationship between maladjustment and suicidal ideation in PAP soldiers and officers[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2022, 43(9): 976-981, 992. DOI: 10.3969/j.issn.2095-5227.2022.09.012
Citation: ZHU Hanhan, WANG Yuping, ZHANG Cai, ZHOU Tao, PAN Yu, GUO Hong, DONG Yanbin, HUANG Peng, JIANG Ronghuan. Relationship between maladjustment and suicidal ideation in PAP soldiers and officers[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2022, 43(9): 976-981, 992. DOI: 10.3969/j.issn.2095-5227.2022.09.012
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武警某部官兵适应不良和自杀意念的关系探讨

Relationship between maladjustment and suicidal ideation in PAP soldiers and officers

    摘要
  • 摘要:
      背景  军人自杀是当前军人非战斗减员的原因之一，有必要探索军人适应不良与自杀意念的内在关系，为部队预防自杀工作提供依据。
      目的  探讨武警官兵的军人适应不良等量表评分与自杀意念的关系。
      方法  采用军人适应不良自评量表、陆军部队凝聚力量表、军人心理求助障碍量表、自杀意念量表、自编一般情况问卷，于2021年3月对沿海地区某部男性武警官兵进行调查，历时2周。
      结果  5002名武警官兵参与调查，均为男性，年龄(22.52 ± 3.33)岁。返回有效问卷4 266份，检出有自杀意念者115例，检出率达2.70%。有自杀意念组与无自杀意念组年龄、民族、来源、是否独生子女、身份类别差异均无统计学意义(P均＞0.05)，家庭种类差异有统计学意义(P＜0.01)；两组军人适应不良总分、心理求助障碍总分、部队凝聚力总分差异均有统计学意义(P＜0.001)。军人适应不良得分与自杀意念得分呈正相关(r=0.467，P＜0.001)，与心理求助障碍得分呈正相关(r=0.324，P＜0.001)，与部队凝聚力得分呈负相关(r=-0.304，P＜0.001)；自杀意念得分与心理求助障碍得分呈正相关(r=0.340，P＜0.001)，与部队凝聚力得分呈负相关(r=-0.260，P＜0.001)；心理求助障碍与部队凝聚力得分呈正相关(r=-0.418，P＜0.001)。军人适应不良、心理求助障碍、部队凝聚力与自杀意念独立关联(OR=1.153、1.052、0.965，P均＜0.05)。部队凝聚力、心理求助障碍在军人适应不良与自杀意念之间起到了链式中介作用：军人适应不良可以直接增强自杀意念强度，也可通过心理求助障碍增强军人自杀意念强度。军人适应不良、心理求助障碍通过部队凝聚力降低自杀意念强度。
      结论  促进官兵对军队的适应，消除心理求助障碍，提高部队凝聚力，对于部队预防自杀问题均有现实意义。

     

    Abstract:
      Background  Military suicide is one of the current causes of noncombat attrition in the army, and it is necessary to explore the intrinsic relationship between military maladjustment and suicidal ideation to provide evidence for suicide prevention efforts in the military.
      Objective  To explore the relationship between military maladjustment and suicidal ideation as rated by People’s Armed Police (PAP) soldiers.
      Methods  A survey, including the Military Maladjustment Self-Assessment Scale, the Army Force Cohension Scale, the Military Psychological Help Seeking Disorder Scale, the Suicidal Ideation Scale and a self-administered general information questionnaire, was conducted to military police soldiers and officers from a department in the coastal region over a 2-week period in March 2021.
      Results  Totally 5002 male PAP soldiers and officers aged (22.52 ± 3.33) years were invited, and 4266 valid questionnaires were collected. There was no significant difference in age, nationality, origin, only child and identity category between the soldiers and officers with or without suicidal ideation (all P>0.05), but a significant difference existed in family types between the two groups (P<0.01). There were significant differences in the total scores of maladjustment, psychological help-seeking disorder and military cohesion between the soldiers and officers with or without suicidal ideation (P<0.001). Positive correlation was found between military maladjustment score and suicidal ideation score (r=0.467, P<0.001), military maladjustment score and psychological help-seeking disorder score (r=0.324, P<0.001), suicidal ideation score and psychological help-seeking disorder score (r=0.340, P<0.001), and psychological help-seeking disorder and unit cohesion score (r=-0.418, P<0.001); However, negative correlation was found between military maladjustment score and unit cohesion score (r=-0.304, P<0.001), and suicidal ideation score and unit cohesion score (r=-0.260, P<0.001). Soldiers' maladjustment, psychological help-seeking disorder and unit cohesion were independently correlated with suicidal ideation (OR=1.153, 1.052, 0.965, all P<0.05). Unit cohesion and psychological help-seeking disorder mediated the chain between military maladjustment and suicidal ideation. Military maladjustment could directly enhance the intensity of suicidal ideation in soldiers and also enhance the intensity of suicidal ideation in military personnel through psychological help-seeking disorders. Military maladjustment and psychological help-seeking barriers could reduce the intensity of suicidal ideation through unit cohesion.
      Conclusion  Facilitating the adaptation to military environment, eliminating psychological help-seeking barriers and consolidating troop cohesion are relevant to the prevention of suicide in the military.

     

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