影響觀護少年自殺傾向因素之探討

Factors Influencing Juvenile Probationers Suicidal Behavior

本研究目的為探討觀護少年自殺傾向與行為，並從社會生態觀點，檢視影響觀護少年自殺傾向的重要因素。採立意取樣，取得臺灣南部某法院觀護少年91位為研究對象。結果顯示，有46.2%認同自殺是可以解決人生問題，34.1%表示有自殺意念，其中23.1%在過去一年中曾自殺未遂。經自殺危險度篩檢，有59.3%受試者屬自殺危險群，採邏輯迴歸分析，結果以壓力感受（OR=4.21）、在校表現（OR=2.50）與家庭功能（OR=.54）為最重要的影響因素。與國內外相關研究結果相較，觀護少年較傾向認同自殺可解決人生問題，且有較多的自殺危險行為，顯示觀護少年實為青少年中的高自殺危險族群。因此，基於預防勝於治療的觀點，我們應關注這群觀護少年，針對影響他們自殺行為的重要因素，規劃一套有系統的介入措施，並聯合學校、法務部監護人、家長一起合作，成立一個整合型的自殺防護網是當務之急。

The purpose of this study is to investigate suicidal behavior among juvenile probationers, and to identify the factors influencing suicidal behavior based on an ecological view. Using a convenient sample, a total of 91 juvenile probationers were recruited from a city district court in southern Taiwan. Results reveal that 46.2% of subjects agreed suicide could solve life problem, 34.1% had suicidal thoughts and 23.1% had attempted suicide in the past year. The percentage of subjects that were screened as being at high risk of suicide was 59.3%. Logistic regression was used to identify the best set of discriminates for screening those at high risk of suicide. The significant sets of discriminates were: perceived stress (OR=4.21), unmet school goals (OR=2.50) and family function (OR=.54). Compared with other studies, these results demonstrated that juvenile probationers were at high risk of suicide. From the prevention point of view, it is crucial to develop a suicide prevention network for juvenile probationers that includes all school and court personnel, and parents.