男性自殺企圖軍人危險因素之相關研究

An Investigation of Factors Associated with Suicidal Attempts among Male Military Personnel

目的： 鑒於軍人發生自殺企圖的相關研究不足，本研究為針對男性自殺企圖軍人，探究 其誘發的危險因素。 方法： 73 位有自殺企圖與 149 位無自殺企圖軍人納入收案對象。針對 服役背景、個人及家庭背景，以及生活壓力源進行問卷填答，並透過卡方檢定及多元邏輯式 迴歸進行分析。 結果： 研究顯示家人自殺史 (p < 0.05)、父母關係不和 (p < 0.05)、入伍前自 殺行為 (p < 0.05)、軍中環境適應障礙 (p = 0.001)、與部隊長官相處不睦 (p < 0.01)、部隊離 家過遠 (p < 0.05)、與女友或妻子關係不睦 (p < 0.05) 及個人健康問題 (p < 0.05) 等五項壓力 源，與自殺企圖的發生有顯著性的相關。 結論： 對入伍前曾有自殺行為、父母關係不和及家 人自殺史的軍人，應建立相關資料庫及警示系統。服役後若出現軍隊適應不良伴隨其他生活 壓力源時，適度的介入、支持、輔導及轉介住院是必要的。

Objective: There is no predictive model for risk factors that are associated with suicidal attempts by young adult servicemen in Taiwan. This study was aimed to determine the characteristics of male servicemen who attempted suicide in a military setting, and to examine the differences between suicide attempters and control subjects who did not have a history of suicide attempts during their mili-tary service. Method:： Suicide attempters (n = 73) and control subjects (n = 149) were questioned about information of personal demographic characteristics, per-sonal and family background, and stressful events in their lives. Those two groups were then compared for the risk factors using Chi-square tests and multiple logistic regression analysis. Results: Risk factors such as poor parental relationships (p< 0.05), a family history of suicide (p< 0.05), previous suicide attempts (p< 0.05), relational problems with authorities (p< 0.01), maladjustment to the military en-vironment (p= 0.001), being far away from family members (p< 0.05), failed in-timate relationships with a girlfriend or wife (p< 0.05), and stress of personal health problems (p< 0.05) showed significant associations with suicide attempts among male service personnel. Conclusion: It is important to establish a warning system and data bank of military trainees who have previous suicide attempts, poor parental relationships, and a family history of suicide. Referral for psychiatric intervention is necessary when soldiers are facing severe stress in the army.