臺灣博碩士論文加值系統

研究目的：本研究將從個人、家庭、同儕及學校等層面，探討青少年自殺危險行為的盛行率、影響因素及其預測力與性別差異。
研究方法：為描述性相關性研究法，分析2002年成功大學「本土化高危險群青少年篩選模式之建立」計畫資料庫。採多步驟隨機抽樣方式，取南部某縣市7所高中職一年級生，有效問卷共1,385份。研究工具為「青少年生活經驗量表」，問卷內容含自殺危險程度篩選量表與相關變項。分析方法依研究對象的自殺危險程度分4組（高、中、低與無危險性），以多元邏輯回歸進行分析。
研究結果 ：（1）在1,385位高中職生中，有51.7%學生曾有自殺念頭，23.4%有自殺威脅行為，有2.4%在過去30天內有自殺未遂紀錄，且女多於男。（2）影響自殺危險行為的因素，為性別、焦慮、無望感、壓力感受、親子衝突、自尊、個人偏差行為、家長參與、同儕支持及學校表現，預測力為53.3%。（3）性別差異部分，壓力感受、無望感、焦慮及自尊等同為影響男女生自殺危險行為的因素。親子衝突、家庭憂鬱及同儕支持對女生的影響大於男生；另個人偏差行為及學校表現，對男生的自殺危險行為較有影響。
結論及建議：個人層面因素是影響高中職生自殺危險行為的重要因素，建議未來於青少年自殺的預防上，應針對青少年的相關特質，如出現自殺危險行為的危險程度、性別，供適當的介入措施，以有效降低青少年自殺死亡率。

Objective: The purpose of this study was to examine the prevalence of suicide risk behavior, and to identify the associated factors, the predictive power of these factors, and existing gender differences in senior high school students.
Method: This study was a descriptive & correlational design. Data in the present study came from the Developing a Screening Protocol for At-risk Youth in Taiwan research program, National Cheng Kung University, collected in 2002. Stratified sampling was used to select the classes of students. A total of 7 senior high schools and vocational schools were recruited with a final of 1,385 questionnaires completed. Instruments used included, High School Questionnaire Chinese version which screened for suicide risks and assessed for associated variables. Subjects were divided into 4 different suicide risk groups, and analyzed through multinomial logistic regression.
Result: (1) Among 1,385 senior high school students, 51.7% students had suicide ideation, 24.3% students had suicide threat, and 2.4% students had a suicide attempt within the past 30 days. (2) The associated factors of suicide risk behavior were gender, perceived stress, hopelessness, anxiety, self-esteem, aggressive behavior, conflict with parents, parental involvement, and peer support; the predictive power was 53.3%. (3) Gender differences, perceived stress, hopelessness, anxiety, and self-esteem were associate factors of suicide risk behavior among males and females. Male-only suicide risk factors were aggressive behavior and school performance; female-only suicide risk factors were conflict with parents, family depression, and peer support.
Conclusion: According to the research results, associated factors related to individual domains were an important aspect in the suicide risk behavior of senior high school students. Therefore, we suggest that future prevention of adolescent suicide should focus on these associative characteristics, such as the degree of suicide risk or gender, to provide appropriate intervention to effectively decrease the adolescent suicide death rate.

中文摘要...............................................Ⅰ
英文摘要...............................................Ⅱ
誌謝 ..................................................Ⅳ
論文目錄 ..............................................Ⅵ
附錄 ..................................................Ⅷ
表目錄 ................................................Ⅸ
第一章 緒論............................................1
第一節 研究動機與重要性................................1
第二節 研究目的........................................5
第二章 文獻查證........................................6
第一節 自殺危險行為及評估量表..........................6
第二節 影響青少年自殺危險行為之相關因素................10
第三章 研究架構........................................30
第一節 研究架構........................................30
第二節 名詞解釋........................................31
第三節 研究問題........................................34
第四章 研究方法........................................35
第一節 研究設計........................................35
第二節 研究對象........................................36
第三節 研究工具........................................37
第四節 倫理考量........................................44
第五節 分析方法........................................45
第五章 研究結果........................................47
第一節 自殺危險行為盛行率..............................47
第二節 自殺危險行為及人口學資料分布情形................49
第三節 個人、家庭、同儕及學校層面與自殺危險行為的差異情形 ..............................................51
第四節 個人、家庭、同儕及學校層面因素對的自殺危險行為的預測力.....................................................58
第五節 比較不同性別，影響自殺危險行為之個人、家庭、同儕及學校層面因素的差異 .................................... 64
第六章 討論............................................69
第一節 高中職生自殺危險行為的盛行率..................69
第二節 高中職生自殺危險行為的影響因素及預測力..........70
第三節 影響自殺危險行為相關因素的性別差異.............78
第七章 結論與建議......................................79
第一節 結論......................................... 79
第二節 研究貢獻與對未來實務的建議................... 82
第三節 研究限制及未來研究的建議..................... 84
參考文獻...............................................85
附錄.................................................. 96
附錄一 人體試驗委員會同意臨床試驗證明書................97
表目錄
表 2-1 自殺危險評估量表................................99
表4-1 青少年生活經驗問卷內容效度.......................100
表4-2 研究問題與統計方法對照表.........................101
表5-1 高中職生自殺危險行為.............................102
表5-2 高中職生藥物濫用情形............................103
表5-3 高中職生藥物濫用情形（續）.......................103
表5-4 高中職生憂慮分布情形............................103
表5-5 人口學資料與自殺危險行為分佈與差異情形...........104
表5-6 個人、家庭、同儕及學校層面因子在不同自殺危險組群的分布情形.................................................105
表5-7 基本資料、個人層面、家庭層面、同儕及學校層面對自殺危險行為的預測模式（續）.................................106
表5-8 基本資料、個人層面、家庭層面、同儕及學校層面對自殺危險行為的預測模式（續）.................................107
表5-9 基本資料、個人層面、家庭層面、同儕及學校層面對自殺危險行為的預測模式（續）.................................108
表5-10 不同性別，人口學資料、個人層面、家庭層面、同儕及學校層面對自殺危險行為的預測模式...........................109

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