Confucianism and Youth Suicide in Rural China

Zhang, Jie; Liu, Eric Y.

doi:10.1007/s13644-011-0027-0

Cited by 28 publications

(21 citation statements)

References 52 publications

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“…Without a large religious community to reinforce the religious beliefs of a small group, religion would not be expected to be a strong protective factor (35). Similar findings that are different from those from Western societies have been documented with the Chinese data (36, 37). …”

Section: Discussionsupporting

confidence: 86%

The association between depression and suicide when hopelessness is controlled for

Zhang

Zi-yao

2013

Comprehensive Psychiatry

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Objective We retested the relationship between major depression and suicide with hopelessness as a control variable, with the hypothesis that the strong relationship between depression and suicide will decrease or disappear when hopelessness is controlled for. Also, hopelessness can be accounted for by psychological strains resulted from social structure coupled with individual characteristics. Method This was a case-control psychological autopsy study, in which face-to-face interviews were conducted to collect information from proxy informants for suicide victims and living subjects in rural Chinese 15–34 years of age who died of suicide (n=392) and who served as community living controls (n=416). Major depression was assessed by the Chinese version of the Structured Clinical Interview for DSM-IV (SCID). Hopelessness was measured by Beck Hopelessness Scale. Results A strong association between major depression and suicide was observed after adjustment for socio-demographic characteristics. When hopelessness was added to the analysis, the depression-suicide relationship was significantly decreased in all the six regression models. Conclusions Although depression as well as other mental illness is a strong risk factor for suicide, depression and suicide are both likely to be related to hopelessness, which in turn could be a consequence of psychological strains resulted from social structure and life events. Future studies may examine the causal relations between psychological strains and hopelessness.

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Section: Discussionsupporting

confidence: 86%

The association between depression and suicide when hopelessness is controlled for

Zhang

Zi-yao

2013

Comprehensive Psychiatry

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“…The findings have yielded mixed results. While the Confucian ethic of filial piety has been reported to be negatively associated with suicide, female subordination has been found to be positively associated with suicide [ 14 ]. The Confucian ethic of harmony may moderate the impact of negative life events on suicide [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

Negative Life Events and Attempted Suicide in Rural China

et al. 2015

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ObjectiveThis study aimed to examine the association between negative life events (NLEs) and attempted suicide in rural China.MethodsSix rural counties were selected from disease surveillance points in Shandong province, China. A total of 409 suicide attempters in rural areas between October 1, 2009, and March 31, 2011, and an equal number of matched controls were interviewed. We compared negative life events experienced within 1 month, 1–3 months, 3–6months, and 6–2 months prior to attempted suicide for cases and prior to interview for controls. We used multivariate logistic regression to examine the association between NLEs and attempted suicide.ResultsSuicide attempters experienced more NLEs within the last year prior to suicide attempt than controls prior to interview (83.1% vs. 33.5%). There was a significant dose-response relationship between NLEs experienced within the last year and increased risk of attempted suicide. Timing of NLEs analysis showed that NLEs experienced in the last month and 6–12 months prior to suicide attempt were significantly associated with elevated risk of attempted suicide, even after adjusting for mental disorders and demographic factors. Of NLEs, quarrelling with spouse, quarrelling with other family members, conflicting with friends or neighbors, family financial difficulty, and serious illness were independently related to attempted suicide.ConclusionNLEs are significantly associated with increased risk for attempted suicide in rural China. Stress management and intervention may be important to prevent suicidal behavior in rural China.

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“…A revised 64‐item version of Paykel's Interview for Recent Life Events (IRLE) was implemented to gauge the number of life events that had occurred in the past year. This adapted scale also included 19 culture‐specific items for China (Zhang and Liu ). The respondents were asked whether they considered each of the life events to be positive or negative.…”

Section: Methodsmentioning

confidence: 99%

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

De-dong

Liu

2013

Scientific Study of Religion

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Debates about whether the relationship between religiousness and depression is nonlinear have continued, but no definitive conclusions thus far have been drawn. Unlike most previous research in this area, which has been based on U.S. populations, this study focuses on a sample of 882 young rural Chinese women. Results from analyses reveal an inverse U‐shaped relationship between intrinsic religiosity and depression. In addition, results show that intrinsic religiosity and religious activities exacerbate the deleterious effects of particular life events such as childbirth issues and marital conflicts. Implications of the findings for future studies on the subject are discussed.

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Confucianism and Youth Suicide in Rural China

Cited by 28 publications

References 52 publications

The association between depression and suicide when hopelessness is controlled for

The association between depression and suicide when hopelessness is controlled for

Negative Life Events and Attempted Suicide in Rural China

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

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