Mental Disorders and Suicide Among Young Rural Chinese: A Case-Control Psychological Autopsy Study

Zhang, Jian; Xiao, Shuiyuan; Zhou, Lihong

doi:10.1176/appi.ajp.2010.09101476

Cited by 165 publications

(177 citation statements)

References 34 publications

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“…The finding of a history of mental illness as an independent risk factor for suicide in our study is consistent with some studies in China [6,32,34] and Western countries [7,[54][55][56] . In Western cultures, psychological autopsy studies revealed that 90-95 percent of suicide victims had a diagnosable psychiatric disorder at the time of the suicide [1] , but only about half of suicide victims in China had a history of psychiatric diagnosis at the time of death [4,6,32,34] .…”

Section: Issn 2372-5923supporting

confidence: 93%

“…The finding of a slight higher rate of suicide in males than in females is also consistent with other casecontrolled studies in China [4,6,34,42] although other studies in China reported that the rate of suicide in females was much higher than in males [3,36] . The cause of this "shift" toward a higher rate of suicide in Chinese male than in female remains yet to determine, but one possible reason is that the methodology using to identify suicide victims has become more complicate and thorough [4,6] .…”

Section: Issn 2372-5923supporting

confidence: 89%

“…The cause of this "shift" toward a higher rate of suicide in Chinese male than in female remains yet to determine, but one possible reason is that the methodology using to identify suicide victims has become more complicate and thorough [4,6] . The female dominance among the suicide victims in previous studies could be a reporting bias.…”

Section: Issn 2372-5923mentioning

confidence: 99%

“…In China, more than a half of its population lives in rural areas so that strategies targeting rural residents should be the key elements for suicide prevention. So far, risk factors associated with suicide in China have been investigated at national level in general population4 and young rural residents [6,[33][34] , and provincial level [36] . However, none have focused on suicide and its correlates specifically among the rural residents at all ages.…”

mentioning

confidence: 99%

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Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

Liu

Sun

et al. 2015

国际公共卫生杂志

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Objective: Suicide is a major public health problem in China, particularly in rural areas. This study aimed to examine the rate and the risk factors for suicide in a rural area of China. Methods: The mortality data of two counties in Shandong Province from January 1st, 2004 to December 31st 2005 were used. Death information was collected via face-to-face interview with informant(s). Psychological autopsy was conducted on 137 completed suicides and 137 matched controls died from other illnesses. Chisquare/Fisher exact and multiple logistic regression were used for bivariate analyses and predictor analyses, respectively. Results: The suicide rate was 20.90 per 100,000 persons per year with almost equal rates of males and females. Among those with the age over 40 years old, the suicide rate in males was significantly higher than that in females. The peak of suicide fell in the age group of 70-79 years for males and the age group of ≥ 80 years for females. The most commonly used method for suicide was pesticide ingestion (76.7%). Poor interpersonal relationship (OR=12.79), childhood adversities (OR=7.26), a history of mental illness (OR=5.95), adverse life event(s) within 1 year prior to death (OR=3.19), and unstable extravert personality traits (OR=6.12) were independent risk factors for suicide. Male gender positively interacted with majority of these risk factors, especially with a history of mental illness (OR=17.89). Advanced age positively interacted with all independent risk factors, with a history of mental illness having the largest OR of 1.51 as every 10 year of age advancement. In bivariate analyses, a history of previous suicide attempt (OR=13.06), a family history of suicide (OR=7.08), and unstable introvert personality trait (OR=1.83) were also associated with increased risk for suicide; and stable extravert personality trait (OR=0.21) was associated with decreased risk for suicide. Conclusions: In this rural population of mainland China, the risk for suicide was almost equal in both males and females with the elderly having the highest risk. The positive interactions of advanced age and male gender with independent risk factors suggest that suicide prevention strategies targeting specific groups with different risk factors are essential.

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Section: Issn 2372-5923supporting

confidence: 93%

Section: Issn 2372-5923supporting

confidence: 89%

Section: Issn 2372-5923mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

Liu

Sun

et al. 2015

国际公共卫生杂志

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“…Also, our strategy of scheduling interviews with proxy informants for suicide victims 3 to 6 months after suicide clearly differed from our strategy with informants for living control subjects and could increase the risk of recall bias. This is also a major challenge in other psychological autopsy studies of suicide (31,32).…”

Section: Limitationsmentioning

confidence: 99%

Association between alcohol abuse, childhood adverse events and suicide

Politakis¹,

Pregelj

Paska

et al. 2017

SlovMedJour

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Background: Negative life events present a risk for suicidal behaviour. The occurrence of suicidal behaviour also depends on type of negative life events, time of their appearance and the support person has in their environment, and can be part of a process triggered by a stressful event. The aim of the study was to investigate adverse childhood events, parental alcoholism and alcohol abuse in association with suicidal behaviour of suicide victims. Methods:A case-control study was conducted involving 90 individuals from Slovenian population who committed suicide and 90 age-sex matched controls drawn from the living population. Data were collected by means of semi-structured interviews with key informants by the principles of psychological autopsy.Results: Alcohol abuse was reported more often for suicide victims than for controls. The same was true for severe deprivation in childhood and alcoholism of one or both parents. Differences between groups in separation from one or both parents, death of one or both parents, reported parental divorce in childhood or sexual abuse in childhood were not observed. Conclusions:We should conclude that negative events in childhood and alcohol abuse in adulthood of suicide victims could be related to suicidal behaviour in population with higher suicide rate. When planning measures for the prevention of suicidal behaviour, adverse events in childhood and alcohol abuse should not be neglected to plan measures to prevent such events accordingly and to raise awareness about the dangers of alcohol abuse for suicidal behavior. IzvlečekIzhodišča: Negativni življenjski dogodki predstavljajo tveganje za samomorilno vedenje. Pojav samomorilnega vedenja je odvisen od vrste negativnega življenjskega dogodka, časa njegovega pojava in podpore, ki jo ima oseba v svojem okolju in je lahko del procesa, ki ga je sprožil stresni dogodek. Namen študije je bil raziskati pojav neželenih dogodkov in alkoholizma staršev v otroštvu pri žrtvah samomora, zlorabo alkohola med žrtvami ter morebitno povezanost teh dogodkov s pojavom samomorilnega vedenja.Metode: V raziskavo je bilo vključenih 90 žrtev samomora in 90 intervjuvancev iz splošne populacije, ki so bili vključeni kot kontrolna skupina. Med osebami, ki so bile vključene v raziskavo, ni bilo razlik v spolu in starosti. Podatki so bili zbrani s pomočjo polstrukturiranih intervjujev po metodi psihološke avtopsije.Rezultati: O zlorabi alkohola so pogosteje poročali pri žrtvah samomora kot v kontrolni skupini. Tudi poročanje o hudem pomanjkanju in alkoholizmu enega ali obeh staršev v otroštvu je bilo pogostejše v skupini žrtev samomora kot v kontrolni skupini intervjuvancev. Citirajte kot/Cite as: zdrav vestn. 2017; 86:365-72. Prispelo: 17. 3. 2016 86:365-72. Prispelo: 17. 3. sprejeto: 23. 7. 2017 pogostosti ločitve preiskovancev od enega ali od obeh staršev, smrti enega ali obeh staršev, razvezi staršev v otroštvu ali razlik v poročanju o spolni zlorabi v otroštvu nismo ugotovili.Zaključki: Negativni dogodki v otroštvu in zloraba alko...

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Work‐related suicide: Evolving understandings of etiology & intervention

LaMontagne,

Åberg,

Blomqvist

et al. 2024

American J Industrial Med

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Previously published analyses of suicide case investigations suggest that work or working conditions contribute to 10%–13% of suicide deaths. Yet, the way in which work may increase suicide risk is an underdeveloped area of epidemiologic research. In this Commentary, we propose a definition of work‐related suicide from an occupational health and safety perspective, and review the case investigation‐based and epidemiologic evidence on work‐related causes of suicide. We identified six broad categories of potential work‐related causes of suicide, which are: (1) workplace chemical, physical, and psychosocial exposures; (2) exposure to trauma on the job; (3) access to means of suicide through work; (4) exposure to high‐stigma work environments; (5) exposure to normative environments promoting extreme orientation to work; and (6) adverse experiences arising from work‐related injury or illness. We summarise current evidence in a schema of potential work‐related causes that can also be applied in workplace risk assessment and suicide case investigations. There are numerous implications of these findings for policy and practice. Various principle‐ and evidence‐based workplace intervention strategies for suicide prevention exist, some of which have been shown to improve suicide‐prevention literacy, reduce stigma, enhance helping behaviours, and in some instances maybe even reduce suicide rates. Prevailing practice in workplace suicide prevention, however, overly emphasises individual‐ and illness‐directed interventions, with little attention directed to addressing the working conditions that may increase suicide risk. We conclude that a stronger emphasis on improving working conditions will be required for workplace suicide prevention to reach its full preventive potential.

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Mental Disorders and Suicide Among Young Rural Chinese: A Case-Control Psychological Autopsy Study

Cited by 165 publications

References 34 publications

Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

Association between alcohol abuse, childhood adverse events and suicide

Work‐related suicide: Evolving understandings of etiology & intervention

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