Suicidal Ideation among the Chinese Elderly and Its Correlates: A Comparison between the Rural and Urban Populations

Wei, Jianwen; Zhang, Jie; Deng, Yong; Sun, Long; Guo, Ping

doi:10.3390/ijerph15030422

Cited by 22 publications

(24 citation statements)

References 22 publications

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“…In this study, 34.3% of the elderly participants declared a "wish to die", which was higher than previous results assessed via the same question in American Facebook users (23.2%) [27], Portuguese undergraduate students (18.7%) [28], and Korean elderly people (14.5%) [29]. The ratio of reporting overall suicidal ideation was 44.6% in this study, which was much higher than several previous research found in Chinese elderly population (2.8% to 7.1%) [30][31][32][33]. The differences might be due to the distinction of measuring instruments of suicidal ideation.…”

Section: Discussioncontrasting

confidence: 82%

Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

Yang

Wang

et al. 2020

IJERPH

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Elderly mental health promotion is an important task in the current “Healthy China Action”. This study aims to (a) clarify the psychological pain and suicidal ideation of the Chinese elderly with different parental states, (b) examine the associated factors of psychological pain and suicidal ideation, and (c) examine the relationship between psychological pain and suicidal ideation. A sample of 4622 adults aged 60 years and older were included in this study, from the China’s Health-related Quality of Life Survey for Older Adults 2018. Participants with both parents alive demonstrated the heaviest psychological pain, and those with one parent alive observed significantly lowest psychological pain and suicidal ideation. Participants who were single, divorced, or widowed, live in rural areas, had higher education level, had lower family income, suffered from two or more chronic diseases, and had no self-care ability were more likely to experience psychological pain and suicidal ideation. In addition, higher psychological pain significantly associated with the occurrence of suicidal ideation. In China, much more attention should be paid to the mental health condition of the elderly, especially for those with both parents alive. Moreover, the associated factors above should be considered to develop targeted health interventions.

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Section: Discussioncontrasting

confidence: 82%

Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

Yang

Wang

et al. 2020

IJERPH

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“…37 For the elderly, social isolation, depression, functional disability, and the feeling of being a burden on their family have been cited as reasons for suicidal ideation. 38 , 39 , 40 However, not much is known about suicide in the elderly in India. With their increasing proportion in the population over time, the reasons for suicidal ideation and mental health issues in the elderly need to be explored urgently within the National Programme for Health Care of the Elderly in India to address the increasing suicide deaths in this age group.…”

Section: Discussionmentioning

confidence: 99%

Gender differentials and state variations in suicide deaths in India: the Global Burden of Disease Study 1990–2016

Dandona¹,

Kumar²,

Dhaliwal³

et al. 2018

The Lancet Public Health

150

137

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SummaryBackgroundA systematic understanding of suicide mortality trends over time at the subnational level for India's 1·3 billion people, 18% of the global population, is not readily available. Thus, we aimed to report time trends of suicide deaths, and the heterogeneity in its distribution between the states of India from 1990 to 2016.MethodsAs part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016, we estimated suicide death rates (SDRs) for both sexes in each state of India from 1990 to 2016. We used various data sources for estimating cause-specific mortality in India. For suicide mortality in India before 2000, estimates were based largely on GBD covariates. For each state, we calculated the ratio of the observed SDR to the rate expected in geographies globally with similar GBD Socio-demographic Index in 2016 (ie, the observed-to-expected ratio); and assessed the age distribution of suicide deaths, and the men-to-women ratio of SDR over time. Finally, we assessed the probability for India and the states of reaching the Sustainable Development Goal (SDG) target of a one-third reduction in SDR from 2015 to 2030, using location-wise trends of the age-standardised SDR from 1990 to 2016. We calculated 95% uncertainty intervals (UIs) for the point estimates.FindingsThere were 230 314 (95% UI 194 058–250 260) suicide deaths in India in 2016. India's contribution to global suicide deaths increased from 25·3% in 1990 to 36·6% in 2016 among women, and from 18·7% to 24·3% among men. Age-standardised SDR among women in India reduced by 26·7% from 20·0 (95% UI 16·5–23·5) in 1990 to 14·7 (13·1–16·2) per 100 000 in 2016, but the age-standardised SDR among men was the same in 1990 (22·3 [95% UI 14·4–27·4] per 100 000) and 2016 (21·2 [14·6–23·6] per 100 000). SDR in women was 2·1 times higher in India than the global average in 2016, and the observed-to-expected ratio was 2·74, ranging from 0·45 to 4·54 between the states. SDR in men was 1·4 times higher in India than the global average in 2016, with an observed-to-expected ratio of 1·31, ranging from 0·40 to 2·42 between the states. There was a ten-fold variation between the states in the SDR for women and six-fold variation for men in 2016. The men-to-women ratio of SDR for India was 1·34 in 2016, ranging from 0·97 to 4·11 between the states. The highest age-specific SDRs among women in 2016 were for ages 15–29 years and 75 years or older, and among men for ages 75 years or older. Suicide was the leading cause of death in India in 2016 for those aged 15–39 years; 71·2% of the suicide deaths among women and 57·7% among men were in this age group. If the trends observed up to 2016 continue, the probability of India achieving the SDG SDR reduction target in 2030 is zero, and the majority of the states with 81·3% of India's population have less than 10% probability, three states have a probability of 10·3–15·0%, and six have a probability of 25·1–36·7%.InterpretationIndia's proportional contribution to global suicide deaths is high and increasing. ...

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“…The present special issue on ‘suicide risk and mental disorders’ reflects several aspects of prediction, including ethnicity/immigrant status, adverse childhood experiences, severity of depression and comorbidity of mental disorders. Other papers deal with internet addiction [ 19 ], risk of suicide in type 2 diabetes [ 20 ], and risk factors for suicidal ideation in rural and urban areas [ 21 ]. Suicide risk is multi-factorial and the stress (mental illness)—diatheses (tendency to experience suicidal ideation and act on suicidal feelings) model is applicable, with several examples of the latter described in the present special issue.…”

mentioning

confidence: 99%

Suicide Risk and Mental Disorders

Brådvik

2018

IJERPH

321

196

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Suicidal Ideation among the Chinese Elderly and Its Correlates: A Comparison between the Rural and Urban Populations

Cited by 22 publications

References 22 publications

Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

Gender differentials and state variations in suicide deaths in India: the Global Burden of Disease Study 1990–2016

Suicide Risk and Mental Disorders

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