The evolution of mental health related policies in China: A bibliometric analysis, 1987–2020

Li, Haiyan; Zhou, Qingyu; Zhu, Hao; Shi, Peng; Shen, Qunhong; Zhang, Zhaoyang; Chen, Zheng; Chuan, Pu; Xu, Lingzhong; Hu, Zhi; Ma, Anning; Gong, Zhaohui; Xu, Tianqiang; Wang, Panshi; Wang, Hua; Hao, Chao; Li, Chengyue; Hao, Mo

doi:10.3389/fpubh.2022.964248

Cited by 1 publication

(2 citation statements)

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“…This study supports this idea by presenting that lifetime prevalence of suicide ideation in coastal provinces is higher than that in inland provinces, though without statistical significance. From 2002, China attached increased importance to mental health and the number of issued documents generally showed an increasing trend, and the mortality of mental disorders in Chinese residents showed a decreasing trend ( 31 , 93 ). Our study may explain its underlying mechanism by revealing that the prevalence of self-harm during hospitalization after 2002 is significantly higher than before, suggesting increased detection of self-harm during hospitalization may be effective in preventing death.…”

Section: Discussionmentioning

confidence: 99%

“…1 As the time span of the included research is large, the spatial analyses were further stratified, taking the time changes in policy and economic factors into account. From 2002, China attached increased importance to mental health and the number of issued documents generally showed an increasing trend ( 31 ). “China mental health work plan (2002–2010)” issued in April 2002 is the most important one.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of suicide ideation, self-harm, and suicide among Chinese patients with schizophrenia: a systematic review and meta-analysis

Liang

Zou

et al. 2023

Front. Public Health

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AimsSuicide ideation, self-harm, and suicide are common in patients with schizophrenia, but the reported prevalence vary largely across studies. Improved prevalence estimates and identification of moderators of the above self-directed violence are needed to enhance recognition and care, and to guide future management and research. This systematic review aims to estimate the pooled prevalence and identify moderators of suicide ideation, self-harm, and suicide among patients diagnosed with schizophrenia in China.MethodsRelevant articles published until September 23, 2021, were searched using PubMed, EBSCO, Web of Science, Embase, Science Direct, CNKI, CBM, VIP, and Wanfang databases. Eligible studies published in English or Chinese which reported the prevalence of suicide ideation, self-harm, or suicide among Chinese patients with schizophrenia were collected. All studies passed a quality evaluation. This systematic review was registered with PROSPERO (registration number CRD42020222338). PRISMA guidelines were used in extracting and reporting data. Random-effects meta-analyses were generated using the meta package in R.ResultsA total of 40 studies were identified, 20 of which were evaluated as high-quality studies. Based on these studies, the prevalence of lifetime suicide ideation was 19.22% (95% CI: 7.57–34.50%), prevalence of suicide ideation at the time of investigation was 18.06% (95% CI: 6.49–33.67%), prevalence of lifetime self-harm was 15.77% (95% CI: 12.51–19.33%), and prevalence of suicide was 1.49% (95% CI: 0.00–7.95%). Multivariate meta-regression analysis revealed that age (β = − 0.1517, p = 0.0006) and dependency ratio (β = 0.0113, p < 0.0001) were associated with the lifetime prevalence of self-harm. Study assessment score (β = 0.2668, p < 0.0001) and dependency ratio (β = 0.0050, p = 0.0145) were associated with the lifetime prevalence of suicide ideation. Results of the spatial analysis showed that the prevalence of self-directed violence varied greatly across different provinces.ConclusionThis systematic review provides estimates of the prevalence of self-directed violence among Chinese patients with schizophrenia and explores its moderators and spatial patterns. Findings also have important implications for allocating prevention and intervention resources to targeted high-risk populations in high prevalence areas.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%