The Impact of Negative Life Events on Attempted Suicide in Rural China

Liu, Yanzheng; Zhang, Jie

doi:10.1097/nmd.0000000000000727

Cited by 19 publications

(14 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by Liu and Zhang showed love/marriage shambled down in 52.3% poorly adjusted and 4.9% dissatisfied couples, insofar as each of such digressions are weighted as individual negative life events. 53 In contrast, the marital adjustment scores were relatively higher in the love marriage group in this study, perhaps from the prior sensitization to the partner's pattern of likings, attitudes, behavior and lifestyle. Couple satisfaction was found to have moderate positive correlation with impulsiveness in both groups, which could be speculated to be due to the effect of promptness of positive emotional responses and pleasing reciprocations contributing to the satisfaction scores.…”

Section: Discussioncontrasting

confidence: 67%

“…41 About 75.6% of suicide attempters had experienced at least one negative life event, and events were significantly correlated with attempted suicide in married/love partners. 53 The association of impulsivity expressed as the imprudent, illadvised and reckless ideation in the face of marital disharmony among attempters is a significant factor in Indian 54 and other Asian studies. 3 While high intent was seen in the arranged group than the love group in our study, Sarkar et al found in his study on attempters and selfharmers, in the former, the acts were thoughtful, intent and fatality was high, with less voluntary disclosure; the latter were emotionally unstable with personality difficulties, with impulsive, low intent and less lethal attempts, and most seeking rescue eventually.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Raaj¹,

Kumar²

2019

jebmh

View full text Add to dashboard Cite

BACKGROUND Even as marriage tends to protect many from suicidal thoughts and attempts, by cushioning the mind from extrinsic stressful events, it also brings into play an inherent set of additional stressors. Interpersonal conflicts including disjointed and disdainful behaviour, emotional and cultural duress, spousal and substance abuse, financial demands, and an occasional conjugal jealousy may cause significant psychiatric morbidity. This coupled with impulsive traits increase suicidal risk, which can be countered by a satisfactory and well-adjusted marriage. We wanted to estimate the intricate variables like impulsiveness, couple satisfaction, adjustment, and their impact on suicidal intent in arranged and love marriages. METHODS A cross-sectional observational study with 39 and 41 suicidal attempters with arranged and love marriage respectively using sociodemographic profile and Barratt's impulsiveness scale, presumptive life events scale and Beck's suicide intent scale, along with couple satisfaction and adjustment scales. RESULTS In this South Indian study, both the groups showed preponderance in suicidal attempts of males, those marrying earlier, went high school or above, from rural and nuclear families, of low socioeconomic group, from alcohol-related quarrels, but minimal correlation with life events. Children did not have significant effect in both groups. The love group had 86% more unemployed and skilled workers, slightly (7%) more impulsiveness, 43% more borderline traits, 66% more attempts before the first anniversary. Spouses from arranged group had 14% lesser couple satisfaction, 7% lesser adjustment, were 26% more depressed, responded 19% more to acute suicidal ideation, had 36% more frequent attempts, along with significantly higher intent. CONCLUSIONS With respect to intent and recurrence, couple satisfaction and parental support were found to be more protective in the arranged group. Adjustment was better with higher satisfaction in the love group. It has been reiterated that focus on marital quality constructs can save both the marriage and the lives, through community-based programs.

show abstract

Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Raaj¹,

Kumar²

2019

jebmh

View full text Add to dashboard Cite

show abstract

“…Some studies have shown that the effect of stressful event on suicide may be directly or indirectly modulate by MDD. [ 19 20 27 ]…”

Section: Discussionmentioning

confidence: 99%

Association between Perceived Stressfulness of Stressful Life Events and the Suicidal Risk in Chinese Patients with Major Depressive Disorder

Lin

Huang

et al. 2018

Chinese Medical Journal

View full text Add to dashboard Cite

Background:Patients with major depressive disorder (MDD) usually have high risk of suicidality. Few studies have investigated the effects of stressful life events (SLEs) on the risk of suicide in Chinese patients who have developed MDD. This study aimed to investigate the impact of SLEs on suicidal risk in Chinese patients with MDD.Methods:In total, 1029 patients with MDD were included from nine psychiatric hospitals to evaluate the impact of SLEs on suicidal risk. Patients fulfilling the Mini-International Neuropsychiatric Interview (MINI) criteria for MDD were included in the study. Patients were excluded if they had lifetime or current diagnoses of psychotic disorder, bipolar disorder, and alcohol or substance dependence. Depressive symptoms were assessed by the 17-item Hamilton Depression Scale (HAMD-17). The suicidal risk of MDD patients was determined by the suicide risk module of MINI. SLEs were assessed by the Life Events Scale.Results:No gender difference was found for suicidal risk in MDD patients. Patients with suicidal risk had younger ages, lower education levels, more drinking behavior, and lower marriage rate, and fewer people had child and more severe depressive symptoms than nonsuicidal risk group. High-level perceived stressfulness (HPS) and number of SLEs that patients were exposed to were significantly greater in patients with suicidal risk than patients without. In multivariate logistic analysis, HPS of SLEs (odds ratio [OR] = 1.54, 95% confidence interval [CI]: 1.16–2.05, P = 0.003) and depressive symptoms (OR = 1.08, 95% CI: 1.05–1.11, P < 0.001) were associated with suicidal risk even after adjustment of gender, age, marriage, drinking behavior, and childless.Conclusions:HPS of SLEs is associated with suicide risk in Chinese patients with MDD. Further suicide prevention programs targeting this risk factor are needed.Trial Registration:ClinicalTrials.gov: NCT02023567; https://clinicaltrials.gov/ct2/show/NCT02023567?term=NCT02023567&rank=1.

show abstract

“…Negative life events are significantly associated with an increased risk for suicide . It is important to have a valid scale to measure the predictive indicator of life events in suicide prevention.…”

Section: Discussionmentioning

confidence: 99%

Validating the Life Events Scale for the Elderly with proxy‐based data: A case–control psychological autopsy study in rural China

Zhou

He³

et al. 2019

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim: The present study aimed to evaluate the validity of proxy informants' reports on Life Event Scale for the Elderly (LESE) by using psychological autopsy method among rural older adults in China.Methods: A multistage stratified cluster sampling method was used to select research sites. Using a case-control psychological autopsy study, face-to-face interviews were carried out to collect information from 242 suicide cases and 242 living controls. We compared the intensity and number of life events to assess the validity and reliability of LESE with proxy data reported by different informants. Data from proxy respondents of the living controls were compared with data reported by the targets (gold standards). Intraclass correlation coefficients were computed to evaluate the consistency of informants. Spearman's correlation analysis was used to analyze the convergent validity and discriminate validity of the LESE.Results: The number of life events between different informants showed higher intraclass correlation coefficients values than the intensity of life events, but the results of correlation analysis was similar. The LESE was positively correlated with depression, loneliness and hopelessness, and negatively correlated with quality of life, family function and social support both in suicide cases and living controls. Conclusions:The LESE has good convergent validity and discriminant validity. LESE is a valid instrument for measuring life events in psychological autopsy studies. We suggest using the number of life events to assess the validity and reliability with proxy data in a psychological autopsy study, which is more reliable than using the intensity of life events. Geriatr Gerontol Int 2019; 19: 547-551.

show abstract

The Impact of Negative Life Events on Attempted Suicide in Rural China

Cited by 19 publications

References 41 publications

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Association between Perceived Stressfulness of Stressful Life Events and the Suicidal Risk in Chinese Patients with Major Depressive Disorder

Validating the Life Events Scale for the Elderly with proxy‐based data: A case–control psychological autopsy study in rural China

Contact Info

Product

Resources

About