The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Suicide and Social Change in China
Abstract
Using recently available data from China's Disease Surveillance Points system, we estimate that there are over 300,000 suicides in China per year; this makes suicide one of the most important causes of death in the country and makes the suicide rate in China one of the highest in the world. Moreover, the pattern of suicides in China is quite different than in other parts of the world--there are more completed suicides among females than males and rural rates are three-fold urban rates. The lack of reliable suicide data prior to 1987 makes it difficult to determine whether the rates are currently rising, falling, or staying constant. However, reports of suicides in the Chinese press and case studies conducted by the authors suggest (but do not prove) that the high rates of suicide currently experienced are related to the social changes that have occurred with the economic reforms (which started in 1978). Another possible explanation for the high rates of suicide is the large numbers of persons with depressive illness in China who remain untreated. Single-cause models of suicide (i.e., social factors or mental illness) do not do justice to the complexity of the processes involved and, therefore, do not provide useful information about the etiology and prevention of suicide in China or elsewhere. We describe our own dynamic model of suicide that includes five interacting factors which, we believe, collectively determine the suicide rates in a community.
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“Despite the dramatic improvements in the quality of life, the iatrogenic effects of social and economic reforms include heightened work and domestic tensions, rising rates of gambling, substance use and abuse, weakening of communal support networks, and increasing competition in the workplace (Guo, 1987; Phillips, Liu, & Zhang, 1999).”
From Letting a Hundred Flowers Bloom: Counseling and Psychotherapy in the People's Republic of China (2005) · cites this paper as Phillips, Liu, & Zhang, 1999
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Mental health of young people: A global public-health challenge
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60368-7 · Cited by 3,126
Zhou, M., Wang, H., Zhu, J. W., Chen, W., Wang, L., Liu, S., Yichong, L., Wang, L., Liu, Y., Yin, P., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)00551-6 · Cited by 1,466
Self-citationAdolescent suicide and suicidal behavior
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01615.x · Cited by 1,361
Poverty and common mental disorders in developing countries.
Patel, V., & Kleinman, A. M. (2003) · Europe PMC (PubMed Central) · Cited by 1,118
Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.06.029 · Cited by 991
Metadata
- Authors
- Phillips, M. R., Liu, H., & Zhang, Y.
- Affiliations
- Beijing HuiLongGuan Hospital (CN)
- ORCID
- Liu, Huaqing
- Venue
- Culture, Medicine and Psychiatry
- Published
- 1999-03
- Volume
- 23
- Issue
- 1
- Pages
- 25-50
- ISSN
- 0165-005X (ISSN-L)
- 1573-076X
- OpenAlex
- W1563422447
- Cited by
- 211
- References
- 26
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 3 · 2022: 2 · 2021: 11 · 2020: 8 · 2019: 3 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 13 · 2014: 12 · 2013: 14 · 2012: 10
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Culture Medicine and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ford Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- suicide, suicide rates, social change, economic reform, urban-rural differences, sex differences in suicide, untreated depression, causes of suicide, suicide prevention, China
- MeSH terms
- Adolescent, Adult, Aged, China, Culture, Female, Humans, Life Change Events, Male, Middle Aged, Rural Population, Social Behavior, Suicide, Urban Population, Cost of Illness, Sex Distribution
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