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Cited by 180Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseMental Health Treatment and Access

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

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Zhang, Jie, Xiao, Shuiyuan, Zhou, Liang·2010·American Journal of Psychiatry
DOI 10.1176/appi.ajp.2010.09101476PMC PMC3210861
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Abstract

OBJECTIVE: The authors examined the prevalence and distribution of mental disorders in rural Chinese 15-34 years of age who committed suicide. They hypothesized that mental illness is a risk factor for suicide in this population and that the prevalence of mental illness is lower in females than in males. METHOD: In this case-control psychological autopsy study, face-to-face interviews were conducted to collect information from proxy informants for 392 suicide victims and 416 living comparison subjects. Five categories of DSM-IV mental disorders (mood disorders, schizophrenia and other psychotic disorders, substance use disorders, anxiety disorders, and other axis I disorders) at the time of death or interview were assessed using the Chinese version of the Structured Clinical Interview for DSM-IV. Sociodemographic variables, social support, and life events were also assessed. RESULTS: The prevalence of current mental illness was 48.0% for suicide victims and 3.8% for comparison subjects. Among suicide victims, mental illness was more prevalent in males than in females (55.1% compared with 39.3%). A strong association between mental illness and suicide was observed after adjustment for sociodemographic characteristics. Other risk factors included having a lower education level, not being currently married, having a lower level of social support, and having a history of recent and long-term life events. Additive interactions were observed between mental illness and lower level of social support. CONCLUSIONS: Although mental illness is a strong risk factor for suicide, it is less prevalent among rural Chinese young people who committed suicide, particularly females, in comparison with other populations in China and in the West.

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  • Estimates of the proportion of people experiencing a mental illness at the time of their suicide range from ~90% in North America to 30-70% in east Asia, with individual reports citing rates as low as 7% in some countries.

    “estimates of the proportion of people experiencing a mental illness at the time of their suicide range from ~ 90% in North America to 30 -70% in east Asia 89-92 , with individual reports citing rates as low as 7% in some countries 93 .”

    From Suicide and suicide risk (2019) · cites this paper as [92]

    The introductory passage following Abstract > Conclusions reports over 90% of suicides associated with mental illness in the West and estimates of about 30% in China; Results > Diagnoses of Mental Disorders reports 48% among young rural Chinese suicide victims. These support the broad contrast, but the source does not establish those figures specifically for North America or East Asia as a whole. The separately cited 7% claim is not attributed to this source. (LLM, conf=0.85)

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  • Mental illness is a key antecedent to suicide.

    “Mental illness is a key antecedent to suicide.”

    From Suicide and suicide risk (2019) · cites this paper as [92]

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Research works printed but not linked: 4

  1. [9]Xiao SY Ping Wang X Xu HL Current issues in China’s suicide research and prevention Chinese Journal of Psychiatry 2003 36 129 131 (Chinese)
  2. [14]First MB Spitzer RL Gibbon M Williams JBW Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P) New York New York State Psychiatric Institute, Biometrics Research 2002
  3. [17]Rothman KJ Greenland S Lash TL Modern Epidemiology 3 Philadelphia Lippincott Williams & Wilkins 2008
  4. [25]Hao W Young DS Xiao SY Wang SJ Deng JL Biao MZ Tang WD Li JS Heng KL Alcohol drinking and drinking related problems in six areas in China, part IV: the risk factors of alcohol dependence Chinese Journal of Clinical Psychology 1999 7 4 7 (Chinese)

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Authors
Zhang, J., Xiao, S., & Zhou, L.
Affiliations
Shandong University (CN)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2010-07-01
Volume
167
Issue
7
Pages
773-781
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.2010.09101476
PMC
PMC3210861
OpenAlex
W2124418468
Cited by
180
References
35
Citations by year
2026: 4 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 10 · 2021: 11 · 2020: 12 · 2019: 12 · 2018: 12 · 2017: 18 · 2016: 10 · 2015: 14 · 2014: 13 · 2013: 13 · 2012: 17
FWCI
15.50
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH068560)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
suicide, mental illness, rural youth, young adults, Chinese, prevalence of mental disorders, suicide risk factors, social support, life events, sex differences, mood disorders, schizophrenia, substance use disorders, anxiety disorders, educational attainment, marital status
MeSH terms
Adolescent, Adult, Mental Disorders, China, Educational Status, Female, Humans, Income, Life Change Events, Male, Risk Factors, Rural Population, Sex Factors, Social Support, Suicide, Prevalence, Confidence Intervals, Logistic Models, Odds Ratio, Case-Control Studies, Marital Status, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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