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Mental Disorders and Suicide Among Young Rural Chinese: A Case-Control Psychological Autopsy Study
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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 89-92 , with individual reports citing rates as low as 7% in some countries 93 .”
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“Mental illness is a key antecedent to suicide.”
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Metadata
- Authors
- Zhang, J., Xiao, S., & Zhou, L.
- Affiliations
- Shandong University (CN)
- Venue
- American Journal of Psychiatry
- Published
- 2010-07-01
- Volume
- 167
- Issue
- 7
- Pages
- 773-781
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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