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

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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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Dobin, D., Ryan, T. C., Afzal, S., Sweeney, F. G., Kannam, C., Brent, D. A., Bridge, J. A., Nestadt, P. S., Zelazny, J. M., & Wilcox, H. C. (2026) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2026.08.484
Adverse childhood experiences and suicide attempts in rural China: Case–control study on roles of negative life events and psychological factors
Wang, J.-Y., Qin, P., Wang, J.-N., Jia, X., Liu, C., Hu, W., Tian, G., Feng, T.-J., Ma, Y., Zheng, Z.-A., et al. (2026) · Healthcare and Rehabilitation · doi:10.1016/j.hcr.2026.100097

Authors: Zhang, J., Xiao, S., & Zhou, L.
Affiliations: Shandong University (CN)
ORCID: Zhang, Jie
Xiao, Shuiyuan
Zhou, Liang
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: 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

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

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