Gender differences among medically serious suicide attempters aged 15–54 years in rural China

Sun, Long; Zhang, Jie

doi:10.1016/j.psychres.2017.02.042

Cited by 23 publications

(18 citation statements)

References 41 publications

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“…In this review, we also observed a suggested lower prevalence of psychiatric disorders in studies that included fewer males than females. There were very few studies that reported on sex specific prevalence rates, and whilst some supported our findings of a higher rate in males [121,135], others did not [91,102,117,121,135,148,151,160].…”

Section: Discussionsupporting

confidence: 76%

“…There were, however, only 8 studies that presented sex stratified prevalence of psychiatric morbidity from India, China, and Iran [91,102,117,121,135,148,151,160]. Two studies reported a higher prevalence of psychiatric morbidity in males than females [121,135], one reported a higher prevalence in females [117], and the remaining 5 studies reported no differences [91,102,148,151,160]. Studies that used a clinician’s diagnosis of psychiatric morbidity reported a higher prevalence of anxiety related disorders (15%, 95% CI 11%–19%) than those that used a validated diagnostic interview (8%, 95% CI 7%–10%).…”

Section: Resultsmentioning

confidence: 99%

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Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

et al. 2019

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BackgroundPsychiatric disorders are reported to be present in 80% to 90% of suicide deaths in high-income countries (HIC), but this association is less clear in low- and middle-income countries (LMIC). There has been no previous systematic review of this issue in LMIC. The current study aims to estimate the prevalence of psychiatric morbidity in individuals with suicidal behaviour in LMIC.Methods and findingsPubMed, PsycINFO, and EMBASE searches were conducted to identify quantitative research papers (any language) between 1990 and 2018 from LMIC that reported on the prevalence of psychiatric morbidity in suicidal behaviour. We used meta-analytic techniques to generate pooled estimates for any psychiatric disorder and specific diagnosis based on International classification of disease (ICD-10) criteria. A total of 112 studies (154 papers) from 26 LMIC (India: 25%, China: 15%, and other LMIC: 60%) were identified, including 18 non-English articles. They included 30,030 individuals with nonfatal suicidal behaviour and 4,996 individuals who had died by suicide. Of the 15 studies (5 LMIC) that scored highly on our quality assessment, prevalence estimates for psychiatric disorders ranged between 30% and 80% in suicide deaths and between 3% and 86% in those who engaged in nonfatal suicidal behaviour. There was substantial heterogeneity between study estimates. Fifty-eight percent (95% CI 46%–71%) of those who died by suicide and 45% (95% CI 30%–61%) of those who engaged in nonfatal suicidal behaviour had a psychiatric disorder. The most prevalent disorder in both fatal and nonfatal suicidal behaviour was mood disorder (25% and 21%, respectively). Schizophrenia and related disorders were identified in 8% (4%–12%) of those who died by suicide and 7% (3%–11%) of those who engaged in nonfatal suicidal behaviour. In nonfatal suicidal behaviour, anxiety disorders, and substance misuse were identified in 19% (1%–36%) and 11% (7%–16%) of individuals, respectively. This systematic review was limited by the low number of high-quality studies and restricting our searches to databases that mainly indexed English language journals.ConclusionsOur findings suggest a possible lower prevalence of psychiatric disorders in suicidal behaviour in LMIC. We found very few high-quality studies and high levels of heterogeneity in pooled estimates of psychiatric disorder, which could reflect differing study methods or real differences. There is a clear need for more robust evidence in order for LMIC to strike the right balance between community-based and mental health focussed interventions.

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Section: Discussionsupporting

confidence: 76%

Section: Resultsmentioning

confidence: 99%

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

et al. 2019

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“…Although suicide brings more death to males, females register many more unsuccessful attempts (Sava and Papari, 2015), which is consistent with our finding. Compared with males, female suicide attempters are more likely to be influenced by social and interpersonal factors (Sun and Zhang, 2017), which is a key issue for people with schizotypal traits. Nonetheless, the negative relationship between schizotypy and meaningfulness has to date received relatively little attention.…”

Section: Discussionmentioning

confidence: 99%

The Mediator Effect of Meaningfulness on the Relationship Between Schizotypy Traits and Suicidality

Liu

Zhang

et al. 2020

Front. Psychol.

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Introduction: Previous studies have found that schizotypy can predict suicide, and that meaningfulness has influential effects on suicidality in the general population. However, it is still not clear whether meaningfulness is associated with suicidality in individuals with schizotypy. The aim of this study was to assess the mediating effects of meaningfulness in the relationship between schizotypy and suicidality. Method: We recruited 2,615 university students (including undergraduates and postgraduates; mean age = 18.35, SD = 0.81; males, 39%) to participate in our study, and used the Meaningful Life Measure (Chinese, revised) to assess their experiences of meaningfulness, the Suicidal Behaviors Questionnaire (Chinese version) to evaluate participants' suicidal thoughts and attempts, and the Schizotypal Personality Questionnaire to examine their personal schizotypal traits. Results: Meaningfulness was found to be inversely related to the other two factors, and schizotypy was positively associated with suicidality. The correlation between schizotypy and suicidality was reduced when meaningfulness was included, which may suggest that meaningfulness can partly mediate this relationship, accounting for 55.47% of the association. Conclusions: Prior research has suggested that assessing meaningfulness could provide more detailed information about suicide risk in individuals with schizotypy. Our study found that improving perceptions of meaningfulness can be an effective intervention in reducing suicide risk among people with schizotypy.

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“…In the current study, we also analyzed the social-demographic and work-related variables, and the results found that female, doctor degree, physical diseases are associated with a higher prevalence of lifetime and one-year suicidal ideation. The previous studies have proofed the higher prevalence of suicidal behavior among Chinese females in different populations [59,60]. The association between physical diseases also has been identified in many studies worldwide [61].…”

Section: Discussionmentioning

confidence: 77%

Work-Family Conflict, Social Support, Depression and Suicidal Ideation among Medical Staffs in Shandong, China: A Conditional Process Analysis

Sun

Wen

et al. 2020

Preprint

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Background Suicidal ideation has been explored in different populations. However, few studies were conducted among medical staff. Besides, the effect of work-family conflict on suicidal ideation was less reported in previous studies. In the current study, we aim to clarify the relations among work-family conflict, social support, depression, and suicidal ideation for Chinese medical staffs.Methods We collected 3,426 valid questionnaires based on a cross-sectional design. Suicidal ideation, work-family conflict, social support, depression, social-demographic characteristics, and work-related variables were evaluated. Conditional process analysis was used to analyze the association among these variables.Results We found that factors associated with lifetime suicidal ideation were male (OR=0.54), doctor (OR=4.32), physical disease (OR=1.58), work-family conflict (OR=1.03), and depression (OR=1.09). Factors associated with one-year suicidal ideation were male (OR=0.46), doctor (OR=4.21), master (OR=1.79), physical disease (OR=1.51), work-family conflict (OR=1.02), and depression (OR=1.10). Depression can mediate the association between work-family conflict and suicidal ideation, but mediate effect of social support was not supported in the current study.Conclusion We should pay more attention to work-family conflict problems, and depression is an important factor associated with suicidal ideation among Chinese medical staff. Both of them should be scanned for identification and treatment of suicide.

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Gender differences among medically serious suicide attempters aged 15–54 years in rural China

Cited by 23 publications

References 41 publications

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

The Mediator Effect of Meaningfulness on the Relationship Between Schizotypy Traits and Suicidality

Work-Family Conflict, Social Support, Depression and Suicidal Ideation among Medical Staffs in Shandong, China: A Conditional Process Analysis

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