The validity of proxy-based data on loneliness in suicide research: a case-control psychological autopsy study in rural China

Niu, Lu; Jia, Cun-Xian; Ma, Zhenyu; Wang, Guojun; Yu, Zhenjun; Zhou, Liang

doi:10.1186/s12888-018-1687-x

Cited by 30 publications

(34 citation statements)

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“…Our previous studies had proved the validity of proxy data in in psychological autopsy study (26,27). We also compared the proxy-based information of pain intensity with the data reported by the subjects themselves in the living control group.…”

Section: Data Combinationmentioning

confidence: 99%

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Wang

Jia

et al. 2020

Preprint

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Background: Few studies have investigated the roles of psychosocial factors such as depressive symptoms and hopelessness on the relationship between pain and suicide with inconsistent results. The study aimed to analyze the impact of pain intensity on suicide death and to estimate the degree to which depressive symptoms, hopelessness, and perceived burden may explain the association in Chinese rural elderly. Methods: Using a 1: 1 matched case-control design, data were collected from 242 elderly suicide cases and 242 living community controls by psychological autopsy method in rural China, including demographic characteristics, pain intensity, depression, hopelessness, perceived burden, physical diseases, and social support. Conditional logistic regression was used to assess the association between pain intensity and completed suicide. Mediation analysis using the KHB method was applied to explore the mediation effects from depressive symptoms, hopelessness, and perceived burden. Results: The result of multivariable logistic regression showed that unemployment (odds ratio (OR) =5.06, 95% confidential interval (CI): 1.76- 14.49), higher levels of hopelessness (OR=7.72, 95% CI: 3.49- 17.10), depressive symptom (OR=15.82, 95% CI: 4.53- 55.25), and severe pain (OR=3.46, 95% CI: 1.31- 9.13) were significantly associated with elevated suicide risk in older people in rural China. Depressive symptoms, hopelessness, and perceived burden significantly mediated 43.71% of the pain-suicide association ( P = 0.020), with 17.39% due to depressive symptoms, 17.63% due to hopelessness, and 8.69% due to perceived burden. Conclusions: Regular screening of pain, depressive symptoms, hopelessness, and perceived burden using simple but sensitive questions or scales for older adults with pain are vital for the prevention and early detection of suicide risk in Chinese rural areas. Moreover, the importance of pain management and psychological interventions targeted on depressive symptoms and hopelessness should be emphasized.

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Section: Data Combinationmentioning

confidence: 99%

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Wang

Jia

et al. 2020

Preprint

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“…Jednocześnie uzależnienie od alkoholu indukuje objawy podobne do tych obserwowanych w dużym epizodzie depresyjnym, wpływa negatywnie na relacje osoby uzależnionej z bliskimi, a także zmniejsza poziom wsparcia społecznego [8]. Liczne badania potwierdzają, że samotność oraz niski poziom wsparcia społecznego zwiększają ryzyko wystąpienia tendencji samobójczych [11][12][13], zaś pozostawanie w stabilnym związku [14] oraz utrzymywanie silnych więzi rodzinnych [15] istotnie redukuje to ryzyko. Dodatkowo upośledzenie funkcji czołowych będące możliwym skutkiem nadużywania alkoholu, znacząco upośledza zdolność do efektywnego rozwiązywania problemów [8].…”

Section: Wstępunclassified

“…At the same time, addiction to alcohol induces symptoms similar to those observed in a major depressive episode, negatively affects the relationship of the addicted person with the loved ones, and also reduces the level of social support [8]. Numerous studies confirm that loneliness and a low level of social support increase the risk of suicidal tendencies [11][12][13], while staying in a stable relationship [14] and maintaining strong family ties [15] significantly reduce this risk. In addition, the impairment of frontal functions, which is a possible consequence of alcohol abuse, significantly impairs the ability to effectively solve problems [8].…”

Section: Introductionmentioning

confidence: 97%

Comparison of selected clinical and personality variables in alcohol–dependent patients with or without a history of suicide attempts

Gerhant

Krzewicka-Romaniuk

Siedlecka

et al. 2018

Current Problems of Psychiatry

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Summary Objective: The aim of the study was to determine differences in the range of socio-demographic variables, selected clinical variables, temperament and character traits, coping with stress strategies and the level of aggression in alcohol addicts with or without a history of suicide attempt(s). Methods: The study involved 90 people addicted to alcohol, treated in inpatient alcohol dependence treatment program. In order to collect data on socio - demographic variables and selected clinical variables, a self-made questionnaire was used. The severity of alcohol dependence was verified using the MAST and SADD scales. Characteristics of temperament and character were examined with the TCI questionnaire. The BPAQ and COPE questionnaires were used to examine the level of aggression and styles of coping with stress. Results:Out of 90 subjects with alcohol dependence syndrom, 20% had attempted suicide in the past. The respondents with a history of suicide attempts were statistically significantly younger, were characterized by a younger age of alcohol drinking initiation and the initiation of regular alcohol drinking, and a greater severity of alcohol dependence in the MAST and SADD scales. A significantly larger percentage of respondents who had attempted suicide inflicted self-injury in the past, used other psychoactive substances as well as hypnotics and sedatives. The subjects with a suicide attempt in the interview obtained statistically significantly higher scores in terms of the level of aggression, harm avoidance and self-directedness, and more often used the style of coping with stress based on avoidance and accepting the situation. Conclusions: The obtained results correspond with data available in the literature and may provide a foundation for theoretical models explaining the phenomenon of suicidal behavior in alcohol addicts as well as for suicide prevention programs in this group of patients.

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“…Loneliness is also one of the risk factors for depression, which constitutes a huge impact on the health of the elderly. Yan zhi min and other researchers found that a single sense of loneliness does not affect the mortality rate of the elderly, but when loneliness and depression coexist, the mortality rate will increase significantly (Niu, Jia, Ma et al, 2018). This may be due to the influence of loneliness as a mediator on the immune system and physiological responses, which may lead to a decrease in sleep quality and an increase in the incidence of cardiovascular and cerebrovascular diseases.…”

Section: Introductionmentioning

confidence: 95%

Potential Transformation Analysis of Loneliness of the Elderly and Its Influencing Factors

2020

RACP

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The loneliness of the elderly is a hot issue due to the rising divorce rate, growing migration and rapid urbanization. Therefore, this paper aims to gain insights into the loneliness of the elderly and its influencing factors. To this end, he potential transformation analysis, an individual-based vertical analysis strategy, was adopted to analyze the level of loneliness of the elderly in China, examine the differences among the elderly in loneliness from the angles of gender, age, marital status, economic status, and cultural life, and assess the effects of personal, family and social factors on the loneliness of the elderly. The results show that the loneliness and mental health of the elderly need to be improved from multiple aspects: In the personal aspect, the elderly should enhance immunity by keeping a regular diet and doing a moderate amount of exercises; In the family aspect, the company of children and stability of family environment can effectively alleviate the loneliness of the elderly; In the social aspect, the government should assume social responsibility, improve medical services, promote mental health knowledge, and increase the welfare, such as to ease the elderly's loneliness. The research lays a theoretical basis for improving the quality of life of the elderly.

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The validity of proxy-based data on loneliness in suicide research: a case-control psychological autopsy study in rural China

Cited by 30 publications

References 37 publications

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Comparison of selected clinical and personality variables in alcohol–dependent patients with or without a history of suicide attempts

Potential Transformation Analysis of Loneliness of the Elderly and Its Influencing Factors

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