Several issues in research on suicide behavior / 中华疾病控制杂志

This paper summarized and discussed current problems in research on suicide behavior, including conceptualization of suicide behavior and reporting of suicide rate, risk and protective factors of suicide behavior, as well as prediction and prevention of suicide behavior. The author also provided some suggestions for further research.

Suicide risk and related factors among rural adults in Liuyang / 中国心理卫生杂志

Objective:To investigate the prevalence and related factors of suicide risk among rural adults in Liuyang.Methods:A total of 2052 rural adults were sampled by multi-staged cluster sampling.The suicide risk was evaluated with the suicide questionnaire section of the Mini-International Neuropsychiatric Interview (MINI).The Self-designed General Information Inventory,Patient Health Questionnaire (PHQ-9),and Simplified Coping Style Questionnaire (SCSQ) were used to assess the symptoms.Results:Among the 2052 participants,13.8％ reported suicide risk,in which 13.0％ of mild risk,0.4％ of moderate risk and 0.4％ of severe risk.Ordinal logistic regres sion analysis showed that female (OR =2.06,95％ CI:1.54-2.76),primary school education and below (OR =1.80,95％ CI:1.07-3.05),negative coping styles (OR =1.07,95％ CI:1.03-1.11),and severe,moderate and mild depression (OR =24.61,5.98,2.75,95％ CI:12.63-47.99,3.95-9.07,2.01-3.76) were main risk factors of suicide risk.Conclusion:It suggest that the current rate of suicide risk among rural adults in Liuyang is higher.Female,those with lower education level,depression and higher scores of negative coping styles may be more likely to have suicide risk.

Mental disorder and suicide among youths in rural China: a case control study based on consecutive samples from Hunan, Liaoning and Shandong provinces / 中华流行病学杂志

Objective To study the prevalence of mental disorders among the Chinese youths aged 15-34 years,in rural areas and to identify risk factors related to suicide.Methods A consecutive sampling strategy was used for suicidal cases in 16 randomly selected counties in Hunan,Liaoning,and Shandong provinces.Between 2005 and 2008,a total of 392 suicide cases were recruited with 416 community controls at the same age range,selected from the same areas one family member together with one close friend of each suicidal case were interviewed,using the psychological autopsy (PA) method.The same method with structured instruments was performed on the two informants for each control in the same community.SCID was used for the diagnosis of mental disease.Results 48.0％ of the suicides were diagnosed as having at least one mental disorder episode,in comparison with only 3.8％ among the controls.It was found that mental disorder was the most important risk factor for the Chinese young suicide cases in the rural areas.Conclusion As seen in the Western countries,mental disorder had also been the number one correlate on suicidal cases in China,with the difference as other social and psychological factors might have played relatively more important roles in China.

In-depth interviews on late stage schistosomiasis patients about factors related to prevention and treatment in the rural areas / 中华流行病学杂志

<p><b>OBJECTIVE</b>To explore factors related to current prevention and treatment of Advanced cases on schistosomiasis.</p><p><b>METHODS</b>In-depth interviews were introduced to the qualitative study on 61 Advenced cases of schistosomiasis in Dongting Lake regions. Sampling was accidentally and judgmentally performed.</p><p><b>RESULTS</b>Related factors on prevention and treatment of Advenced cases of schistosomiasis would include: higher degree of social support for patients (61/61), excessive dependence on the past pattern of schistosomiasis control, lack of the idea that one should be responsible for his/her own health, lack of knowledge about prevention and treatment of schistosomiasis (28/61), older age (57.40 +/- 10.80), lower education (4.70 years), less family income, lack of effective medical insurance system and efficient close-to-client system.</p><p><b>CONCLUSION</b>Active participation from patients, medical institutions and society was needed to control Late Stage Schistosomiasis. Health education campaign should be intensified to improve the health awareness for schistosomiasis among residents in the heavy endemic areas. Medical insurance system should be set up in epidemic areas, while public health and cure systems for important diseases should be intensified in rural areas. The ability of public health system to be responsive and the accessibility of residents to health service system should be improved in rural areas as well.</p>

Risk factors for suicide attempt among college students at Central South University / 中华流行病学杂志

<p><b>OBJECTIVE</b>To understand the prevalence and risk factors for suicidal ideation among college students and to provide a scientific basis for promoting psychological health and suicide prevention.</p><p><b>METHODS</b>623 college students at Central South University were selected using stratified cluster sampling and administered a suicide ideation questionnaire, a Symptom Check List (SCL-90), an Adolescent Self-Rating Life Events Check List (ASLEC), a Social Support Rating Scale (SSRS) and a questionnaire about background information. Multivariate logistic regression analysis was employed to identify risk factors for suicide ideation.</p><p><b>RESULTS</b>One year prior to our investigation, 14.6% of respondents had suicide ideation, 2.5% had made a specific suicide plan, and 1.8% had made a suicide attempt. The main risk factors for suicide ideation were dissatisfaction with the selected major of study, limited social support, recent negative life events and depressive tendency.</p><p><b>CONCLUSIONS</b>The prevalence of suicide ideation among these college students was high. Appropriate measures focusing on the risk factors identified in this study should be urgently developed to prevent suicides in college students.</p>