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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 6/2014

01.06.2014 | Original Paper

Suicide rates in China from 2002 to 2011: an update

verfasst von: Chong-Wen Wang, Cecilia L. W. Chan, Paul S. F. Yip

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 6/2014

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Abstract

Purposes

The aims of this study were: (1) to present the time trend of suicide rate among people aged 15 or above in China over the period 2002–2011 and (2) to examine the current profile of completed suicides during 2009–2011.

Methods

Data on suicide rate in 2002–2011 were provided by the Chinese Ministry of Health (MOH). The trends of region-, gender-, and age-specific suicide rates were examined using Poisson regression models. The mean number of completed suicides for each cohort during 2009–2011 was calculated and a mean national suicide rate was estimated.

Findings

The overall suicide rate decreased significantly over the past decade, but rates in young males and rural older adults did not reduce and in fact increased among older adults in both urban and rural areas towards the end of the study period. For 2009–2011, 44 % of all suicides occurred among those aged 65 or above and 79 % among rural residents. The estimated mean national suicide rate was 9.8 per 100,000 and was slightly higher for males than females.

Conclusion

The benefits of economic growth, such as higher employment and more educational opportunities for the rural population in particular, may have contributed to the reduced suicide rate in China. However, the recent rapid changes in socioeconomic conditions could have increased stress levels and resulted in more suicides, especially among the elderly. Despite the significant reduction reported here, the latest figures suggest the declining trend is reversing. It will be important to continue monitoring the situation and to examine how urbanization and economic changes affect the well-being of 1.3 billion Chinese.
Literatur
2.
Zurück zum Zitat Phillips MR, Liu H, Zhang Y (1999) Suicide and social change in China. Cul Med Psychiatry 23(1):25–50CrossRef Phillips MR, Liu H, Zhang Y (1999) Suicide and social change in China. Cul Med Psychiatry 23(1):25–50CrossRef
3.
Zurück zum Zitat Phillips MR, Li X, Zhang Y (2002) Suicide rates in China, 1995–99. Lancet 359(9309):835–840PubMedCrossRef Phillips MR, Li X, Zhang Y (2002) Suicide rates in China, 1995–99. Lancet 359(9309):835–840PubMedCrossRef
5.
Zurück zum Zitat Ji J, Kleinman A, Becker AE (2001) Suicide in contemporary China: a review of China’s distinctive suicide demographics in their sociocultural context. Harv Rev Psychiatry 9(1):1–12PubMedCrossRef Ji J, Kleinman A, Becker AE (2001) Suicide in contemporary China: a review of China’s distinctive suicide demographics in their sociocultural context. Harv Rev Psychiatry 9(1):1–12PubMedCrossRef
6.
Zurück zum Zitat Qin P, Mortensen PB (2001) Specific characteristics of suicide in China. Acta Psychiatr Scand 103(2):117–121PubMedCrossRef Qin P, Mortensen PB (2001) Specific characteristics of suicide in China. Acta Psychiatr Scand 103(2):117–121PubMedCrossRef
7.
Zurück zum Zitat Yip PS, Callanan C, Yuen HP (2000) Urban/rural and gender differentials in suicide rates: east and west. J Affect Disord 57(1–3):99–106PubMedCrossRef Yip PS, Callanan C, Yuen HP (2000) Urban/rural and gender differentials in suicide rates: east and west. J Affect Disord 57(1–3):99–106PubMedCrossRef
8.
Zurück zum Zitat Yang GH, Phillips MR, Zhou MG, Wang LJ, Zhang YP et al (2005) Understanding the unique characteristics of suicide in China: national psychological autopsy study. Biomed Environ Sci 18(6):379–389PubMed Yang GH, Phillips MR, Zhou MG, Wang LJ, Zhang YP et al (2005) Understanding the unique characteristics of suicide in China: national psychological autopsy study. Biomed Environ Sci 18(6):379–389PubMed
9.
Zurück zum Zitat Durkheim E (1952) Suicide: a study in sociology (initially published in 1897). Routledge and Kegan Paul Ltd, London Durkheim E (1952) Suicide: a study in sociology (initially published in 1897). Routledge and Kegan Paul Ltd, London
10.
Zurück zum Zitat Perkins DH (2012) Rapid growth and changing economic structure: the expenditure side story and its implications for China. China Econ Rev 23(3):501–511CrossRef Perkins DH (2012) Rapid growth and changing economic structure: the expenditure side story and its implications for China. China Econ Rev 23(3):501–511CrossRef
11.
Zurück zum Zitat Barboza D (2010) China passes Japan as second-largest economy. The New York Times Barboza D (2010) China passes Japan as second-largest economy. The New York Times
12.
Zurück zum Zitat Stack S (1993) The effect of modernization on suicide in Finland, 1800–1985. Soc Perspect 36(2):137–148CrossRef Stack S (1993) The effect of modernization on suicide in Finland, 1800–1985. Soc Perspect 36(2):137–148CrossRef
13.
Zurück zum Zitat Stack S (2000) Suicide: a 15-year review of the sociological literature part II: modernization and social integration perspectives. Suicide Life Threat Behav 30(2):163–176PubMed Stack S (2000) Suicide: a 15-year review of the sociological literature part II: modernization and social integration perspectives. Suicide Life Threat Behav 30(2):163–176PubMed
14.
Zurück zum Zitat Steen DM, Mayer P (2004) Modernization and the male–female suicide ratio in India 1967–1997: divergence or convergence? Suicide Life Threat Behav 34(2):147–159PubMedCrossRef Steen DM, Mayer P (2004) Modernization and the male–female suicide ratio in India 1967–1997: divergence or convergence? Suicide Life Threat Behav 34(2):147–159PubMedCrossRef
15.
Zurück zum Zitat Lester BY (2001) Learnings from Durkheim and beyond: the economy and suicide. Suicide Life Threat Behav 31(1):15–31PubMedCrossRef Lester BY (2001) Learnings from Durkheim and beyond: the economy and suicide. Suicide Life Threat Behav 31(1):15–31PubMedCrossRef
16.
Zurück zum Zitat Stack S (2000) Suicide: a 15-year review of the sociological literature. Part I: cultural and economic factors. Suicide Life Threat Behav 30(2):145–162PubMed Stack S (2000) Suicide: a 15-year review of the sociological literature. Part I: cultural and economic factors. Suicide Life Threat Behav 30(2):145–162PubMed
17.
Zurück zum Zitat Zhang J, Ma J, Jia C, Sun J, Guo X et al (2010) Economic growth and suicide rate changes: a case in China from 1982 to 2005. Eur Psychiatry 25(3):159–163PubMedCrossRef Zhang J, Ma J, Jia C, Sun J, Guo X et al (2010) Economic growth and suicide rate changes: a case in China from 1982 to 2005. Eur Psychiatry 25(3):159–163PubMedCrossRef
18.
Zurück zum Zitat Ying YH, Chang K (2009) A study of suicide and socioeconomic factors. Suicide Life Threat Behav 39(2):214–226PubMedCrossRef Ying YH, Chang K (2009) A study of suicide and socioeconomic factors. Suicide Life Threat Behav 39(2):214–226PubMedCrossRef
19.
Zurück zum Zitat Otsu A, Araki S, Sakai R, Yokoyama K, Scott Voorhees A (2004) Effects of urbanization, economic development, migration of workers on suicide mortality in Japan. Soc Sci Med 58(6):1137–1146PubMedCrossRef Otsu A, Araki S, Sakai R, Yokoyama K, Scott Voorhees A (2004) Effects of urbanization, economic development, migration of workers on suicide mortality in Japan. Soc Sci Med 58(6):1137–1146PubMedCrossRef
20.
Zurück zum Zitat Chang SS, Gunnell D, Sterne JA, Lu TH, Cheng AT (2009) Was the economic crisis 1997–1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Soc Sci Med 68(7):1322–1331PubMedCrossRef Chang SS, Gunnell D, Sterne JA, Lu TH, Cheng AT (2009) Was the economic crisis 1997–1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Soc Sci Med 68(7):1322–1331PubMedCrossRef
21.
Zurück zum Zitat Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M (2011) Effects of the 2008 recession on health: a first look at European data. Lancet 378(9786):124–125PubMedCrossRef Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M (2011) Effects of the 2008 recession on health: a first look at European data. Lancet 378(9786):124–125PubMedCrossRef
22.
Zurück zum Zitat Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS et al (2012) Increase in state suicide rates in the USA during economic recession. Lancet 380(9856):1813–1814PubMedCrossRef Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS et al (2012) Increase in state suicide rates in the USA during economic recession. Lancet 380(9856):1813–1814PubMedCrossRef
23.
24.
Zurück zum Zitat Moniruzzaman S, Andersson R (2008) Economic development as a determinant of injury mortality—a longitudinal approach. Soc Sci Med 66(8):1699–1708PubMedCrossRef Moniruzzaman S, Andersson R (2008) Economic development as a determinant of injury mortality—a longitudinal approach. Soc Sci Med 66(8):1699–1708PubMedCrossRef
25.
Zurück zum Zitat Blasco-Fontecilla H, Perez-Rodriquez MM, Garcia-Nieto R, Fernandez-Navarro P, Galfalvy H et al (2012) Worldwide impact of economic cycles on suicide trends over 3 decades: differences according to level of development. A mixed effect model study. BMJ Open 2(3). pii: e000785 Blasco-Fontecilla H, Perez-Rodriquez MM, Garcia-Nieto R, Fernandez-Navarro P, Galfalvy H et al (2012) Worldwide impact of economic cycles on suicide trends over 3 decades: differences according to level of development. A mixed effect model study. BMJ Open 2(3). pii: e000785
26.
Zurück zum Zitat Yip PS, Liu KY, Hu J, Song XM (2005) Suicide rates in China during a decade of rapid social changes. Soc Psychiatry Psychiatr Epidemiol 40(10):792–798PubMedCrossRef Yip PS, Liu KY, Hu J, Song XM (2005) Suicide rates in China during a decade of rapid social changes. Soc Psychiatry Psychiatr Epidemiol 40(10):792–798PubMedCrossRef
27.
Zurück zum Zitat Yang G, Hu J, Rao KQ, Ma J, Rao C et al (2005) Mortality registration and surveillance in China: history, current situation and challenges. Popul Health Metr 3(1):3PubMedCentralPubMedCrossRef Yang G, Hu J, Rao KQ, Ma J, Rao C et al (2005) Mortality registration and surveillance in China: history, current situation and challenges. Popul Health Metr 3(1):3PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat McCullagh P, Nelder JA (1989) Generalized linear models (2nd). Chapman and Hall, LondonCrossRef McCullagh P, Nelder JA (1989) Generalized linear models (2nd). Chapman and Hall, LondonCrossRef
30.
Zurück zum Zitat National Bureau of Statistics of China (2012) China statistical yearbook 2011. China Statistics Press, Beijing National Bureau of Statistics of China (2012) China statistical yearbook 2011. China Statistics Press, Beijing
31.
Zurück zum Zitat Sun J, Guo X, Zhang J, Jia C, Xu A (2013) Suicide rates in Shandong, China, 1991–2010: rapid decrease in rural rates and steady increase in male–female ratio. J Affect Disord 146(3):361–368PubMedCrossRef Sun J, Guo X, Zhang J, Jia C, Xu A (2013) Suicide rates in Shandong, China, 1991–2010: rapid decrease in rural rates and steady increase in male–female ratio. J Affect Disord 146(3):361–368PubMedCrossRef
32.
Zurück zum Zitat Chen YY, Wu KC, Yousuf S, Yip PS (2012) Suicide in Asia: opportunities and challenges. Epidemiol Rev 34(1):129–144PubMedCrossRef Chen YY, Wu KC, Yousuf S, Yip PS (2012) Suicide in Asia: opportunities and challenges. Epidemiol Rev 34(1):129–144PubMedCrossRef
33.
Zurück zum Zitat Titelman D, Oskarsson H, Wahlbeck K, Nordentoft M, Mehlum L et al (2013) Suicide mortality trends in the Nordic countries 1980–2009. Nord J Psychiatry (epub ahead of print) Titelman D, Oskarsson H, Wahlbeck K, Nordentoft M, Mehlum L et al (2013) Suicide mortality trends in the Nordic countries 1980–2009. Nord J Psychiatry (epub ahead of print)
34.
Zurück zum Zitat Salmerón D, Cirera L, Ballesta M, Navarro-Mateu F (2013) Time trends and geographical variations in mortality due to suicide and causes of undetermined intent in Spain, 1991–2008. J Public Health 35(2):237–245CrossRef Salmerón D, Cirera L, Ballesta M, Navarro-Mateu F (2013) Time trends and geographical variations in mortality due to suicide and causes of undetermined intent in Spain, 1991–2008. J Public Health 35(2):237–245CrossRef
35.
Zurück zum Zitat Knight J (2013) The economic causes and consequences of social instability in China. China Econ Rev 25:17–26CrossRef Knight J (2013) The economic causes and consequences of social instability in China. China Econ Rev 25:17–26CrossRef
37.
Zurück zum Zitat Rockett IR, Hobbs G, De Leo D, Stack S, Frost JL et al (2010) Suicide and unintentional poisoning mortality trends in the United States, 1987–2006: two unrelated phenomena? BMC Public Health 10:705PubMedCentralPubMedCrossRef Rockett IR, Hobbs G, De Leo D, Stack S, Frost JL et al (2010) Suicide and unintentional poisoning mortality trends in the United States, 1987–2006: two unrelated phenomena? BMC Public Health 10:705PubMedCentralPubMedCrossRef
38.
Zurück zum Zitat Li X, Xiao Z, Xiao S (2009) Suicide among the elderly in mainland China. Psychogeriatrics 9(2):62–66PubMedCrossRef Li X, Xiao Z, Xiao S (2009) Suicide among the elderly in mainland China. Psychogeriatrics 9(2):62–66PubMedCrossRef
40.
Zurück zum Zitat Conwell Y, Duberstein PR, Caine ED (2002) Risk factors for suicide in later life. Biol Psychiatry 52(3):193–204PubMedCrossRef Conwell Y, Duberstein PR, Caine ED (2002) Risk factors for suicide in later life. Biol Psychiatry 52(3):193–204PubMedCrossRef
42.
Zurück zum Zitat Conwell Y, Van Orden K, Caine ED (2011) Suicide in older adults. Psychiatr Clin N Am 34(2):451–468CrossRef Conwell Y, Van Orden K, Caine ED (2011) Suicide in older adults. Psychiatr Clin N Am 34(2):451–468CrossRef
43.
Zurück zum Zitat Phillips MR, Yang G, Zhang Y, Wang L, Ji H et al (2002) Risk factor for suicide in China: a national case–control psychological autopsy study. Lancet 360(9347):1728–1736PubMedCrossRef Phillips MR, Yang G, Zhang Y, Wang L, Ji H et al (2002) Risk factor for suicide in China: a national case–control psychological autopsy study. Lancet 360(9347):1728–1736PubMedCrossRef
44.
Zurück zum Zitat Cheng AT (1995) Mental illness and suicide. A case-control study in east Taiwan. Arch Gen Psychiatry 52(7):594–603PubMedCrossRef Cheng AT (1995) Mental illness and suicide. A case-control study in east Taiwan. Arch Gen Psychiatry 52(7):594–603PubMedCrossRef
45.
Zurück zum Zitat Phillips MR, Cheng HG (2012) The changing global face of suicide. Lancet 379(9834):2318–2319PubMedCrossRef Phillips MR, Cheng HG (2012) The changing global face of suicide. Lancet 379(9834):2318–2319PubMedCrossRef
46.
Zurück zum Zitat Sutherland D, Yao S (2011) Income inequality in China over 30 years of reforms. Camb J Reg Econ Soc 4(1):91–105CrossRef Sutherland D, Yao S (2011) Income inequality in China over 30 years of reforms. Camb J Reg Econ Soc 4(1):91–105CrossRef
47.
Zurück zum Zitat Parmet S, Lynm C, Glass RM (2004) JAMA patient page. Suicide in older persons. JAMA 291(9):1158PubMedCrossRef Parmet S, Lynm C, Glass RM (2004) JAMA patient page. Suicide in older persons. JAMA 291(9):1158PubMedCrossRef
48.
Zurück zum Zitat Wanta BT, Schlotthauer AE, Guse CE, Hargarten SW (2009) The burden of suicide in Wisconsin’s older adult population. WMJ 108(2):87–93PubMed Wanta BT, Schlotthauer AE, Guse CE, Hargarten SW (2009) The burden of suicide in Wisconsin’s older adult population. WMJ 108(2):87–93PubMed
51.
Zurück zum Zitat Pritchard C (1996) Suicide in the People’s Republic of China categorized by age and gender: evidence of the influence of culture on suicide. Acta Psychiatr Scand 93(5):362–367PubMedCrossRef Pritchard C (1996) Suicide in the People’s Republic of China categorized by age and gender: evidence of the influence of culture on suicide. Acta Psychiatr Scand 93(5):362–367PubMedCrossRef
52.
Zurück zum Zitat He ZX, Lester D (1997) The gender difference in Chinese suicide rates. Arch Suicide Res 3(2):81–89 He ZX, Lester D (1997) The gender difference in Chinese suicide rates. Arch Suicide Res 3(2):81–89
53.
Zurück zum Zitat Shiang J, Barron S, Xiao SY, Blinn R, Tam WCC (1998) Suicide and gender in the People’s Republic of China, Taiwan, Hong Kong, and Chinese in the US. Transcult Psychiatry 35(2):235–251CrossRef Shiang J, Barron S, Xiao SY, Blinn R, Tam WCC (1998) Suicide and gender in the People’s Republic of China, Taiwan, Hong Kong, and Chinese in the US. Transcult Psychiatry 35(2):235–251CrossRef
55.
Zurück zum Zitat Canetto SS (2008) Women and suicidal behavior: a cultural analysis. Am J Orthopsychiatry 78(2):259–266PubMedCrossRef Canetto SS (2008) Women and suicidal behavior: a cultural analysis. Am J Orthopsychiatry 78(2):259–266PubMedCrossRef
56.
57.
Zurück zum Zitat Burnett J (2010) Women’s employment rights in China: creating harmony for women in the workforce. Ind J Global Legal Stud 17(2):289–318CrossRef Burnett J (2010) Women’s employment rights in China: creating harmony for women in the workforce. Ind J Global Legal Stud 17(2):289–318CrossRef
58.
Zurück zum Zitat Cantor CH (2000) Suicide in the western world. In: Hawton K, van Heeringen K (eds) The international handbook of suicide and attempted suicide. John Wiley & Sons, Chichester, pp 9–28 Cantor CH (2000) Suicide in the western world. In: Hawton K, van Heeringen K (eds) The international handbook of suicide and attempted suicide. John Wiley & Sons, Chichester, pp 9–28
59.
Zurück zum Zitat Gunnell D, Lopatatzidis A, Dorling D, Wehner H, Southall H et al (1999) Suicide and unemployment in young people—analysis of trends in England and Wales, 1921–1995. Br J Psychiatry 175:263–270PubMedCrossRef Gunnell D, Lopatatzidis A, Dorling D, Wehner H, Southall H et al (1999) Suicide and unemployment in young people—analysis of trends in England and Wales, 1921–1995. Br J Psychiatry 175:263–270PubMedCrossRef
60.
Zurück zum Zitat Gunnell D, Middleton N, Whitley E, Dorling D, Frankel S (2003) Why are suicide rates rising in young men but falling in the elderly?—a time-series analysis of trends in England and Wales 1950–1998. Soc Sci Med 57(4):595–611PubMedCrossRef Gunnell D, Middleton N, Whitley E, Dorling D, Frankel S (2003) Why are suicide rates rising in young men but falling in the elderly?—a time-series analysis of trends in England and Wales 1950–1998. Soc Sci Med 57(4):595–611PubMedCrossRef
61.
Zurück zum Zitat Wu P, Li LP, Jin J, Yuan XH, Liu X et al (2012) Need for mental health services and service use among high school students in China. Psychiatr Ser 63(10):1026–1031CrossRef Wu P, Li LP, Jin J, Yuan XH, Liu X et al (2012) Need for mental health services and service use among high school students in China. Psychiatr Ser 63(10):1026–1031CrossRef
65.
Zurück zum Zitat Chinese CDC (2010) Chinese DSP system mortality data 2005. Jun Shi Yi Xue Chu Ban She, Beijing Chinese CDC (2010) Chinese DSP system mortality data 2005. Jun Shi Yi Xue Chu Ban She, Beijing
66.
Zurück zum Zitat Chinese CDC (2010) Chinese DSP system mortality data 2006. Jun Shi Yi Xue Chu Ban She, Beijing Chinese CDC (2010) Chinese DSP system mortality data 2006. Jun Shi Yi Xue Chu Ban She, Beijing
67.
Zurück zum Zitat Chinese CDC (2010) Chinese DSP system mortality data 2007. People’s Medical Publishing House, Beijing Chinese CDC (2010) Chinese DSP system mortality data 2007. People’s Medical Publishing House, Beijing
68.
Zurück zum Zitat Chinese CDC (2010) Chinese DSP system mortality data 2008. People’s Medical Publishing House, Beijing Chinese CDC (2010) Chinese DSP system mortality data 2008. People’s Medical Publishing House, Beijing
69.
Zurück zum Zitat Chinese CDC (2011) Chinese DSP system mortality data 2009 report (unpublished report). Chinese CDC Chinese CDC (2011) Chinese DSP system mortality data 2009 report (unpublished report). Chinese CDC
70.
Zurück zum Zitat Tian M, Zhang X (2011) The impact of the global economic slowdown on enterprises and employees in China. J Asian Public Policy 4(1):76–102CrossRef Tian M, Zhang X (2011) The impact of the global economic slowdown on enterprises and employees in China. J Asian Public Policy 4(1):76–102CrossRef
71.
Zurück zum Zitat Fernquist RM (2003) Perceived income inequality and suicide rates in Central/Eastern European countries and Western countries, 1990–1993. Death Stud 27(1):63–80PubMedCrossRef Fernquist RM (2003) Perceived income inequality and suicide rates in Central/Eastern European countries and Western countries, 1990–1993. Death Stud 27(1):63–80PubMedCrossRef
72.
Zurück zum Zitat Stubbs B (2010) A replication of a cross-national study of the relationship between elderly suicide rates and urbanization. Psychogeriatrics 30:1–10 Stubbs B (2010) A replication of a cross-national study of the relationship between elderly suicide rates and urbanization. Psychogeriatrics 30:1–10
Metadaten
Titel
Suicide rates in China from 2002 to 2011: an update
verfasst von
Chong-Wen Wang
Cecilia L. W. Chan
Paul S. F. Yip
Publikationsdatum
01.06.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 6/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0789-5

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