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BMC Psychiatry. 2016 May 26;16:162. doi: 10.1186/s12888-016-0872-z.

Attitudes towards suicide in urban and rural China: a population based, cross-sectional study.

Author information

1
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Yuexiu District, Guangzhou, 510080, People's Republic of China.
2
Department of Health Policy and Management, School of Public Health, State University of New York at Albany, Albany, NY, 12144-3445, USA.
3
Department of Epidemiology and Biostatistics, School of Public Health, State University of New York at Albany, Albany, NY, 12144-3445, USA.
4
Department of Biostatistics and Epidemiology, Graduate School of Public Health, San Diego State University, San Diego, CA, 92182, USA.
5
Beijing Huilongguan Hospital, Beijing Suicide Research and Prevention Center, WHO Collaborating Center for Research and Training in Suicide Prevention, Beijing, 100096, China.
6
Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Yuexiu District, Guangzhou, 510080, People's Republic of China.
7
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Yuexiu District, Guangzhou, 510080, People's Republic of China. haoyt@mail.sysu.edu.cn.

Abstract

BACKGROUND:

Suicide intervention programs have been guided by findings that attitude towards suicide and suicidal behavior may be causally linked. These findings also make it imperative to identify the factors that influence attitudes towards suicide. However, there has been little research on attitudes towards suicide among the general population, especially in low-income and middle-income countries. This population-based, cross-sectional study investigated the associated factors of attitudes towards suicide among a representative sample of urban and rural adult residents in China.

METHODS:

A multi-stage, stratified random sampling approach was implemented to select participants. Data were collected by a survey using the Scale of Public Attitudes about Suicide (SPAS). The survey also collected some socio-demographic factors and suicidal history of participants. Statistical tests were conducted to identify associated factors that account for variations in attitudes towards suicide.

RESULTS:

The residents in China generally hold a neutral attitude towards suicide. Attitudes towards suicide among Chinese residents were associated with age, duration of formal education, marital status, job and suicidal ideation. Different attitudinal subscales seemed not to share the same risk factors. However, gender, ethnicity, religious belief, housing style and economic status might not influence residents' attitudes towards suicide. Attitudes towards suicide among Chinese urban and rural residents generally had no statistical difference with one notable exception: opinions on whether or not suicides and suicide attempts are different phenomena.

CONCLUSIONS:

Age, duration of formal education, marital status, job and suicidal ideation seem to have an impact on attitudes towards suicide among residents. Urban and rural residents have similar attitudes towards suicide with the only statistically significance difference being their opinions on whether or not suicides and suicide attempts are different phenomena.

KEYWORDS:

Attitudes towards suicide; China; Cross-sectional study; Residents; Scale of Public Attitudes about Suicide (SPAS)

PMID:
27230910
PMCID:
PMC4881201
DOI:
10.1186/s12888-016-0872-z
[Indexed for MEDLINE]
Free PMC Article

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