title: Depression, hopelessness, and suicidal behavior in Chinese and American psychiatric patients.
abstract: The authors compared 37 patients in the People's Republic of China and 46 patients in the United States who were having difficulty with suicidal thinking or behavior. Hopelessness, reasons for living, and suicidal efficacy showed none of the expected relationships with suicidal intent among the Chinese patients, but the two groups were similar on many variables theoretically related to suicidality. Chinese patients were less likely to communicate suicidal intent and rated suicide as less effective at solving problems. The authors examine such variations in the light of possibly different cultural approaches to suicidal behavior.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98104.
authors.forename: J A
authors.initials: JA
authors.lastname: Chiles
authors.forename: K D
authors.initials: KD
authors.lastname: Strosahl
authors.forename: Z Y
authors.initials: ZY
authors.lastname: Ping
authors.forename: M C
authors.initials: MC
authors.lastname: Michael
authors.forename: K
authors.initials: K
authors.lastname: Hall
authors.forename: R
authors.initials: R
authors.lastname: Jemelka
authors.forename: B
authors.initials: B
authors.lastname: Senn
authors.forename: C
authors.initials: C
authors.lastname: Reto
mesh_terms: D000328:Adult; D000367:Age Factors; D001290:Attitude; D002681:China / Q000208:ethnology; D003142:Communication; D003431:Cross-Cultural Comparison; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D005006:Ethnicity; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology; D014481:United States / Q000208:ethnology