[Evaluation on the accuracy of reported suicides in the Chinese population].
OBJECTIVE
To evaluate the accuracy of reports of suicide in the national death registry systems and to estimate a more accurate suicide rate.


METHODS
Twenty-three sites from the Disease Surveillance Points Network-one of the national death registry systems-were selected and 1 932 of the deaths that occurred at these sites from August 1995 through August 2000 in which the official cause was classified as "accidental" or "mental illness" were selected for detailed household surveys focusing on reassessing the cause of death. Valid interviews were completed in 1 653 of these cases. The original cause of death recorded on the death certificate was compared with the finding of the detailed household survey and the result was used to adjust the suicide rate.


RESULTS
After detailed investigation, 16 of the 857 (1.87%) deaths reported on the death certificate as suicide were considered accidental deaths, 39 of the 721 (5.41%) accidental deaths were considered suicide, 17 of the 35 (48.57%) cases reported as undetermined accidents were considered suicide, and 6 of the 40 (15.00%) cases in which mental illness was the recorded cause of death were considered suicide. After adjustments for errors in the reported cause of death and for missing deaths, the reported crude suicide rate of 13.65/100 000 in China was adjusted to 22.99/100 000 (95% CI: 21.78/100 000 - 24.25/100 000).


CONCLUSIONS
After adjustments the actual suicide rate for China was higher than the reported rate indicating that suicide was an increasingly important public health problem for China.
Wang
Li-Jun
LJ
Chinese Centers for Disease Prevention and Control, Beijing 100050, China.
Phillips
Michael
M
Huang
Zheng-Jing
ZJ
Zhang
Yan-Ping
YP
Zhao
Yun-Xia
YX
Yang
Gong-Huan
GH
D002681:China / Q000453:epidemiology; D006801:Humans; D011634:Public Health; D013405:Suicide / Q000706:statistics & numerical data*