Culture, risk factors and suicide in rural China: a psychological autopsy case control study.
OBJECTIVE
Previous research on sociocultural factors for Chinese suicide have been basically limited to single case studies or qualitative research with ethnographic methodology. The current study examines the major risk factors and some cultural uniqueness related to Chinese rural suicide using a quantitative design.


METHODS
This is a case control study with 66 completed suicides and 66 living controls obtained from psychological autopsy interviews in rural China.


RESULTS
Both bivariate analyses and the multiple regression model have found that the Chinese rural suicide patterns are basically similar to those in most other cultures in the world: strong predictors of rural Chinese suicide are the psychopathological, psychological, and physical health variables, followed by social support and negative and stressful life events. Other significant correlates include lower education, poverty, religion, and family disputes.


CONCLUSIONS
Culture has an important impact on suicide patterns in a society.
Zhang
J
J
Department of Sociology, State University of New York College at Buffalo, NY 14222, USA. zhangj@bscmail.buffalostate.edu
Conwell
Y
Y
Zhou
L
L
Jiang
C
C
D000328:Adult; D001344:Autopsy / Q000523:psychology*; D016022:Case-Control Studies; D002681:China / Q000453:epidemiology; D003469:Culture; D005260:Female; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D008875:Middle Aged; D009042:Motivation; D012307:Risk Factors; D012424:Rural Population; D012621:Seasons; D012944:Social Support; D012945:Social Values; D013405:Suicide / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data