title: Predictors of low-intent and high-intent suicide attempts in rural China.
abstract: OBJECTIVE
  Acts of suicide are heterogeneous with respect to level of intent. Data on correlates of intent are overwhelmingly from Western samples. We sought to identify correlates of low-intent and high-intent suicide attempts in China.
  
  
  METHODS
  We compared 277 adult case patients who presented to the emergency department in a rural hospital because of attempted suicide to 277 community control individuals, pair-matched for age, gender, and location of residence. Attempted suicides were stratified into 3 levels of suicide intent: low, intermediate, and high. Paired logistic regression analyses were used to analyze the data.
  
  
  RESULTS
  High-intent acts of suicide were associated with major depression, chronic stress, and a relative or associate who had a history of suicidal behavior. These correlates were not associated with low-intent acts of suicide.
  
  
  CONCLUSIONS
  High-intent acts of suicide in China are the culmination of longstanding difficulties or symptoms including depression, chronic stress, and previous exposure to suicidal behavior. Prevention of high-intent acts of suicide should include a focus on these domains.
authors: Department of Psychiatry and Center for the Study and Prevention of Suicide, University of Rochester Medical Center, Rochester, NY 14642, USA. kenneth_conner@urmc.rochester.edu
authors: Kenneth R
authors: KR
authors: Conner
authors: Michael R
authors: MR
authors: Phillips
authors: Sean C
authors: SC
authors: Meldrum
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002681:China; D003865:Major Depressive Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011634:Public Health; D012307:Risk Factors; D012424:Rural Population; D017678:Sex Distribution; D013315:Stress, Psychological / Q000523:psychology*; D013406:Suicide, Attempted / Q000145:classification / Q000523:psychology* / Q000706:statistics & numerical data