title: Parent-reported suicidal behavior and correlates among adolescents in China.
abstract: BACKGROUND
  Suicidal risk begins to increase during adolescence and is associated with multiple biological, psychological, social, and cultural factors. This study examined the prevalence and psychosocial factors of parent-reported suicidal behavior in Chinese adolescents.
  
  
  METHODS
  A community sample of 1920 adolescents in China participated in an epidemiological study. Parents completed a structured questionnaire including child suicidal behavior, illness history, mental health problems, family history, parenting, and family environment. Multiple logistic regression was used for data analysis.
  
  
  RESULTS
  Overall, 2.4% of the sample talked about suicide in the previous 6 months, 3.2% had deliberately hurt themselves or attempted suicide, and 5.1% had either suicidal talk or self-harm. The rate of suicidal behavior increased as adolescents aged. Multivariate logistic regression indicated that the following factors were significantly associated with elevated risk for suicidal behavior: depressive/anxious symptoms, poor maternal health, family conflict, and physical punishment of parental discipline style.
  
  
  CONCLUSIONS
  Suicidal behavior was reported by parents. No causal relationships could be made based on cross-sectional data.
  
  
  CONCLUSIONS
  The prevalence rate of parent-reported suicidal behavior is markedly lower than self-reported rate in previous research. Depressive/anxious symptoms and multiple family environmental factors are associated with suicidal behavior in Chinese adolescents.
authors.affiliation: Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA 15213, USA. xcliu@pitt.edu
authors.forename: Xianchen
authors.initials: X
authors.lastname: Liu
authors.forename: Zhenxiao
authors.initials: Z
authors.lastname: Sun
authors.forename: Yanyun
authors.initials: Y
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data; D002652:Child Behavior / Q000523:psychology*; D002681:China / Q000453:epidemiology; D003220:Conflict, Psychological; D003710:Demography; D005260:Female; D040261:Harm Reduction; D006801:Humans; D008297:Male; D016487:Parenting; D010290:Parents; D015995:Prevalence; D011678:Punishment; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires