title: Elderly suicide trends in the context of transforming China, 1987-2014.
abstract: In the context of rapid ageing, understanding the time-trend of elderly suicide (ES) could inform China's efforts on suicide prevention. We examined time-trends in Chinese ES rates (ESRs) from 1987 to 2014, a period of profound social changes. Suicide rates by residence (rural/urban), gender, and 5-year age-group (65+) in 1987-2014 were provided by the Chinese Ministry of Health. Time-trends were analyzed with joinpoint analysis. The time-trend of national ESRs was downward (average annual percent change [AAPC] = -3.7, P < 0.001): 76.6/100000 in 1987 and 30.2/100000 in 2014. However, the time-trend of corresponding percentages of ESs among the total suicides was monotonically increasing (AAPC = 3.4, P < 0.001): 16.9% in 1987 to 41.2% in 2014. The time-trends in ESRs of both rural and urban men and women were decreasing, but only the rural trends were significant (P < 0.001). Rural-urban and male-female differences in ESRs were decreasing over time (slope = -4.2 and -3.0, P ≤ 0.006), but the rural-urban and male-female ESR differences in 2014 remained large (16.3/100000 and 9.8/100000, P < 0.001). While national ESRs decreased significantly during the past three decades, the current ESR remains high in China. Further, the age-pattern of Chinese suicide is transitioning to elderly predominance. ES, particularly rural ES, should be a public health priority in China.
authors.affiliation: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China.|Affiliated Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.
authors.forename: Bao-Liang
authors.initials: BL
authors.lastname: Zhong
authors.affiliation: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China.
authors.forename: Helen F K
authors.initials: HF
authors.lastname: Chiu
authors.affiliation: Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: Yeates
authors.initials: Y
authors.lastname: Conwell
mesh_terms: D000368:Aged; D002681:China / Q000453:epidemiology; D005260:Female; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008297:Male; D012424:Rural Population; D013405:Suicide / Q000639:trends*; D014505:Urban Population