title: Social Psychological Factors and Suicidal Intent Among Suicide Attempters in Rural China: A Path Analysis.
abstract: This study explores the effects of social psychological factors on suicidal intent among suicide attempters in rural China. Suicide attempters were identified by the county-level Centers for Disease Control and Prevention (CDCs) and interviewed by the research team. A path analysis was conducted with physical illness, social support, and negative life events as exogenous variables, and life satisfaction, depressive emotions, and suicidal intent as endogenous variables. Beginning with a saturation model, a best model was obtained after removing the paths that were not significant. In the final model, depressive emotions and life satisfaction were directly associated with suicidal intent, and the standardized effect estimates were 0.3007 (p < 0.001) and -0.1182 (p = 0.0368). Physical illness, social support, and negative life events did not directly affect suicidal intent but had indirect effect. Depressive emotions may be the most important and direct predictor of suicidal intent; physical illness, negative life events, and social support affect suicidal intent through life satisfaction and depressive emotions.
authors.affiliation: *Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Jinan, Shandong; †Zhejiang Cancer Hospital, Hangzhou, Zhejiang; ‡Department of Noncommunicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention; §Shandong University Center for Suicide Prevention Research, Jinan, Shandong, China; and ∥Department of Sociology, State University of New York Buffalo State, Buffalo, NY.
authors.forename: Jin-Yu
authors.initials: JY
authors.lastname: Wang
authors.forename: Jie
authors.initials: J
authors.lastname: Chu
authors.forename: Shi-Hua
authors.initials: SH
authors.lastname: Sun
authors.forename: Jie
authors.initials: J
authors.lastname: Zhang
authors.forename: Xiao-Lei
authors.initials: XL
authors.lastname: Guo
authors.forename: Cun-Xian
authors.initials: CX
authors.lastname: Jia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D003866:Depressive Disorder / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010549:Personal Satisfaction; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D012944:Social Support; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*; D055815:Young Adult