Evidence map›Paper›PMID 27084285›Full record

ArticleBMJ open2016

A cross-sectional study on risk factors and their interactions with suicidal ideation among the elderly in rural communities of Hunan, China.

Huilan Xu, Lulu Qin, Jinhong Wang, Liang Zhou, Dan Luo, Mi Hu, Zhenhua Li, Shuiyuan Xiao

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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  12. Associations between suicidal ideation and health-related quality of life among community-dwelling stroke survivors: 2013-2017 Korea National Health and Nutrition Examination Survey.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Huilan XuDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Lulu QinDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Jinhong WangDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Liang ZhouDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Dan LuoDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Mi HuDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Zhenhua LiDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Shuiyuan XiaoDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Central South University · CN

Funding

China-Rochester Suicide Research Training Program (CRSRT)D43TW009101 · FIC · UNIVERSITY OF ROCHESTER · PI CAINE, ERIC D. · 2011 to 2015
$1.2M
FIC NIH HHS D43 TW009101
6 · The paper itself

Abstract

objectivesTo identify risk factors, and their interactions, for suicidal ideation among the elderly in rural communities of Hunan and to provide some scientific basis for suicide prevention. DESIGN, SETTING AND

participantsA cross-sectional survey was conducted among the elderly in rural communities in China's Hunan Province. Thirteen areas were selected by multi-staged cluster random sampling, and 1887 rural elders were investigated via face-to-face interviews.

main outcome measuresMeasures included sociodemographic information, suicidal ideation, activities of daily living (ADL), major depression disorder (MDD), drinking, stressful life events and social support. Non-conditional logistic regression was preformed to explore the influencing factors for suicidal ideation, and additive interaction was used to analyse the interaction between risk factors.

resultsIncidence of suicidal ideation among the elderly was 14.5% (95% CI 12.9% to 16.1%) in rural communities of Hunan. The independent influencing factors for suicidal ideation were annual personal income (OR 3.14; 95% CI 2.15 to 4.59), MDD (OR 17.04; 95% CI 11.91 to 24.39), chronic diseases (OR 2.99; 95% CI 1.84 to 4.85) and ADL (OR 2.00; 95% CI 1.37 to 2.94). Additive interactions were detected between MDD and ADL with a relative excess risk of interaction (RERI) of 21.18 (95% CI 5.47 to 36.89), and between MDD and annual personal income with an RERI of 35.00 (95% CI 9.00 to 61.00).

conclusionsThe independent risk factors for suicidal ideation are annual personal income (≤2200 CNY), MDD, chronic diseases and disabled ADL status. MDD has additive interactions with ADL and annual personal income. These findings have significant implications for the prediction and prevention of suicidal behaviours.

Indexed as

Activities of Daily LivingChronic DiseaseIncomeRural PopulationSuicidal IdeationAgedAged, 80 and overAlcohol DrinkingAlcoholismChinaCross-Sectional StudiesFemaleHumansLogistic ModelsMajor Depressive DisorderMaleelderlyinteractionsrisk factorssuicide ideation

Identifiers

PMID27084285
PMCPMC4838719
OpenAlexW2336585992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.