ArticleBMC public health2018
Suicide rates in China, 2004-2014: comparing data from two sample-based mortality surveillance systems.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Preliminary validation of the Suicide Management Competency Scale in a Chinese nurse population: a cross-sectional study.BMC nursing · 2025Article
- The relationship between college students' Suicidal ideation and rejection sensitivity: a network analysis.BMC public health · 2025Article
- The trend of suicide and self-harm in the Chinese population from 2018 to 2022 based on ambulance medical emergency cases: a retrospective study.Frontiers in public health · 2025Article
- Epidemiology and SARIMA model of deaths in a tertiary comprehensive hospital in Hangzhou from 2015 to 2022.BMC public health · 2024Article
- Risk factors and their association network for young adults' suicidality: a cross-sectional study.BMC public health · 2024Article
- Mobile phone addiction and suicide behaviors among Chinese adolescents: The mediation of poor sleep quality.Journal of behavioral addictions · 2024Article
- Breakfast consumption was associated with suicidal ideation, plan, and attempt: a population-based cross-sectional study.Frontiers in public health · 2024Article
- Impact of pesticide regulations on mortality from suicide by pesticide in China: an interrupted time series analysis.Frontiers in psychiatry · 2023Article
- Social anxiety and suicidal ideation among middle-school students in China: a mediation model of internet addiction.Frontiers in psychiatry · 2023Article
- Quality of Life, Hopelessness, Impulsivity, and Suicide in the Rural Elderly in China: A Moderated Mediation Analysis of Psychological Autopsy Data.Frontiers in public health · 2022Article
- Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.Lancet (London, England) · 2020 · on this mapArticle
- Health personnel-targeted education interventions on inpatient suicide prevention in general hospitals: A scoping review.International journal of nursing sciences · 2020Article
- How to make adjustments of underreporting of suicide by place, gender, and age in China?Social psychiatry and psychiatric epidemiology · 2020Article
- Relationship of the high proportion of suicidal acts involving ingestion of pesticides to the low male-to-female ratio of suicide rates in China.Epidemiology and psychiatric sciences · 2020Article
- Suicidality among Chinese college students: A cross-sectional study across seven provinces.PloS one · 2020Article
- The Mediating Effect of Sleep Quality on the Relationship between Emotional and Behavioral Problems and Suicidal Ideation.International journal of environmental research and public health · 2019Article
- Indian suicide data: What do they mean?The Indian journal of medical research · 2019Article
- Injury Prevention in China: Government-Supported Initiatives on the Leading Causes of Injury-Related Deaths.American journal of public health · 2019Article
- Relationship of being threatened or injured with a weapon in school with suicidal ideation and attempt among school students: a school-based study in Zhejiang Province, China.BMC public health · 2018Article
- Association between problematic Internet use, sleep disturbance, and suicidal behavior in Chinese adolescents.Journal of behavioral addictions · 2018Article
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Abstract
backgroundThe decreasing suicide rate in China has been regarded as a major contributor to the decline of global suicide rate in the past decade. However, previous estimations on China's suicide rates might not be accurate, since often they were based on the data from the Ministry of Health's Vital Registration ("MOH-VR") System, which is biased towards the better-off population. This study aims to compare suicide data extracted from the MOH-VR System with a more representative mortality surveillance system, namely the Center for Disease Control and Prevention's Disease Surveillance Points ("CDC-DSP") System, and update China's national and subnational suicide rates in the period of 2004-2014.
methodsThe CDC-DSP data are obtained from the National Cause-of-Death Surveillance Dataset (2004-2014) and the MOH-VR data are from the Chinese Health Statistics Yearbooks (2005-2012) and the China Health and Family Planning Statistics Yearbooks (2013-2015). First, a negative binomial regression model was used to test the associations between the source of data (CDC-DSP/MOH-VR) and suicide rates in 2004-2014. Joinpoint regression analyses and Kitagawa's decomposition method are then applied to analyze the trends of the crude suicide rates.
resultsBoth systems indicated China's suicide rates decreased over the study period. However, before the two systems merged in 2013, the CDC-DSP System reported significantly higher national suicide rates (IRR = 1.18, 95% Confidence Interval [CI]: 1.13-1.24) and rural suicide rates (IRR = 1.29, 95% CI: 1.21-1.38) than the MOH-VR System. The CDC-DSP System also showed significant reversing points in 2011 (95% CI: 2006-2012) and 2006 (95% CI: 2006-2008) on the rural and urban suicide trends. Moreover, the suicide rates in the east and central urban regions were reversed in 2011 and 2008.
conclusionsThe biased MOH-VR System underestimated China's national and rural suicide rates. Although not widely appreciated in the field of suicide research, the CDC-DSP System provides more accurate estimations on China's suicide rates and is recommended for future studies to monitor the reversing trends of suicide rates in China's more developed areas.
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