SynthesisInternational journal for equity in health2019
Urban-rural inequalities in suicide among elderly people in China: a systematic review and meta-analysis.
Synthesis in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Epidemiological features of suicidal ideation among the elderly in China based meta-analysis.BMC psychiatry · 2024Pooled it
- Prevalence of Sleep Disturbance in Patients With Cancer: A Systematic Review and Meta-Analysis.Clinical nursing research · 2022Pooled it
- Clinical Features of COVID-19 Patients in the First Year of Pandemic: A Systematic Review and Meta-Analysis.Biological research for nursing · 2022Pooled it
- Factors Associated with Suicidal Behavior in Farmers: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis.Journal of psychosomatic research · 2021Pooled it
- Are we Using the Right Evidence to Inform Suicide Prevention in Low- and Middle-Income Countries? An Umbrella Review.Archives of suicide research : official journal of the International Academy for Suicide ResearchPooled it
- Who is more fearful of being dependent? A Blinder-Oaxaca decomposition analysis of rural-urban difference among middle-aged and older Chinese adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Intergenerational support and older adults mental health in rural China: evidence and policy implications.Frontiers in public health · 2026Article
- Suicide Among Older People in Spain: The Role of Sex and Urbanicity.International journal of geriatric psychiatry · 2025Article
- Research on the social integration and depression risk of middle-aged and older adults with multiple chronic conditions in China.Frontiers in public health · 2025Article
- Patterns and predictors of help-seeking intentions for suicidal ideation compared to other health conditions among rural Chinese adults.BMC psychiatry · 2024Article
- Epidemiology of Suicide Mortality in Paraguay from 2005 to 2019: A Descriptive Study.International journal of environmental research and public health · 2024Observational
- Disease Burden Evaluation of Injury and Poisoning in China from 2009 to 2019.Iranian journal of public health · 2023Article
- Trends of completed suicide rates among Malaysian elderly between 1995 and 2020.BMC public health · 2023Article
- Temperature-related mortality in China from specific injury.Nature communications · 2023Article
- The association between nation-level social and economic indices and suicide rates: A pilot study.Frontiers in sociology · 2023Article
- Development of the Life Gatekeeper suicide prevention training programme in China: a Delphi study.General psychiatry · 2023Article
- Associations between Suicidal Ideation and Relatives' Physical and Mental Health among Community Residents: Differences between Family Members and Lineal Consanguinity.International journal of environmental research and public health · 2022Article
- Research on the Relationship between Chinese Elderly Health Status, Social Security, and Depression.International journal of environmental research and public health · 2022Article
- Trends in suicide by hanging, strangulation, and suffocation in Serbia, 1991-2020: A joinpoint regression and age-period-cohort analysis.World journal of psychiatry · 2022Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundChina has an unusual pattern of suicides, with overall suicide rates in rural areas higher than urban areas. While suicide rates have decreased dramatically, older people increasingly contribute to the overall burden of suicide. However, it is unclear if elderly people within rural areas experience greater suicide risk than those in urban areas. We aimed to systematically review the incidence of suicide in rural and urban China among the elderly (aged over 60 years), with a view to describing the difference in rates between rural and urban areas and trends over time.
methodsChinese and English language articles were searched for using four databases: EMBASE (Ovid), MEDLINE (Ovid), PsycINFO (EBSCOhost) and CNKI (in Chinese). Articles describing completed suicide among elderly people in both rural and urban areas in mainland China were included. The adapted Newcastle-Ottawa Scale (NOS) was used to assess risk of bias. One reviewer (ML) assessed eligibility, performed data extraction and assessed risk of bias, with areas of uncertainty discussed with the second reviewer (SVK). Random effects meta-analysis was conducted. Suicide methods in different areas were narratively summarised.
resultsOut of a total 3065 hits, 24 articles were included and seven contributed data to meta-analysis. The sample size of included studies ranged from 895 to 323.8 million. The suicide rate in the general population of China has decreased in recent decades over previous urban and rural areas. Suicide rates amongst the elderly in rural areas are higher than those in urban areas (OR = 3.35; 95% CI of 2.48 to 4.51; I
conclusionsThe pattern of suicide in China has changed in recent years following urbanisation and aging. Differences in suicide rates amongst the elderly exist between rural and urban areas. Addressing the high suicide rate amongst the elderly in rural China requires a policy response, such as considering measures to restrict access to poisons.
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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.