ArticleBJPsych open2020
Mortality and suicide in schizophrenia: 21-year follow-up in rural China.
Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of suicide ideation, self-harm, and suicide among Chinese patients with schizophrenia: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Cross-Sectional Associations of Insomnia, Social Dysfunction, Suicidality, and Depressive Symptoms in Rural Adults with Schizophrenia: A Sex-Stratified Analysis.Neuropsychiatric disease and treatment · 2026Article
- Plasma Protein Patterns Associated with Paliperidone Palmitate Maintenance Therapy in Schizophrenia: A Prospective Cohort Study.CNS drugs · 2025Article
- [Factors Influencing All-Cause and Specific-Cause Deaths Among Community-Dwelling Schizophrenia Patients in a Region of Western China].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- A retrospective and comprehensive analysis of excess life-years lost, mortality risk, and cause of death among severe mental illness in China.BMC medicine · 2025Observational
- Article
- Lifetime suicidal thoughts, attempts, and lethality of attempts as major outcome domains of psychotic disorders: a 21-year prospective cohort study after a first-episode psychosis.Psychological medicine · 2025Article
- Study on the correlation between serum total cholesterol levels and suicidal ideation in patients with first-episode drug-naïve schizophrenia: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Establishing a long-term predictive model for aggressive behavior in schizophrenia: a 21-year longitudinal study in rural China.Frontiers in psychiatry · 2025Article
- Does life expectancy vary by disability status in LMICs?: A systematic review and meta-analysis.African journal of disability · 2025Review
- Gender-specific correlates for suicide mortality in people with schizophrenia: a 9-year population-based study.BMC psychiatry · 2024Article
- Medication non-adherence and self-inflicted violence behaviors among 185,800 patients with schizophrenia in the community: a 12-year cohort study.BMC medicine · 2024Article
- Suicidality and Its Association with Stigma in Clinically Stable Patients with Schizophrenia in Rural China.Psychology research and behavior management · 2023Article
- [Factors Influencing Suicide Deaths in Patients With Schizophrenia Based on Cohort Data: An Empirical Study of a Sample of 170006 Patients in Sichuan Province].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Article
- Characteristics of Families with Members Going Out for Work and Associated Factors among Persons with Schizophrenia in Rural China.Brain sciences · 2022Article
- Mortality in people with schizophrenia: a systematic review and meta-analysis of relative risk and aggravating or attenuating factors.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Antipsychotics Use Is Associated With Greater Adherence to Cardiometabolic Medications in Patients With Schizophrenia: Results From a Nationwide, Within-subject Design Study.Schizophrenia bulletin · 2022Article
- Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients.Frontiers in psychiatry · 2022Article
- Perceptions of Family Caregivers of Patients with Schizophrenia Towards Antipsychotics Associated Side-Effects in China:A Qualitative Study.Patient preference and adherence · 2022Article
- Article
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12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about the trend and predictors of 21-year mortality and suicide patterns in persons with schizophrenia.
aimsTo explore the trend and predictors of 21-year mortality and suicide in persons with schizophrenia in rural China.
methodThis longitudinal follow-up study included 510 persons with schizophrenia who were identified in a mental health survey of individuals (≥15 years old) in 1994 in six townships of Xinjin County, Chengdu, China, and followed up in three waves until 2015. Kaplan-Meier survival analysis and Cox hazard regressions were conducted.
resultsOf the 510 participants, 196 died (38.4% mortality) between 1994 and 2015; 13.8% of the deaths (n = 27) were due to suicide. Life expectancy was lower for men than for women (50.6 v. 58.5 years). Males consistently showed higher rates of mortality and suicide than females. Older participants had higher mortality (hazard ratio HR = 1.03, 95% CI 1.01-1.05) but lower suicide rates (HR = 0.95, 95% CI 0.93-0.98) than their younger counterparts. Poor family attitudes were associated with all-cause mortality and death due to other causes; no previous hospital admission and a history of suicide attempts independently predicted death by suicide.
conclusionsOur findings suggest there is a high mortality and suicide rate in persons with schizophrenia in rural China, with different predictive factors for mortality and suicide. It is important to develop culture-specific, demographically tailored and community-based mental healthcare and to strengthen family intervention to improve the long-term outcome of persons with schizophrenia.
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