ArticleThe Lancet regional health. Western Pacific2022
Socio-economic determinants of suicide rates in transforming China: A spatial-temporal analysis from 1990 to 2015.
Article in The Lancet regional health. Western Pacific, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Risk and protective factors for suicidal ideation and suicide attempts among Chinese university students: a systematic review and meta-analysis of longitudinal studies.BMC public health · 2026Pooled it
- Spatial, geographic, and demographic factors associated with adolescent and youth suicide: a systematic review study.Frontiers in psychiatry · 2024Pooled it
- The application of spatial analysis to understanding the association between area-level socio-economic factors and suicide: a systematic review.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- Indian rural women's suicide beliefs and experiences: female suicidality as escape from and protest against a life usurped of agency.BMC women's health · 2026Article
- Spatiotemporal Trends in Mortality Burden from Suicide Associated with Short-Term Exposures to PMEnvironment & health (Washington, D.C.) · 2026Article
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- Determinants of male fertility in the Western Pacific Region: environmental, biological, and lifestyle influences.The Lancet regional health. Western Pacific · 2025Review
- Global burden of 292 causes of death in 204 countries and territories and 660 subnational locations, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023.Lancet (London, England) · 2025Article
- Article
- The Digestive Tract Injuries Caused by Acute Pesticide Poisoning From 2014 to 2024: A Mini Literature Review.Emergency medicine international · 2025Review
- The disability-adjusted life years attributable to mental disorders and self-harm in China from 1990-2021: Findings from the global burden of disease study 2021.PLOS mental 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
- Association of social determinants, lifestyle, and metabolic factors with mortality in Chinese adults: A nationwide 10-year prospective cohort study.Cell reports. Medicine · 2024Article
- Updated information concerning trends in suicide rates in elderly in China, 2002-2020.Global health & medicine · 2024Article
- Risk factors and their association network for young adults' suicidality: a cross-sectional study.BMC public health · 2024Article
- The long-term changing patterns of suicide mortality in China from 1987 to 2020: continuing urban-rural disparity.BMC public health · 2024Article
- Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study.JMIR public health and surveillance · 2023Observational
- National Brain Tumour Registry of China (NBTRC) statistical report of primary brain tumours diagnosed in China in years 2019-2020.The Lancet regional health. Western Pacific · 2023Article
- Trends of suicide rates by gender and residence in China from 2002 to 2019.SSM - population health · 2023Article
- Impact of pesticide regulations on mortality from suicide by pesticide in China: an interrupted time series analysis.Frontiers in psychiatry · 2023Article
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Abstract
backgroundChina has experienced dramatic social changes in the last three decades. This study aimed to investigate socio-economic factors related to suicide rates in China from 1990 to 2015, and examine how the impacts of these factors on suicide rates changed over time.
methodsSuicide rates in 31 provinces in mainland China between 1990 and 2015 were obtained from the Global Burden of Disease (GBD) Study 2019. Temporal-spatial modelling was applied to assess the effects of GDP per capita, urbanization, migration, employment, divorce, proportions of children and older adults on provincial overall, male and female suicide rates.
findingsThe overall suicide rate in China declined from 18·1 /100,000 in 1990 to 8·6 /100,000 in 2015, with considerable spatial variation in the magnitude of decline across provinces. The protective effects of increasing in GDP per capita, and urbanization, on provincial suicide rate were strong in 1990 (log GDP: -3·56 [95% CI: -6·15, -0·96], urbanisation: -0·07 [-0·14, -0·01]), however these effects were negligible by 2015. The association between employment and suicide rates has shifted from positive to negative over the study period, while migration remained a constant risk factor for high suicide rates (0·04 [0.00, 0·09]).
interpretationThis study highlighted the dynamic effects of economic and social factors on suicide rates in the context of transforming China. To maintain further reductions in suicide rates cannot rely simply on improving people's materialistic and economic conditions. A more holistic approach to improve overall population well-being is needed.
fundingHumanities and Social Sciences Prestigious Fellowship (37000320) and the General Research Fund (17611619) at the University of Hong Kong.
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