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Low-planned suicides in China

Published online by Cambridge University Press:  07 March 2005

KENNETH R. CONNER ,
MICHAEL R. PHILLIPS ,
SEAN MELDRUM ,
KERRY L. KNOX ,
YANPING ZHANG  and
GONGHUAN YANG
KENNETH R. CONNER
Affiliation:
University of Rochester (UR) Medical Center, Rochester, NY, USA UR Department of Psychiatry UR Center for the Study and Prevention of Suicide
MICHAEL R. PHILLIPS
Affiliation:
Beijing Suicide Research and Prevention Center, Beijing Hui Long Guan Hospital, Beijing, China
SEAN MELDRUM
Affiliation:
University of Rochester (UR) Medical Center, Rochester, NY, USA UR Department of Family Medicine
KERRY L. KNOX
Affiliation:
University of Rochester (UR) Medical Center, Rochester, NY, USA UR Center for the Study and Prevention of Suicide UR Department of Community and Preventive Medicine
YANPING ZHANG
Affiliation:
Beijing Suicide Research and Prevention Center, Beijing Hui Long Guan Hospital, Beijing, China
GONGHUAN YANG
Affiliation:
Institute of Basic Medical Sciences, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China
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Abstract

Background. Acts of suicide differ widely in the amount of planning preceding the act. Correlates of completed suicide in China identified in a previous investigation were re-examined to identify those that may be especially relevant to low-planned (impulsive) and high-planned suicidal behavior. The association of planning and method in completed suicide was also assessed.

Method. A psychological autopsy study of 505 suicide decedents aged [ges ]18 years sampled to be representative of suicides in China was conducted. Multinomial regression analyses compared three levels of suicide planning (low, intermediate, high).

Results. Women and younger individuals were more likely to carry out low-planned and intermediate-planned than high-planned acts of suicide. Greater acute stress distinguished low-planned from high-planned suicides. Ingestion of pesticides stored in the home was a more commonly employed method in low-planned than high-planned suicides.

Conclusions. Low-planned suicides are more common in women, in younger individuals, and among those who are experiencing acute stress. Prevention strategies targeted at restricting access to pesticides may preferentially lower the rate of low-planned suicides.

Type
Original Articles
Information
Psychological Medicine , Volume 35 , Issue 8 , August 2005 , pp. 1197 - 1204
Copyright
© 2005 Cambridge University Press

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