Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (2): 8-13.doi: 10.6040/j.issn.1671-7554.0.2021.0136

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Influencing factors and preventive measures of elderly suicide from the perspective of Healthy China Initiative

SU Yonggang1, WANG Rui2, YANG Tongwei1   

  1. 1. Department of Medical Psychology and Ethics, School of Basic Medical Sciences;
    2. School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China
  • Published:2022-01-25

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Abstract: Implementing the Healthy China Initiative and healthy aging is necessary to deal with population aging. With the rapid increase of aging population, the problem of suicide among the elderly is becoming more serious. The suicide rate of elderly is higher than that of other age groups, and increases with age. The rate of suicide is higher in rural areas than in urban areas, and higher in male than in female. Moreover, the suicidal intention for older adults is strong and suicidal method is lethal. The influencing factors of elderly suicide include physical, psychological and social factors. As suicide is the result of interaction between individual and social factors, prevention and intervention can be carried out from three levels: individual, community, and society.

Key words: Elder population, Suicide, Influencing factors, Prevention, Health China

CLC Number: 

  • R395
[1] 新华社. 中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2021-01-07].http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
[2] 沈燕, 刘厚莲. 中国积极应对人口老龄化: 来自日本科技创新的启示[J]. 中国人力资源开发, 2019, 37(3): 93-101. SHEN Yan, LIU Houlian. Actively coping with population aging in China: insights into technological innovations in Japan [J]. Human Resources Development of China, 2019, 37(3): 93-101.
[3] Wang CW, Chan CLW, Yip PSF. Suicide rates in China from 2002 to 2011: an update [J]. Soc Psychiatry Psychiatr Epidemiol, 2014, 49(6): 929-941.
[4] 国家卫生和计划生育委员会统计信息中心, 中国疾病预防控制中心慢性病非传染性疾病预防控制中心. 中国死因监测数据集2016[M]. 北京: 中国科学技术出版社, 2017: 150-185.
[5] 高欣, 王临虹, 金叶, 等. 1990年与2013年中国人群自杀疾病负担分析[J]. 中华流行病学杂志, 2017, 38(10): 1325-1329. GAO Xin, WANG Linhong, JIN Ye, et al. Disease burden caused by suicide in the Chinese population, in 1990 and 2013 [J]. Chinese Journal of Epidemiology, 2017, 38(10): 1325-1329.
[6] 吕军城, 王莹莹, 卓来宝, 等. 急诊及住院自杀未遂者危险因素的病例对照研究[J]. 中国心理卫生杂志, 2019, 33(2): 81-86. LYU Juncheng, WANG Yingying, ZHUO Laibao, et al. A case-control study of risk factors based on emergency and hospital suicide attempters [J]. Chinese Mental Health Journal, 2019, 33(2): 81-86.
[7] 辛素飞, 时蒙, 张夫伟. 中国大学生自杀态度变迁的横断历史研究[J]. 中国临床心理学杂志, 2019, 27(2): 401-405. XIN Sufei, SHI Meng, ZHANG Fuwei. A cross-temporal meta-analysis of changes in Chinese college students suicide attitude [J]. Chinese Journal of Clinical Psychology, 2019, 27(2): 401-405.
[8] Zhang J. Suicide reduction in China [J]. Am J Public Health, 2019, 109(11): 1533-1534.
[9] Koo YW, Kõlves K, De Leo D. Suicide in older adults: a comparison with middle-aged adults using the Queensland Suicide Register [J]. Int Psychogeriatr, 2017, 29(3): 419-430.
[10] Zhong BL, Chiu HF, Conwell Y. Rates and characteristics of elderly suicide in China, 2013-14 [J]. J Affect Disord, 2016, 206: 273-279. doi: 10.1016/j.jad.2016.09.003.
[11] Koo YW, Kõlves K, De Leo D. Suicide in older adults: differences between the young-old, middle-old, and oldest old [J]. Int Psychogeriatr, 2017, 29(8): 1297-1306.
[12] Shah A. Association of suicide rates for elderly age bands with gender equality [J]. Psychol Rep, 2008, 102(3): 887-892.
[13] Zhang J, Sun L, Liu Y, et al. The change in suicide rates between 2002 and 201l in China [J]. Suicide Life Threat Behav, 2014, 44(5): 560-568.
[14] 孙士华. 农村老年人自杀死亡及其影响因素研究[D]. 济南: 山东大学, 2016.
[15] Niu L, Ma ZY, Jia CX, et al. Gender-specific risk for late-life suicide in rural China: a case-control psychological autopsy study[J]. Age Ageing, 2020, 49(4): 683-687.
[16] Zhang M, Fang X, Zhou L, et al. Pesticide poisoning in Zhejiang, China: a retrospective analysis of adult cases registration by occupational disease surveillance and reporting systems from 2006 to 2010 [J]. BMJ Open, 2013, 3(11): e003510. doi: 10.1136/bmjopen-2013-003510.
[17] He ZX. A suicide belt in China: The Yangtze Basin [J]. Arch Suicide Res, 1998, 4(3): 287-289.
[18] 王胜男, 张光成, 刘晓芹, 等. 老年人自杀死亡事件特征[J].中国老年学杂志, 2018, 38(14): 202-204. WANG Shengnan, ZHANG Guangcheng, LIU Xiaoqin. The characteristics of death by suicide in older adults [J]. Chinese Journal of Gerontology, 2018, 38(14): 202-204.
[19] 李振华, 肖水源, 肖亚洲.湖南某县农村老年人的自杀行为[J]. 中国心理卫生杂志, 2011, 25(12): 949-954. LI Zhenhua, XIAO Shuiyuan, XIAO Yazhou. Suicidal behavior among elderly in a rural community of Hunan Province [J]. Chinese Mental Health Journal, 2011, 25(12): 949-954.
[20] Sun SH, Jia CX. Completed suicide with violent and non-violent methods in rural Shandong, China: a psychological autopsy study [J]. PLoS One, 2014, 9(8): e104333. doi: 10.1371/journal.pone.0104333.
[21] Kaya A, Tasar PT, Meral O, et al. The characteristics of older people suicides by sex and age subgroups [J]. Leg Med(Tokyo), 2020, 46: 101721. doi: 10.1016/j.legalmed.2020.101721.
[22] 吕琳, 肖水源, 徐慧兰, 等. 长沙市农村自杀死亡老年人群自杀行为特征研究[J]. 中华行为医学与脑科学杂志, 2003, 12(4): 422-424. LYU Lin, XIAO Shuiyuan, XU Huilan, et al. Behavior characteristics study on completed suicide among elderly in rural sample of Changsha, Hunan, China [J]. Chinese Journal of Behavioral Medical Science, 2003, 12(4): 422-424.
[23] World Health Organization. Preventing suicide: a global imperative[R]. Geneva: WHO, 2014.
[24] Conwell Y, Thompson C. Suicidal behavior in elders [J]. Psychiatric Clin North Am, 2008, 31(2): 333-356.
[25] Conwell Y, Duberstein PR, Cox C, et al. Age differences in behaviors leading to completed suicide [J]. Am J Geriatr Psychiatry, 1998, 6(2): 122-126.
[26] Wright PP, Thorpe CW. Triple threat among the elderly: depression, suicide risk, and handguns [J]. J Emerg Nurs, 2016, 42(1):14-18.
[27] Zhou L, Wang GJ, Jia CX, et al. Being left-behind, mental disorder, and elderly suicide in rural China: a case-control psychological autopsy study [J]. Psychol Med, 2019, 49(3): 458-464.
[28] De Bruin WB, Dombrovski AY, Parker AM, et al. Late-life depression, suicidal ideation, and attempted suicide: the role of individual differences in maximizing, regret, and negative decision outcomes [J]. J Behav Decis Mak, 2016, 29(4): 363-371.
[29] 黎芝. UCLA孤独感量表中文简化版(ULS-8)的考评及应用研究[D]. 长沙: 中南大学, 2012.
[30] Ardelt M, Jeste DV. Wisdom and hard times: the ameliorating effect of wisdom on the negative association between adverse life events and well-being [J]. J Gerontol B Psychol Sci Soc Sci, 2018, 73(8): 1374-1383.
[31] 张欣旭, 刘加海, 郭晶, 等. 有、无精神障碍的农村老年自杀者的特征比较[J]. 中国临床心理学杂志, 2019, 27(5): 905-908. ZHANG Xinxu, LIU Jiahai, GUO Jing, et al. Comparison of the characteristics of rural elderly suicides with and without mental disorders [J]. Chinese Journal of Clinical Psychology, 2019, 27(5): 905-908.
[32] Tan JF, Lo PC, Ge N, et al. Self-esteem mediates the relationship between mindfulness and social anxiety among Chinese undergraduate students [J]. Social Behavior and Personality: An International Journal, 2016, 44(8): 1297-1304.
[33] Parra-Uribe I, Blasco-Fontecilla H, Garcia-Parés G, et al. Risk of re-attempts and suicide death after a suicide attempt: a survival analysis [J]. BMC Psychiatry, 2017, 17(1): 163.
[34] Kim SH. Suicidal ideation and suicide attempts in older adults: Influences of chronic illness, functional limitations, and pain [J]. Geriatr Nurs, 2016, 37(1): 9-12.
[35] Fassberg MM, Cheung G, Canetto SS, et al. A systematic review of physical illness, functional disability, and suicidal behaviour among older adults [J]. Aging Ment Health, 2016, 20(2): 166-194.
[36] 关震, 关冰, 何宝婷, 等. 空巢老年急性期缺血性脑卒中患者自杀意念及自杀行为调查[J]. 国际老年医学杂志, 2020, 41(6): 354-356,377. GUAN Zhen, GUAN Bing, HE Baoting, et al. Suicidal ideation and suicidal behavior in empty nesters with acute ischemic stroke [J]. International Journal of Geriatrics, 2020, 41(6): 354-356,377.
[37] 朱静. 山东省农村老年人自杀意念及其影响因素研究[D]. 济南: 山东大学, 2019.
[38] Jia CX, Wang LL, Xu AQ, et al. Physical illness and suicide risk in rural residents of contemporary China:a psychological autopsy case-control study [J]. Crisis, 2014, 35(5): 330-337.
[39] Rapo-Pylkko S, Haanpaa M, Liira H. Chronic pain among community-dwelling elderly: a population-based clinical study [J]. Scand J Prim Health Care, 2016, 34(2): 159-164.
[40] Juurlink DN, Herrmann N, Szalai JP, et al. Medical illness and the risk of suicide in the elderly [J]. Arch Intern Med, 2004, 164(11): 1179-1184.
[41] 穆光宗. 成功老龄化之关键: 以“老年获得”平衡“老年丧失”[J]. 西南民族大学学报(人文社科版), 2016, 37(11): 13-19. MU Guangzong. The key to successful aging: balancing “old age gain” and “old age loss” [J]. Journal of Southwest University for Nationalities(Humanities and Social Sciences Edition), 2016, 37(11): 13-19.
[42] Rakhi D, Anil KG, Dhaliwal RS, et al. Gender differentials and state variations in suicide deaths in India: the Global Burden of Disease Study 1990-2016 [J]. Lancet Public health, 2018, 3(10): e478-e489. doi: 10.1016/S2468-2667(18)30138-5.
[43] Johnson J, Wood AM, Gooding P, et al. Resilience to suicidality: The buffering hypothesis [J]. Clin Psychol Rev, 2011, 31(4): 563-591.
[44] 吴晶. 欧洲老年人自杀现状、自杀方法及相关自杀预防工作简介[J]. 伤害医学(电子版), 2015, 4(4): 26-30. WU Jing. European older adults suicide patterns, methods and prevention programs[J]. Injury Medicine(Electronic Edition), 2015, 4(4): 26-30.
[45] Simon GE, Rutter CM, Peterson D, et al. Does response on the PHQ-9 depression questionnaire predict subsequent suicide attempt or suicide death [J]. Psychiatr Serv, 2013, 64(12): 1195-1202.
[46] Stone DM, Crosby AE. Suicide prevention: state of the art review [J]. Am J Life Style Med, 2014, 8(6): 404-420.
[47] 贾存显, 刘宝鹏. 老年人群自杀行为特征、危险因素及预防对策[J]. 伤害医学(电子版), 2015, 4(4): 50-55. JIA Cunxian, LIU Baopeng. Suicide behavioral features, risk factors and preventive strategy in the elder[J]. Injury Medicine(Electronic Edition), 2015, 4(4): 50-55.
[48] Linnemann C, Leyhe T. Suicide in the elderly-risk factors and prevention [J]. Ther Umsch, 2015, 72(10): 633-636.
[49] Maria C, O Rourke, Scott C, et al. Suicide screening and prevention [M]. Treasure Island(FL): StatPearls Publishing, 2018: 81-85.
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