Culture, Risk Factors and Suicide Attempt in Rural China

中国农村的文化、危险因素和自杀未遂

基本信息

批准号：
8368072
负责人：
JIE ZHANG
金额：
$ 32.57万
依托单位：
BUFFALO STATE COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-03-01 至 2014-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8368072
关键词：
Accounting Advocate Age Asians Autopsy Belief Cause of Death Characteristics China Chinese People Communities Conflict (Psychology)County Coupled Demography Environment Ethnic group Evaluation Event Female Foundations Frustration Funding Gender Gender Role Geographic Locations Goals Grant Individual Interview Learning Life Mental Health Mental disorders Modeling National Institute of Mental Health Neurocognitive Pattern Plant Roots Play Population Prevention Prevention Research Process Province Public Health Race Research Research Infrastructure Risk Risk Factors Role Rural Sampling Sex Bias Social Values Societies Structure Study Subject Suicide Suicide attempt Suicide prevention System Testing Time United States Woman Women Status aged case control cultural values design experience high risk instrument interest male man men novel strategies population based psychologic public health relevance reducing suicide social social norm suicidal suicidal morbidity suicidal risk suicide attempter suicide model suicide rate theories young man young woman

项目摘要

DESCRIPTION (provided by applicant): Suicide by Chinese rural young women is an urgent focus in suicide research, because of the high suicide rates and the large population in China. Society and culture play an enormous role in dictating how people respond to and view mental health and suicide, and studies are needed to systematically examine the role of cultural factors (e.g. the value systems) in determining risk for suicide. Psychological autopsy (PA) studies with suicides are usually limited by their indirect evaluation and understanding of the suicides' neurocognitive functions, psychiatric disorders, suicidal intent, and conflicting social values, etc. However, studying serious suicide attempters can provide direct and comparatively more reliable information on why the victims are at high risk of suicide. This project is designed to study a cultural model of suicide using serious attempters in China. Confucian values, which are considered to be the cultural foundation in Asian societies including China, are supposed to explain the high suicide risks for young women and the comparatively low risks for young men. The deep-rooted Confucian sexism coupled with the communist egalitarianism advocated in China creates frustration or strain in the daily life of some rural young women. The strain resulting from the traditional reality and modern aspiration, interacting with other risk factors, is hypothesized to increase suicide risks for Chinese rural young women. In a case-control design, 800 serious suicide attempters (400 males and 400 females) and 800 community controls (400 males and 400 females) all aged 15-34 years will be randomly sampled from 16 rural counties selected in Liaoning, Hunan, and Shandong provinces of China. The study has the following four major aims: 1. To evaluate the direct effect of risk factors from four domains (personal factors, social structure, negative life events, and psychological/psychiatric factor) on young suicide attempters in rural China. 2. To test the Strain Theory of Suicide among suicide attempters (SAs) and community controls (CCs), by examining the impact of cultural factors related to Confucian values and communist ideology on attempted suicide in rural China and the role of gender in the relationship. 3. To test the moderating or intervening effects of the risk factors on the relationship between strain and attempted suicide in rural China. 4. To examine the relationship between strain and suicide intent among the suicide attempters Findings regarding the independent role of culturally defined beliefs and values in determining suicide risk will be generalizable to other Chinese and Asian populations in the United States and elsewhere in the world.

描述（申请人提供）：由于中国自杀率高且人口众多，中国农村年轻女性的自杀问题是自杀研究的迫切关注点。社会和文化在决定人们如何应对和看待心理健康和自杀方面发挥着巨大作用，需要进行研究来系统地检验文化因素（例如价值体系）在确定自杀风险中的作用。对自杀者的心理尸检（PA）研究通常受到对自杀者神经认知功能、精神障碍、自杀意图和冲突的社会价值观等的间接评估和了解的限制。然而，研究严重的自杀未遂者可以提供直接且相对更可靠的信息。有关为何受害者自杀风险较高的信息。该项目旨在研究中国严重企图自杀的文化模式。儒家价值观被认为是包括中国在内的亚洲社会的文化基础，这可以解释年轻女性自杀风险较高而年轻男性自杀风险相对较低的原因。根深蒂固的儒家性别歧视加上中国倡导的共产主义平均主义给一些农村年轻女性的日常生活带来了挫折或压力。据推测，传统现实和现代愿望造成的压力与其他风险因素相互作用，会增加中国农村年轻女性的自杀风险。在病例对照设计中，从辽宁省、湖南省和湖南省16个农村县随机抽取800名年龄在15-34岁的严重自杀未遂者（400名男性和400名女性）和800名社区对照者（400名男性和400名女性）。中国山东省。本研究有以下四个主要目的： 1. 评估四个领域（个人因素、社会结构、负面生活事件和心理/精神因素）危险因素对中国农村年轻自杀企图者的直接影响。 2. 通过考察与儒家价值观和共产主义意识形态相关的文化因素对中国农村自杀未遂的影响以及性别在这种关系中的作用，检验自杀未遂者（SA）和社区控制（CC）的自杀应变理论。 3. 检验中国农村地区危险因素对压力与自杀未遂之间关系的调节或干预作用。 4. 研究自杀未遂者的压力与自杀意图之间的关系关于文化定义的信仰和价值观在决定自杀风险中的独立作用的研究结果将推广到美国和世界其他地方的其他华人和亚洲人群。