Culture, Risk Factors and Completed Suicide: A PA Study

文化、危险因素和自杀完成：一项 PA 研究

基本信息

批准号：
7195765
负责人：
JIE ZHANG
金额：
$ 24.85万
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 2009-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7195765
关键词：
Accounting Acute Advocate Affect Age Age-Years American Anxiety Area Asians Automobile Driving Autopsy Cause of Death Cessation of life Characteristics Child China Chinese People Chronic Condition Conflict (Psychology)Country County Coupled Daily Databases Demography Depth Developed Countries Disease Disruption Domestic Violence Education Environment Ethnic group Event Failure Family history of Feeling hopeless Female Foundations Frustration Funding Future Gender Gender Role Geographic Locations Goals Grant Health High Risk Woman Impulsivity Individual Interview Laws Learning Life Major Depressive Disorder Marriage Mediating Medical Mental Health Mental disorders Methods Modeling National Institute of Mental Health Numbers Pattern Persons Pesticides Pilot Projects Plant Roots Play Population Prevention Process Province Public Health Range Rate Recording of previous events Religion Research Research Personnel Rest Risk Risk Factors Role Rural Sampling Sex Bias Social Characteristics Social Values Social support Societies Structure Substance Use Disorder Suicide Suicide attempt Suicide prevention Symptoms System Testing Time Today Uncertainty United States Woman Women Status Work World Health Organization Youth accomplished suicide age group aged alcohol use disorder case control community living cost effective cultural values design expectation experience instrument interpersonal conflict male man men programs psychologic racial and ethnic social stressor suicidal morbidity suicidal risk suicide model suicide rate theories urban area young adult

项目摘要

DESCRIPTION (provided by applicant): Suicide by rural Chinese, especially Chinese rural young women, is an urgent focus in suicide research, because of the high suicide rates and the large population in China. Previous research on suicide has focused on individual and epidemiologically defined risk factors, but a fundamental understanding of the suicide process remains elusive. Society and culture play an enormous role in dictating how people respond to and view mental health and suicide. Yet no studies to date have systematically examined the role of cultural factors (e.g. the value systems) that may play in determining risk for suicide. This proposed project is designed to study a cultural model of suicide in China. Confucian values, which are considered to be the cultural foundation of most Asian societies including China, are supposed to explain the high suicide risks for young women and the comparatively lower 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. We will use the psychological autopsy (PA) method, previously validated in China with our NIMH R03 grant, in a case-control design to investigate the cultural and other factors of rural young suicides. The subjects will be 200 rural women and 200 rural men aged 15- 34 who have died of suicide, randomly sampled from rural counties selected in Liaoning and Hunan provinces of China. The community living controls are a representative sample of men and women aged 15-34 years from the same counties as the cases. The study has the following three major aims: 1. To examine the impact of cultural factors related to Confucian values and communist ideology on completed suicide in rural China and the role of gender in the relationship. 2. To evaluate the direct effect of risk factors from four domains (personal factors, social structure, negative life events, and psychological/psychiatric factors) on suicide in rural China. 3. To test the moderating or intervening effects of the risk factors on the relationship between strain and completed suicide in rural China. Findings may be generalizable to other Chinese and Asian populations in the United States and elsewhere in the world. The specific theory to be tested in the project (i.e., suicide as a result of psychological strain due to competing values) can be generalized to most other populations in the world.

描述（由申请人提供）：由于中国的自杀率很高和人口众多，中国农村自杀，尤其是中国农村年轻妇女的自杀是自杀研究的紧急重点。先前关于自杀的研究集中在个人和流行病学上定义的风险因素上，但对自杀过程的基本了解仍然难以捉摸。社会和文化在决定人们如何应对和观察心理健康和自杀方面发挥了巨大作用。然而，迄今为止，还没有研究系统地研究了可能在确定自杀风险方面起作用的文化因素（例如价值体系）的作用。该提议的项目旨在研究中国自杀的文化模型。儒家价值观被认为是包括中国在内的大多数亚洲社会的文化基础，应该解释年轻妇女的高自杀风险，以及年轻男性的风险相对较低。根深蒂固的儒家性别歧视以及中国主张的共产主义平民主义在一些农村年轻妇女的日常生活中造成了沮丧或压力。假设是由传统现实和现代愿望与其他风险因素相互作用的压力，以增加中国农村年轻妇女的自杀风险。我们将使用NIMH R03赠款在中国验证的心理尸检方法（PA）方法，以调查农村年轻自杀的文化和其他因素。这些受试者将是200名农村妇女和200名15至34岁的农村男性，她们死于自杀，并从中国的狮子和匈奴省选择的农村县随机取样。社区生活控制措施是与案件相同县的15-34岁男性和女性的代表性样本。该研究具有以下三个主要目标： 1。研究与儒家价值观和共产主义意识形态有关的文化因素对中国农村自杀的完整自杀的影响以及性别在关系中的作用。 2。评估来自四个领域（个人因素，社会结构，负面生活事件和心理/精神病因素）对中国农村自杀的直接影响。 3。测试危险因素对中国农村菌株与自杀关系之间关系的调节或中间影响。发现可能可以推广到美国和世界其他地方的其他中国和亚洲人口。在项目中要测试的特定理论（即由于竞争价值而引起的心理压力，自杀）可以推广到世界上大多数其他人群。