School of Social Development, Central University of Finance and Economics, Beijing, China.
Community Ment Health J. 2012 Oct;48(5):627-33. doi: 10.1007/s10597-011-9447-0. Epub 2011 Oct 15.
To estimate the effect of social factors in the neighborhood environment on suicide risks, we studied 392 suicides and 416 controls, all aged 15-34 years, consecutively and randomly selected from 16 rural counties in three provinces of China. The social factors in the village neighborhood were measured by the WHO scale of Community Stress and Problems. The individual scores as well as the sum scores of the Community Stress Problems were compared between the suicides and the controls, and multilevel logit regressions were performed for the social structural stresses and community behavioral problems and other confounding variables to test the roles of community stress and problems in Chinese rural young suicide risks. It is found that neighborhood stresses and problems increase rural Chinese suicide risks, while certain problems, such as in health care, alcohol abuse, job security, family dispute, and transportation, play more important roles than others to increase rural Chinese suicide risks. Social risk factors such as the community stresses and problems can be another area to work on for the suicide prevention.
为了估计邻里环境中的社会因素对自杀风险的影响，我们研究了连续随机抽取自中国三个省份的 16 个农村县的 392 例自杀者和 416 例对照者，所有参与者年龄在 15-34 岁之间。使用世界卫生组织社区压力和问题量表来衡量农村邻里的社会因素。比较自杀者和对照组的个体得分以及社区压力问题的总分，并对社会结构压力和社区行为问题及其他混杂变量进行多层次逻辑回归，以检验社区压力和问题在中国农村青年自杀风险中的作用。研究发现，邻里压力和问题增加了中国农村青年的自杀风险，而某些问题，如医疗保健、酗酒、工作保障、家庭纠纷和交通等，比其他问题更能增加中国农村青年的自杀风险。社会风险因素，如社区压力和问题，可能是预防自杀的另一个工作领域。
