Shandong University School of Public Health.
J Clin Psychol. 2012 Dec;68(12):1313-21. doi: 10.1002/jclp.21907. Epub 2012 Aug 16.
Suicide is the fifth leading cause of death in China and the leading cause of death among adults aged 15 to 34 years. Thus, it is important to identify psychometrically sound instruments that can be successfully used to assess risk and protective factors for suicide in Chinese populations.
Using the psychological autopsy method, we explored the possibility of applying 4 psychological scales (Dickman Impulsivity Instrument, State-Trait Anxiety Inventory Form Y, Beck Hopelessness Scale, Duke Social Support Index) developed and commonly used in the West to Chinese culture. Sixteen counties from three provinces in China were selected as sampling sites in which 392 suicide cases and 416 community living controls aged 15 to 34 years were obtained.
Significant differences were found between the suicide victims and living controls on all four measures and their respective subscales indicating that the instruments are useful tools in identifying suicidal individuals through proxy data in rural China.
These findings may have important implications for the development and enhancement of more effective suicide prevention strategies in China.
自杀是中国第五大死因，也是 15 至 34 岁成年人的首要死因。因此，识别出具有良好心理测量学特性的工具，以成功评估中国人群自杀的风险和保护因素非常重要。
我们采用心理解剖法，探索了将 4 种在西方开发并广泛使用的心理量表（Dickman 冲动性量表、状态-特质焦虑量表 Y 型、贝克绝望量表、杜克社会支持指数）应用于中国文化的可能性。从中国三个省的 16 个县选取采样点，获得了 392 例自杀病例和 416 名 15 至 34 岁的社区生存对照。
在四项测量及其各自的分量表上，自杀者与生存对照之间存在显著差异，表明这些工具是通过中国农村的代理数据识别自杀个体的有用工具。
这些发现可能对中国制定和加强更有效的自杀预防策略具有重要意义。
