Zou Yaming, Leung Ricky, Lin Shao, Yang Mingan, Lu Tao, Li Xianyun, Gu Jing, Hao Chun, Dong Guanghui, Hao Yuantao
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Yuexiu District, Guangzhou, 510080, People's Republic of China.
Department of Health Policy and Management, School of Public Health, State University of New York at Albany, Albany, NY, 12144-3445, USA.
BMC Psychiatry. 2016 May 26;16:162. doi: 10.1186/s12888-016-0872-z.
Suicide intervention programs have been guided by findings that attitude towards suicide and suicidal behavior may be causally linked. These findings also make it imperative to identify the factors that influence attitudes towards suicide. However, there has been little research on attitudes towards suicide among the general population, especially in low-income and middle-income countries. This population-based, cross-sectional study investigated the associated factors of attitudes towards suicide among a representative sample of urban and rural adult residents in China.
A multi-stage, stratified random sampling approach was implemented to select participants. Data were collected by a survey using the Scale of Public Attitudes about Suicide (SPAS). The survey also collected some socio-demographic factors and suicidal history of participants. Statistical tests were conducted to identify associated factors that account for variations in attitudes towards suicide.
The residents in China generally hold a neutral attitude towards suicide. Attitudes towards suicide among Chinese residents were associated with age, duration of formal education, marital status, job and suicidal ideation. Different attitudinal subscales seemed not to share the same risk factors. However, gender, ethnicity, religious belief, housing style and economic status might not influence residents' attitudes towards suicide. Attitudes towards suicide among Chinese urban and rural residents generally had no statistical difference with one notable exception: opinions on whether or not suicides and suicide attempts are different phenomena.
Age, duration of formal education, marital status, job and suicidal ideation seem to have an impact on attitudes towards suicide among residents. Urban and rural residents have similar attitudes towards suicide with the only statistically significance difference being their opinions on whether or not suicides and suicide attempts are different phenomena.
自杀干预项目一直以这样的研究结果为指导，即对自杀的态度与自杀行为可能存在因果联系。这些研究结果也使得识别影响对自杀态度的因素变得至关重要。然而，针对普通人群对自杀态度的研究较少，尤其是在低收入和中等收入国家。这项基于人群的横断面研究调查了中国城乡成年居民代表性样本中对自杀态度的相关因素。
采用多阶段分层随机抽样方法选取参与者。通过使用自杀公众态度量表（SPAS）进行调查收集数据。该调查还收集了参与者的一些社会人口学因素和自杀史。进行统计检验以识别导致对自杀态度差异的相关因素。
中国居民总体上对自杀持中立态度。中国居民对自杀的态度与年龄、正规教育年限、婚姻状况、工作和自杀意念有关。不同的态度子量表似乎没有相同的风险因素。然而，性别、种族、宗教信仰、住房类型和经济状况可能不会影响居民对自杀的态度。中国城乡居民对自杀的态度总体上没有统计学差异，但有一个显著例外：对自杀和自杀未遂是否为不同现象的看法。
年龄、正规教育年限、婚姻状况、工作和自杀意念似乎对居民对自杀的态度有影响。城乡居民对自杀的态度相似，唯一具有统计学意义的差异在于他们对自杀和自杀未遂是否为不同现象的看法。
