Ma Hongfei, Zhao Shuang, Long Meijun, Diao Yucong, Liu Minghui, Feng Ziyi, Wu Hui, Wang Yang
Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China.
Clin Psychol Psychother. 2023 Jan;30(1):54-63. doi: 10.1002/cpp.2768. Epub 2022 Jul 5.
There are many one-child families in China due to the one-child policy. Parents who have lost their only child and are unable to conceive another child or unwilling to adopt a child are called Shidu parents in China. The death of an only child puts Shidu parents at the risk of mental illness and even suicide. Few studies have explored the influence of cultural beliefs and prolonged grief disorder on suicide ideation.
This study involved rural Shidu parents from Sujiatun district of Shenyang, China. Questionnaires consisted of the Prolonged Grief questionnaire - 13 (PG-13), the Culture-related Grief Beliefs of Shidu Parents Questionnaire (CBSQ), one question from the baseline National Comorbidity Survey (NCS) to measure suicide ideation and demographic and bereavement-related information. Bivariate logistic regression analyses were conducted to explore associated factors of suicide ideation.
Sixty-nine (28.8%) of the 240 Shidu parents reported having suicide ideation. Having chronic disease (OR = 5.509, p < 0.01), having religious belief (OR = 3.923, p < 0.05) and having a grandchild (OR = 2.552, p < 0.05) were associated with an increased risk of suicide ideation. Destiny belief (a subscale of CBSQ) was negatively associated with suicide ideation (OR = 0.818, p < 0.05). Prolonged grief disorder (OR = 9.280, p < 0.01) and perceived stigma (a subscale of CBSQ) (OR = 1.200, p < 0.05) was positively associated with suicide ideation after adjusting for controlling variables.
Suicide ideation is prevalent in rural Shidu parents. Reducing perceived stigma and alleviating prolonged grief disorder may decrease the risk of suicide among rural Shidu parents.
由于独生子女政策，中国有许多独生子女家庭。在中国，失去独子且无法再生育或不愿收养孩子的父母被称为失独父母。独子的死亡使失独父母面临患精神疾病甚至自杀的风险。很少有研究探讨文化信仰和持续性悲伤障碍对自杀意念的影响。
本研究涉及中国沈阳苏家屯区的农村失独父母。问卷包括持续性悲伤问卷-13（PG-13）、失独父母与文化相关的悲伤信念问卷（CBSQ）、来自全国共病调查基线（NCS）的一个用于测量自杀意念的问题以及人口统计学和丧亲相关信息。进行二元逻辑回归分析以探讨自杀意念的相关因素。
240名失独父母中有69名（28.8%）报告有自杀意念。患有慢性病（OR = 5.509，p < 0.01）、有宗教信仰（OR = 3.923，p < 0.05）和有孙辈（OR = 2.552，p < 0.05）与自杀意念风险增加相关。命运信念（CBSQ的一个子量表）与自杀意念呈负相关（OR = 0.818，p < 0.05）。在调整控制变量后，持续性悲伤障碍（OR = 9.280，p < 0.01）和感知耻辱感（CBSQ的一个子量表）（OR = 1.200，p < 0.05）与自杀意念呈正相关。
自杀意念在农村失独父母中很普遍。降低感知耻辱感和减轻持续性悲伤障碍可能会降低农村失独父母的自杀风险。
