Zhou Qin, Li Ning, Li Chang An, Zhang Jie
School of Public Administration and Policy, Renmin University of China, Haidian District, Beijing, China.
Institute of Population Research, Peking University, Beijing, China.
J Nerv Ment Dis. 2024 Dec 1;212(12):595-602. doi: 10.1097/NMD.0000000000001814. Epub 2024 Nov 8.
This study investigates the role of family and social relationships in cases of attempted suicide in China. Studies, mostly analyzing data from developed countries, have indicated that interpersonal relationships are important predictors of suicidal behaviors. This study's data were derived from a case-control study in China. Family relationships included relationships with spouses, parents, and parents-in-law. Poor family and social relationships were significantly associated with increased risk of attempted suicide in women and men. Depression and social support significantly mediated the association between interpersonal relationship and attempted suicide. Poor relationship with spouse was significantly associated with an elevated risk of attempted suicide. Relationship with parents-in-law was also significantly associated with attempted suicide in women, whereas family relationships played a more important role than social relationships in suicidal behaviors, especially in men. The findings imply that suicide prevention in China could be conducted from the perspective of improving family relationships, especially husband/wife and parents/daughters-in-law relationships.
本研究调查了家庭和社会关系在中国自杀未遂案例中的作用。大多数分析发达国家数据的研究表明,人际关系是自杀行为的重要预测因素。本研究的数据来自中国的一项病例对照研究。家庭关系包括与配偶、父母和公婆的关系。不良的家庭和社会关系与男性和女性自杀未遂风险增加显著相关。抑郁和社会支持显著介导了人际关系与自杀未遂之间的关联。与配偶关系不佳与自杀未遂风险升高显著相关。与公婆的关系也与女性自杀未遂显著相关,而在自杀行为中,家庭关系比社会关系发挥着更重要的作用,尤其是在男性中。研究结果表明,中国的自杀预防可以从改善家庭关系的角度进行,特别是夫妻关系和父母与儿媳的关系。