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Urbanisation and Declining Suicide Rates in China Between 2005 and 2017.

P Harford1, M Agaciak1, J C L Looi2,3

  • 1College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.

East Asian Archives of Psychiatry : Official Journal of the Hong Kong College of Psychiatrists = Dong Ya Jing Shen Ke Xue Zhi : Xianggang Jing Shen Ke Yi Xue Yuan Qi Kan
|September 29, 2023
PubMed
Summary
This summary is machine-generated.

Urbanization is linked to lower suicide rates in China, particularly for females. This trend was observed across 31 regions from 2005-2017, independent of economic growth.

Keywords:
ChinaSuicideUrbanization

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Area of Science:

  • Public Health
  • Sociology
  • Epidemiology

Background:

  • Global suicide rates have declined since the 2000s, with China significantly contributing to this trend.
  • Investigated the association between urbanization and decreasing suicide rates in China.

Purpose of the Study:

  • To examine the relationship between urbanization and suicide rates in China.
  • To determine if urbanization is a factor in the decline of suicide rates across Chinese provinces.

Main Methods:

  • Analysis of suicide rates and economic indicators in 31 Chinese provinces, municipalities, and autonomous regions (2005-2017).
  • Utilized Poisson random intercept models to assess associations between suicide rates, urbanicity, sex, and gross regional product (GRP).

Main Results:

  • Suicide rates consistently decreased across China between 2005 and 2017.
  • Increased urbanicity (1% increase) correlated with a 2.2% decrease in suicide rates (p < 0.001).
  • Urbanization showed a stronger association with reduced suicide rates in females compared to males, independent of GRP.

Conclusions:

  • Urbanization is significantly associated with declining suicide rates in China.
  • The protective effect of urbanization against suicide is more pronounced in females than in males.