The pattern of stressful life events prior to suicide among the older adults in rural China: a national case-control psychological autopsy study

作者：Qiqing Mo, Zhenyu Ma, Guojun Wang, Cun-Xian Jia, Lu Niu, Liang Zhou · 发表于：BMC Geriatrics · 年份：2020 · DOI：10.1186/s12877-020-01874-4 · 被引用次数：18 · 研究领域：Suicide and Self-Harm Studies、Mental Health Treatment and Access、Grief, Bereavement, and Mental Health

BACKGROUND: There is a lack of evidence concerning the stressful life events experienced prior to suicide which may be associated with an increased suicide risk among Chinese rural older adults. The aim of this study was to identify the pattern of stressful life events prior to suicide among the older adults in China. METHODS: Twelve counties were randomly selected using two-stage stratified cluster sampling method. Suicide cases aged 60 years and older (n = 242) were collected from those counties from June 2014 to September 2015. Matched living controls were selected 1:1 with suicide cases by age, gender, and location. Data were collected using face-to-face interviews by a psychological autopsy method. The Life Event Scale for the Elderly was used to measure the stressful life events prior to suicide/interviews. RESULTS: Approximately 99.6% of suicide cases and 88.4% of controls experienced at least one stressful life event. The suicide group experienced more long-term stressful life events than recent stressful life events. The top three most frequent stressful life events for the suicide group were being diagnosed with chronic disease, hospitalization, and being diagnosed with terminal illness. More female suicide cases experienced the death of a spouse, while more males experienced hospitalization, diagnosis with terminal illness and family poverty. Experiencing at least one stressful life event, an unstable marital status, physical diseases and mental disorders were show...