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35 - Women and Suicidal Behavior

Paradigm-Shift Lessons from China

from Section 6 - Health and Well-Being

Published online by Cambridge University Press:  20 July 2020

Fanny M. Cheung
Affiliation:
The Chinese University of Hong Kong
Diane F. Halpern
Affiliation:
Claremont McKenna College, California
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Summary

An often-cited finding in US-driven suicidology is that women have higher rates of suicidal behavior, and lower suicide rates than men. This pattern, however, is not representative of the global suicidality picture. In Asian countries, female and male suicide rates are similar. To stimulate new thinking about female suicidality, we put China at the center of our analysis, and the United States at the periphery, and then discussed the insights generated by this reversal. Insights include that the US-centered canon is caught in the mental illness paradigm; and that it generalizes to women assumptions and evidence that mainly apply to men. For example, China’s data challenge dominant assumptions that marriage offers suicide protection. For many Chinese rural women, suicide is an act of despair and protest against suffocating marriages and communities – not a plea for closer ties (nor an expression of mental illness). China’s evidence, including that women’s suicide-mortality has significantly dropped since urbanization, supports a paradigm-shift in suicidology.

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Publisher: Cambridge University Press
Print publication year: 2020

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Silvia Sara Canetto is Professor of Psychology at Colorado State University, Fort Collins, USA. She was born, raised, and educated in Italy where all her family still reside, and spent four years in Israel, where she received her MA in General Psychology from the Hebrew University of Jerusalem. She got her Doctor of Physiological Psychology from University of Padova, Italy, before completing her doctoral degree in Clinical Psychology and Gerontology from Northwestern University, USA. She is now an American as well as an Italian citizen. The United States is the exotic site of her critical studies of dominant “White” culture, and one of her homes. She speaks with an accent every language she knows: English, French, Spanish, Hebrew, and her native Italian, which makes her a stranger and a bit at home in a lot of places. Her research focuses on cultural scripts of gender and suicidal behavior, and on cultural scripts of gender, science, and engineering. She also investigates and writes about women’s human rights. She is a Fellow of the American Psychological Association (APA), the Association for Psychological Science, and the Gerontological Society of America; and the recipient of APA’s Denmark-Reuder award for outstanding international contributions to the psychology of women and gender.

Jiashun Chen is a graduate student in the School of Psychology at South China Normal University, Guangzhou. He was born in Guangxi Zhuang Autonomous Region, although he belongs to the majority Han ethnic group. He speaks three Chinese dialects fluently and has been learning English for twelve years. Having grown up in China, he brings insider perspectives to the Chinese experiences addressed in this chapter. Chen was a short-term scholar at Colorado State University, Fort Collins, USA, with mentorship by Professor Silvia Sara Canetto. During his time at CSU, he took her graduate class on women, men, and gender, and collaborated with her research team on a study of scripts of gender and suicide in China. These experiences expanded his view of gender, sexualities, culture, class, and beyond, scientifically and personally. His volunteer experience at LGBTQ+ NGOs in Guangzhou contributed to his understanding and commitment to preventing prejudice and marginalization.

Canetto, S. S. (2008). Women and suicidal behavior: A cultural analysis. American Journal of Orthopsychiatry, 78, 259266. doi:doi:10.1037/a0013973Google Scholar
Canetto, S. S. (2015). Suicidal behavior among Muslim women: Patterns, pathways, meanings, and prevention. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 6, 447458. doi:10.1027/0227-5910/a000347CrossRefGoogle Scholar
Canetto, S. S., & Sakinofsky, I. (1998). The gender paradox in suicide. Suicide and Life-Threatening Behavior, 28, 123. doi:10.1111/j.1943-278X.1998.tb00622.xGoogle Scholar
Chang, Q., Yip, P. S. F., & Chen, Y.-Y. (2019). Gender inequality and suicide gender ratios in the world. Journal of Affective Disorders, 243, 297304. doi:10.1016/j.jad.2018.09.032Google Scholar
Hjelmeland, H., & Knizek, B. (2017). Suicide and mental disorders: A discourse of politics, power, and vested interests. Death Studies (Special Issue), 41, 481492. doi:10.1080/07481187.2017.1332905Google Scholar
Lee, H. J. (2014). Fearless love, death for dignity: Female suicide and gendered subjectivity in rural North China. China Journal, 71, 2542. doi:10.1086/674552Google Scholar
Meng, L. (2002). Rebellion and revenge: The meaning of suicide of women in rural China. International Journal of Social Welfare, 11, 300309. doi:10.1111/1468-2397.00239Google Scholar

References

American Association of Suicidology. (n.d.). Suicide in the USA based on 2010 data. www.suicidology.org/c/document_library/get_file?folderId= 248&name=DLFE-800.pdfGoogle Scholar
Andriolo, K. R. (1998). Gender and the cultural construction of good and bad suicides. Suicide and Life-Threatening Behavior, 28, 3749. doi:10.1111/j.1943-278X.1998.tb00624.xGoogle Scholar
Augsberger, A., Rivera, A. M., Hahm, C. T., Lee., Y. A., Choi, Y., & Hahm, H. C. (2018). Culturally related risk factors of suicidal ideation, intent, and behavior among Asian American women. Asian American Journal of Psychology, 9, 252261. doi:10.1037/aap0000146Google Scholar
Bender, M. L. (2000). Suicide and older African American women. Mortality, 5, 158170. doi:10.1080/713686004Google Scholar
Birtchnell, J. (1983). Psychotherapeutic considerations in the management of the suicidal patient. American Journal of Psychotherapy, 37, 2436. doi:10.1176/appi.psychotherapy.1983.37.1.24Google Scholar
Bridge, J. A., Greenhouse, J. B., Sheftall, A. H., Fabio, A., Campo, J. V., & Kelleher, K. J. (2010). Changes in suicide rates by hanging and/or suffocation and firearms among young persons aged 10–24 years in the United States: 1992–2006. Journal of Adolescent Health, 46, 503505. doi:10.1016/j.jadohealth.2009.11.206CrossRefGoogle ScholarPubMed
Canetto, S. S. (1992). Gender and suicide in the elderly. Suicide and Life-Threatening Behavior, 22, 8097. doi:10.1111/j.1943-278X.1992.tb00477.xGoogle Scholar
Canetto, S. S. (1992–1993). She died for love and he for glory: Gender myths of suicidal behavior. Omega: Journal of Death and Dying, 26, 117. doi:10.2190/74YQ-YNB8-R43R-7X4AGoogle Scholar
Canetto, S. S. (1995a). Women and suicidal behavior: Issues and dilemmas. In Canetto, S. S. and Lester, D. (Eds.), Women and suicidal behavior (pp. 37). New York: Springer.Google Scholar
Canetto, S. S. (1995b). Suicidal women: Intervention and prevention strategies. In Canetto, S. S. and Lester, D. (Eds.), Women and suicidal behavior (pp. 237255). New York: Springer.Google Scholar
Canetto, S. S. (1997a). Gender and suicidal behavior: Theories and evidence. In Maris, R. W., Silverman, M. M., & Canetto, S. S. (Eds.), Review of suicidology (pp. 138167). New York: Guilford Press.Google Scholar
Canetto, S. S. (1997b). Meanings of gender and suicidal behavior among adolescents. Suicide and Life-Threatening Behavior, 27, 339351. doi:10.1111/j.1943-278X.1997.tb00513.xCrossRefGoogle Scholar
Canetto, S. S. (2003). Why did you kill yourself, Katie? Questions and reflections on a young woman’s suicide. In Lester, D. (Ed.), Katie’s diary: Unlocking the mystery of a suicide (pp. 4154). New York: Brunner-Routledge.Google Scholar
Canetto, S. S. (2008). Women and suicidal behavior: A cultural analysis. American Journal of Orthopsychiatry, 78, 259266. doi:10.1037/a0013973Google Scholar
Canetto, S. S. (2009). Prevention of suicidal behavior in females: Opportunities and obstacles. In Wasserman, D. & Wasserman, C. (Eds.), The Oxford textbook of suicidology and suicide prevention (pp. 241247). Oxford: Oxford University Press. doi:10.1093/med/9780198570059.003.0034Google Scholar
Canetto, S. S. (2015a). Suicidal ideation and behaviors in girls and women in the United States and Canada: Cultural and intersectional perspectives. In Lamis, D. A. & Kaslow, N. J. (Eds.), Advancing the science of suicidal behavior: Understanding and intervention (pp. 215236). Hauppauge, NY: Nova Science.Google Scholar
Canetto, S. S. (2015b). Suicidal behavior among Muslim women: Patterns, pathways, meanings, and prevention. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 6, 447458. doi:10.1027/0227-5910/a000347Google Scholar
Canetto, S. S. (in press). Women and suicidal behavior: New directions in theory, research, and prevention. In Wasserman, D. (Ed.), The Oxford textbook of suicidology and suicide prevention (2nd ed.). Oxford: Oxford University Press.Google Scholar
Canetto, S. S., & Lester, D. (1995). Women and suicidal behavior: Issues and dilemmas. In Canetto, S. S. and Lester, D. (Eds.), Women and suicidal behavior (pp. 36). New York: Springer.Google Scholar
Canetto, S. S., & Lester, D. (1998). Gender, culture, and suicidal behavior. Transcultural Psychiatry, 35, 163191. doi:10.1177/136346159803500201Google Scholar
Canetto, S. S., & Rezaeian, M. (2020). Protest suicide among Muslim women: Human rights perspectives. In Button, M. E. & Marsh, I. (Eds.), Suicide and social justice: New perspectives on the politics of suicide and suicide prevention (pp. 102–121). New York: Routledge.Google Scholar
Canetto, S. S., & Sakinofsky, I. (1998). The gender paradox in suicide. Suicide and Life-Threatening Behavior, 28, 123. doi:10.1111/j.1943-278X.1998.tb00622.xGoogle Scholar
Cato, J. E., & Canetto, S. S. (2003). Attitudes and beliefs about suicidal behavior when coming out is the precipitant of the suicidal behavior. Sex Roles, 49, 497505. doi:10.1023/A:1025880622932Google Scholar
Centers for Disease Control and Prevention. (2013). Suicides among adults aged 35–64 years – United States, 1999–2010. www.ncbi.nlm.nih.gov/pubmed/23636024Google Scholar
Centers for Disease Control and Prevention. (n.d., a). Suicide rising across the U.S. www.cdc.gov/media/releases/2018/p0607-suicide-prevention.htmlGoogle Scholar
Centers for Disease Control and Prevention. (n.d., b). Suicide among youth. www.cdc.gov/healthcommunication/toolstemplates/entertainmented/tips/SuicideYouth.htmlGoogle Scholar
Chang, Q., Yip, P. S. F., & Chen, Y.-Y. (2019). Gender inequality and suicide gender ratios in the world. Journal of Affective Disorders, 243, 297304. doi:10.1016/j.jad.2018.09.032Google Scholar
Chen, X., Sun, Y., Li, Z., Yu, B., Gao, G., & Wang, P. (2019). Historical trends in suicide risk for the residents of mainland China: APC modeling of the archived national suicide mortality rates during 19872012. Social Psychiatry and Psychiatric Epidemiology, 54, 99110. doi:10.1007/s00127-018-1593-zGoogle Scholar
Counts, D. A. (1980). Fighting back is not the way: Suicide and the women of Kaliai. American Ethnologist, 7, 332351. doi:10.1525/ae.1980.7.2.02a00070Google Scholar
Counts, D. A. (1984). Revenge suicide by Lusi women: An expression of power. In O’Brien, D. and Sharon, W. T. (Eds.), Rethinking women’s roles: Perspectives from the Pacific (pp. 7193). Berkeley: University of California Press.Google Scholar
Dabbagh, N. T. (2004). Narrative expressions of despair under occupation. Anthropology & Medicine, 11, 201220. doi:10.1080/13648470410001678686Google Scholar
Dahlen, E. R., & Canetto, S. S. (2002). The role of gender and suicide precipitant in attitudes toward nonfatal suicidal behavior. Death Studies, 26, 99116. doi:10.1080/074811802753455235Google Scholar
Davis, S. P., Arnette, N. C., Bethea, K. S., Graves, K. N., Rhodes, M. N., Harp, S. E., … Kaslow, N. J. (2009). The Grady Nia Project: A culturally competent intervention for low-income, abused, and suicidal African American women. Professional Psychology: Research and Practice, 40, 141147. doi:10.1037/a0014566Google Scholar
Deluty, R. H. (19881989). Factors affecting the acceptability of suicide. Omega: Journal of Death and Dying, 19, 315326. doi:10.2190/YX4X-YJBG-45WV-8VW0Google Scholar
Denney, J. T., Rogers, R. G., Krueger, P.M., & Wadsworth, T. (2009). Adult suicide mortality in the United States: Marital status, family size, socioeconomic status, and differences by sex. Social Sciences Quarterly, 90, 11671185. doi:10.1111/j.1540-6237.2009.00652.xGoogle Scholar
Devries, K. M., Mak, J. K., Bacchus, L. J., Child, J. C., Falder, G., Petzold, M., … Watts, C. H. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: A systematic review of longitudinal studies. PLoS Medicine, 10(5), e1001439. doi:10.1371/journal.pmed.1001439Google Scholar
Furst, S. S., & Ostow, M. (1979). The psychodynamics of suicide. In Hankoff, L. D. & Einsidler, B. (Eds.), Suicide: Theory and clinical aspects (pp. 165178). Littleton, MA: PFG Publishing.Google Scholar
Gao, S., Phillips, M. R., Zhang, Y., Ji, H., Zhang, F., & Yang, G. (2004). Comparison of suicide characteristics in young rural females and males in China. Chinese Journal of Psychiatry, 37, 232235. http://en.cnki.com.cn/Article_en/CJFDTOTAL-ZHMA200404019.htmGoogle Scholar
Haas, A. P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, A. R., … Clayton, P. J. (2010). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 1051. doi:10.1080/00918369.2011.534038Google Scholar
Hacking, I. (2008). The suicide weapon. Critical Inquiry, 25, 132. doi:10.1086/595626Google Scholar
Hahm, H. C., Gonyea, J. G., Chiao, C., & Koritsanszky, L. A. (2014). Fractured identity: A framework for understanding young Asian-American women’s self-harm and suicidal behaviors. Race and Social Problems, 6(1), 5658. doi:10.1007/s12552-014-9115-4Google Scholar
Hjelmeland, H., & Knizek, B. (2010). Why we need qualitative research in suicidology. Suicide and Life-Threatening Behavior, 40, 7480. doi:10.1521/suli.2010.40.1.74Google Scholar
Hjelmeland, H., & Knizek, B. (2017). Suicide and mental disorders: A discourse of politics, power, and vested interests. Death Studies (Special Issue), 41, 481492. doi:10.1080/07481187.2017.1332905Google Scholar
Institute for Health Metrics and Evaluation. (2018). Age standardized suicide rates 1990–2017 in China, the United States, India, Japan, South Korea, Russia, and Global Average. http://ghdx.healthdata.org/gbd-results-tool?params=gbd-api-2017-permalink/70903dde1f682f9a7638289443469080Google Scholar
Ji, J., Kleinman, A., & Becker, A. E (2001). Suicide in contemporary China: A review of China’s distinctive suicide demographics in their sociocultural context. Harvard Review of Psychiatry, 9, 112. doi:10.1080/10673220127875CrossRefGoogle Scholar
Jiang, H., Ni, L., Hahne, J., Hu, M., Fang, J., Shen, M., & Xiao, S. (2018). Changing of suicide rates in China, 20022015. Journal of Affective Disorders, 240, 165170. doi:10.1016/j.jad.2018.07.043CrossRefGoogle Scholar
Joiner, T. E., Hom, M. A., Hagan, C. R., & Silva, C. (2016). Suicide as derangement of the self-sacrificial aspect of eusociality. Psychological Review, 123, 235254. doi:10.1037/rev0000020Google Scholar
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., … Ethier, K.A. (2018). Youth risk behavior surveillance – United States, 2018. Morbidity and Mortality Weekly Report, Surveillance Summaries, 67(8). www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/ss6708.pdfGoogle Scholar
Kaplan, M., & Geling, O. (1999). Sociodemographic and geographic patterns of firearm suicide in the United States, 1989–1993. Health & Place, 5(2), 179185. doi:10.1016/S1353-8292(99)00007-6Google Scholar
Kaplan, M. S., McFarland, B. H., & Huguet, N. (2009). Characteristics of adult male and female firearm suicide decedents: Findings from the National Violent Death Reporting System. Injury Prevention, 15(5), 322327. doi:10.1136/ip.2008.021162Google Scholar
Kaslow, N. J., Leiner, A. S., Reviere, S., Jackson, E., Bethea, K., Bhaju, J., … Thompson, M. P. (2010). Suicidal, abused African American women’s response to a culturally informed intervention. Journal of Consulting and Clinical Psychology, 78, 449458. doi:10.1037/a0019692Google Scholar
Kegler, S. R., Stone, D. M., & Holland, K. M. (2017). Trends in suicide by level of urbanization – United States, 1999–2015. Morbidity and Mortality Weekly Report, 66, 270273. doi:10.15585/mmwr.mm6610a2.Google Scholar
Kposowa, A. J. (2001). Unemployment and suicide: A cohort analysis of social factors predicting suicide in the US National Longitudinal Mortality Study. Psychological Medicine, 31, 127138. doi:10.1017/S0033291799002925Google Scholar
Kposowa, A. J., & McElvain, J. (2006). Gender, place, and method of suicide. Social Psychiatry and Psychiatric Epidemiology, 41, 435443. doi:10.1007/s00127-006-0054-2Google Scholar
Kushner, H. I. (1995). Women and suicidal behavior: Epidemiology, gender and lethality in historical perspective. In Canetto, S. S. and Lester, D. (Eds.), Women and suicidal behavior (pp. 1134). New York: Springer.Google Scholar
Lamis, D., Cavanaugh, C. E., Anastasiades, M. H., Garcia-Williams, A., Anderson, C., & Kaslow, N. J. (2017). Intimate partner sexual coercion mediates the childhood sexual-abuse-suicidal ideation link among African American women. Journal of Black Psychology, 43, 305324. doi:10.1177/0095798416644885Google Scholar
Lee, H. J. (2014). Fearless love, death for dignity: Female suicide and gendered subjectivity in rural North China. China Journal, 71, 2542. doi:10.1086/674552Google Scholar
Lewis, R. J., & Shepeard, G. (1992). Inferred characteristics of successful suicides as function of gender and context. Suicide and Life-Threatening Behavior, 22, 187198. doi:10.1111/j.1943-278X.1992.tb00228.xGoogle Scholar
Li, F., Lu, X., Ou, Y., & Yip, P. S. Y. (2019). The influence of undetermined deaths on suicides in Shanghai, China. Social Psychiatry and Psychiatric Epidemiology, 54, 111119. doi:10.1007/s00127-018-1596-9Google Scholar
Li, Y., Li, Y., & Cao, J. (2012). Factors associated with suicidal behaviors in mainland China: A meta-analysis. BMC Public Health, 12, 524. www.ncbi.nlm.nih.gov/pmc/articles/PMC3490836/Google Scholar
Li, X.-Y., Phillips, M. R., Niu, Y.-J., Wang, Z.-Q, Tong, Y.-S., Zhang, Y.-L., … Lee, S. (2011). Development and application of the Scale of Public Attitudes about Suicide among community members and college students. Chinese Mental Health Journal, 25, 468475 (In Chinese). http://zxws.cbpt.cnki.net/WKD/WebPublication/paperDigest.aspx?paperID=9a7b4373–4877-440f-bbfe-16bfb382cea9Google Scholar
Linehan, M. M. (1973). Suicide and attempted suicide: Study of perceived sex differences. Perceptual and Motor Skills, 37, 3134. doi:10.2466/pms.1973.37.1.31Google Scholar
Liu, Z.-R., Huang, Y.-C., Ma, C., Shang, L.-L., Zhang, T.-T., & Chen, H.-G. (2017). Suicide rates trends in China from 2002 to 2015. Chinese Mental Health Journal, 31, 756767. doi:10.3969/j.issn.1000-6729.2017.10.003Google Scholar
Marsh, I. (2010). Suicide: Foucault, history and truth. Cambridge: Cambridge University Press.Google Scholar
McAndrew, F. T., & Garrison, A. J. (2007). Beliefs about gender differences in methods and causes of suicide. Archives of Suicide Research, 11, 271279. doi:10.1080/13811110701403940Google Scholar
McLaughlin, J., O’Carroll, R. E., & O’Connor, R. C. (2012). Intimate partner abuse and suicidality: A systematic review. Clinical Psychology Review, 32, 677689. doi:10.1016/j.cpr.2012.08.002Google Scholar
Meng, L. (2002). Rebellion and revenge: The meaning of suicide of women in rural China. International Journal of Social Welfare, 11, 300309. doi:10.1111/1468-2397.00239Google Scholar
Murray, C. J. L., & Lopez, A. D. (Eds.). (1996). The global burden of disease: A comprehensive assessment of mortality and disability from diseases. Cambridge, MA: Harvard University Press.Google Scholar
National Health Commission of People’s Republic of China. (2017). The 2017 China statistical yearbook of health and family planning. Beijing: Peking Union Medical College Press.Google Scholar
Nawa, F. (2002). They prefer death over abuse: Afghan women protesting with self-immolation. San Francisco Chronicle. www.sfgate.com/news/article/They-prefer-death-over-abuse-Afghan-women-2818734.phpGoogle Scholar
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30, 133154. doi:10.1093/epirev/mxn002CrossRefGoogle ScholarPubMed
Nock, M. K., & Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity SurveyJournal of Abnormal Psychology115(3), 616623. doi:10.1037/0021-843X.115.3.616Google Scholar
Page, A., Liu, S., Gunnell, D., Astell-Burt, T., Feng, X., Wang, L., & Zhou, M. (2017). Suicide by pesticide poisoning remains a priority for suicide prevention in China: Analysis of national mortality trends 2006–2013. Journal of Affective Disorders, 208, 418423. doi:10.1016/j.jad.2016.10.047Google Scholar
Parry, J. (2014). Falling suicide rates in China mask emerging upward trends. British Medical Journal, 349, 4486. www.ncbi.nlm.nih.gov/pubmed/25001072Google Scholar
Pearson, V. (1995). Goods in which one loses: Women and mental health in China. Social Science & Medicine, 41, 11591173. doi:10.1016/0277-9536(94)00424-RGoogle Scholar
Pearson, V., & Liu, M. (2002). Ling’s death: An ethnography of a Chinese woman’s suicide. Suicide and Life-Threatening Behavior, 32, 347358. doi:10.1521/suli.32.4.347.22338CrossRefGoogle ScholarPubMed
Phillips, J. A., & Nugent, C. N. (2013). Antidepressant use and method of suicide in the United States: Variation by age and sex, 1998–2005. Archives of Suicide Research, 17, 360372. doi:10.1080/13811118.2013.785373Google Scholar
Phillips, J. A., & Nugent, C. N. (2014). Suicide and the Great Recession of 2007–2009: The role of economic factors in the 50 US states. Social Science & Medicine, 116, 2231. doi:10.1016/j.socscimed.2014.06.015Google Scholar
Phillips, M. R., & Cheng, H. G. (2012). The changing global face of suicide. The Lancet, 379, 23182319. doi:10.1016/S0140-6736(12)60913-1Google Scholar
Phillips, M. R., Li, X., & Zhang, Y. (2002). Suicide rates in China, 1995–1999. The Lancet North American Edition, 359, 835840. doi:10.1016/S0140-6736(02)07954-0Google Scholar
Phillips, M. R., Yang, G., Zhang, Y., Wang, L., Ji, H., & Zhou, M. (2002). Risk factors for suicide in China: A national case-control psychological autopsy study. The Lancet, 360, 17281736. www.ncbi.nlm.nih.gov/pubmed/12480425Google Scholar
Reilly, C. E. (1998). Cognitive therapy for the suicidal patient: A case study. Perspectives in Psychiatric Care, 43(4), 2531. doi:10.1111/j.1744-6163.1998.tb01011.xGoogle Scholar
Rich, A. R., Kirkpatrick-Smith, J., Bonner, R. L., & Jans, F. (1992). Gender differences in the psychosocial correlates of suicidal ideation among adolescents. Suicide and Life-Threatening Behavior, 22, 364373. doi:10.1111/j.1943-278X.1992.tb00741.xCrossRefGoogle ScholarPubMed
Rudmin, F. W., Ferrada-Noli, M., & Skolbekken, J. A. (2003). Questions of culture, age and gender in the epidemiology of suicide. Scandinavian Journal of Psychology, 44, 373381. doi:10.1111/1467-9450.00357Google Scholar
Schinagle, M. (2002). Recurrent suicide attempts, self-mutilation, and binge/purge behavior: A case report. Harvard Review of Psychiatry, 10, 353363. doi:10.1080/hrp.10.6.353.363Google Scholar
Schrut, A., & Michels, T. (1974). Suicidal divorced and discarded women. Journal of the American Academy of Psychoanalysis, 2, 329347. doi:10.1521/jaap.1.1974.2.4.329Google Scholar
Sengupta, B., & Jantzen, R. H. (2019). Incidence of female suicide in New York City: How important are socioeconomic factors? Social Psychiatry and Psychiatric Epidemiology, 54, 8998. doi:10.1007/s00127-018-1600-4Google Scholar
Sigurvinsdöttir, R., Ullman, S. E., & Canetto, S. S. (2019). Self-blame, psychological distress, and suicidality among African American female sexual assault survivors. Traumatology. doi:10.1037/trm0000195Google Scholar
Stillion, J. M., White, H., Edwards, P. J., & McDowell, E. E. (1989). Ageism and sexism in suicide attitudes. Death Studies, 13, 247261. doi:10.1080/07481188908252302Google Scholar
Stone, D. M., Holland, K. M., Bartholow, B., Logan, J. E., Mcintosh, W. L., Trudeau, A., & Rockett, I. R. H. (2017). Deciphering suicide and other manners of death associated with drug intoxication: A Centers for Disease Control and Prevention consultation meeting summary. American Journal of Public Health, 107, 12331239. doi:10.2105/AJPH.2017.303863.Google Scholar
Stone, D. M., Simon, T. R., Fowler, K. A., Kegler, S. R., Yuan, K., Holland, K. M., … Crosby, A. E. (2018). Vital signs: Trends in state suicide rates – United States, 1999–2016 and circumstances contributing to suicide – 27 states, 2015. Morbidity Mortality Weekly Report, 67, 617624. doi:10.15585/mmwr.mm6722a1Google Scholar
Stone, M. H. (1993). Paradoxes in the management of suicidality in borderline patients. American Journal of Psychotherapy, 47(2), 255272. doi:10.1176/appi.psychotherapy.1993.47.2.255Google Scholar
Stoppard, J. M. (1999). Why new perspectives are needed for understanding depression in women. Canadian Psychology, 40(2), 7990. doi:10.1037/h0086828Google Scholar
Vijayakumar, L. (2017). Challenges and opportunities in suicide prevention in South-East Asia. WHO South East Asia Journal of Public Health, 6(1), 3033. doi:10.4103/2224-3151.206161Google Scholar
Walker, R. L., Lester, D., & Joe, S. (2006). Lay theories of suicide: An examination of culturally relevant suicide beliefs and attributions among African Americans and European Americans. Journal of Black Psychology, 32, 320334. doi:10.1177/0095798406290467Google Scholar
Wang, C.-W., Chan, C. L. W., & Yip, P. S. F. (2014). Suicide rates in China from 2002 to 2011: An update. Social Psychiatry and Psychiatric Epidemiology, 49, 929941. doi:10.1007/s00127-013-0789-5Google Scholar
Wei, C. (2016). The dragon boat festival is an excuse to feast on glutinous rice dumplings. munchies.vice.com/en_us/article/kbkxpn/the-dragon-boat-festival-is-an-excuse-to-feast-on-glutinous-rice-dumplingGoogle Scholar
Winterrowd, E., Canetto, S. S., & Benoit, K. (2017). Permissive beliefs and attitudes about older adult suicide: A suicide enabling script? Aging & Mental Health, 21, 173181. doi:10.1080/13607863.2015.1099609Google Scholar
Wicker, A. W. (1985). Getting out of our conceptual ruts: Strategies for expanding conceptual frameworks. American Psychologist, 40, 10941103. doi:10.1037/0003-066X.40.10.1094Google Scholar
Wolf, M. (1975). Women and suicide in China. In Wolf, M. & Witke, R. (Eds.), Women in Chinese society (pp. 111114). Stanford, CA: Stanford University Press.Google Scholar
Zhang, J. (2010). Marriage and suicide among Chinese rural young women. Social Forces, 89(1), 311326. doi:10.1353/sof.2010.0065Google Scholar
Zhang, J. (2014). The gender ratio of Chinese suicide rates: An explanation in Confucianism. Sex Roles, 20, 146154. doi:10.1007/s11199-013-0333-9Google Scholar
Zhong, B.-L., Chiu, H. F. K., & Conwell, Y. (2016). Rates and characteristics of elderly suicide in China, 2013–14. Journal of Affective Disorders, 206, 273279. doi:10.1016/j.jad.2016.09.003Google Scholar
Zhou, L., Wang, G., Jia, C., & Ma, Z. (2019). Being left-behind, mental disorder, and elderly suicide in rural China: A case-control psychological autopsy study. Psychological Medicine, 49, 458464. doi:10.1017/S003329171800106XGoogle Scholar
Zhou, M., Wang, H., Zhu, J., Chen, W., Wang, L., & Liu, S., … Liang, X. (2016). Cause-specific mortality for 240 causes in China during 1990–2013: A systematic subnational analysis for the Global Burden of Disease Study 2013. The Lancet, 387(10015), 251272. doi:10.1016/S0140-6736(15)00551-6Google Scholar
Zou, Y., Leung, R., Lin, S., Yang, M., Lu, T., Li, X., … Hao, Y. (2016). Attitudes toward suicide in urban and rural China: A population based, cross-sectional study. BMC Psychiatry, 16, 162. bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888–016-0872-zGoogle Scholar

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