Gender Characteristics in Methods of Chinese Rural Young Suicides.

Abstract

Suicidal men and women tend to use different means for suicide, but there has been a lack of studies on how Chinese male and female suicides are distributed on the various lethal methods. We studied 392 suicides (214 males and 178 females) consecutively sampled from selected rural areas of China, with the psychological autopsy (PA) design. It was found that majority of the Chinese rural young suicides died of swallowing pesticides or other farming chemicals (73.5%), and there was not much difference between men and women in all the suicide means as expected. Contrary to the findings in the United States, firearm was not available to Chinese civilians and was not the number one suicide means for the Chinese male suicides. In rural China, suicides with less violent methods outweighed those with violent methods in numbers, with more females chose less violent suicide methods than males. However, results of logistic regression showed that there was no significant association between gender and suicide methods in rural China. Mental disorders and impulsivity were also not associated with violent or less violent suicide methods. Our findings indicated that access to suicide means might be most important explanation of suicide methods. These findings may have certain implications on suicide prevention, and researchers and policy makers should take into consideration of the contexts of the people at risks of suicide.