Updated information concerning trends in suicide rates in elderly in China, 2002-2020.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global health & medicine Pub Date : 2024-06-30 DOI:10.35772/ghm.2024.01003
Sanmei Wen, Xinyue Wang, Rongfeng Zhou, Tetsuya Asakawa
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Abstract

The aim of this study was to investigate trends in suicide rates (SRs) among the elderly in China. Annual data on SRs among Chinese people ≥ the age of 65 were collected from China's Health Statistics Yearbook from 2002 to 2020. Then, data were stratified by age, region, and sex. Standardized SRs were calculated and analyzed using a conventional joinpoint regression model. Results revealed that overall, SRs among the elderly in China tended to decline from 2002-2020. Fluctuations in SRs, including in 2004-2005 due to the SARS epidemic, in 2009-2010 due to the economic crisis, and in 2019-2020 due to the COVID-19 pandemic, were also observed. Data suggested a relatively greater crude SR among the elderly (vs. young people), in males (vs. females), and in people living in a rural area (vs. those living in an urban area). SRs tended to rise with age. Joinpoint regression analysis identified joinpoints only for males ages 65-69 and over the age of 85 living in a rural area, suggesting that individuals in these groups are more sensitive to negative stimuli and more likely to commit suicide, necessitating closer attention. The findings from this study should help to make policy and devise measures against suicide in the future.

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2002-2020年中国老年人自杀率趋势的最新信息。
本研究旨在调查中国老年人自杀率(SRs)的变化趋势。研究人员从《中国卫生统计年鉴》中收集了 2002 年至 2020 年中国 65 岁以上老年人自杀率的年度数据。然后,按年龄、地区和性别对数据进行分层。采用传统的连接点回归模型计算和分析标准化SR。结果显示,总体而言,2002-2020年中国老年人的SR呈下降趋势。此外,还观察到 SR 的波动,包括 2004-2005 年因 SARS 疫情、2009-2010 年因经济危机以及 2019-2020 年因 COVID-19 大流行而出现的波动。数据表明,老年人(相对于年轻人)、男性(相对于女性)和农村居民(相对于城市居民)的粗SR相对较高。随着年龄的增长,SR 呈上升趋势。连接点回归分析发现,只有 65-69 岁的男性和居住在农村地区的 85 岁以上的老年人存在连接点,这表明这些人群对负面刺激更敏感,更有可能自杀,因此有必要给予更密切的关注。这项研究的结果应有助于今后制定政策和措施来预防自杀。
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