Social Psychiatry and Psychiatric Epidemiology

, Volume 40, Issue 10, pp 792–798 | Cite as

Suicide rates in China during a decade of rapid social changes

  • Paul S. F. Yip
  • Ka Y. Liu
  • Jianping Hu
  • X. M. Song
Original Paper



China accounts for more than 30% of the world's suicides and displays a unique pattern of suicide rates. Prior research had established the link between macrosocial changes and suicide. Comprehensive surveillance system of suicide in this rapidly developing country is much needed. This paper examined the trends of national-, region-, gender-, and age-specific suicide rates, and male to female ratios in suicide in China for the period of 1991–2000, which was a time that rapid economic and social changes took place.


A regression model was used to detect any variations in national-, region-, gender-, and age-specific suicide rates and gender ratios reported by the most recent mortality statistics from China's Ministry of Health.


National, urban, and rural suicide rates for both men and women decreased significantly for the period of 1991–2000; age-specific suicide rates, however, showed that there were different patterns of changes in suicide rates in rural and urban areas. Although elderly suicide rates showed the most significant decrease in urban areas, younger women showed the largest decrease in rural areas; male to female gender ratio in suicide increased significantly in the urban areas, but no significant change was found in rural areas.


Possible explanations that may account for the downward trends in suicide rates and increase in male to female gender ratio in urban area were provided. Longer historical studies are needed to reveal the relationship between macrosocial changes and the pattern of suicide.


suicide China epidemiological studies urban health rural health men women 



The authors are very grateful for the information supplied by the Ministry of Health of Peoples' Republic of China. We would also like to thank the anonymous reviewers for their very helpful comments. The work was supported by The Hong Kong Jockey Club Charities Trust.


  1. 1.
    Burr JA, McCall PL, Powell-Griner E (1997) Female labor force participation and suicide. Soc Sci Med 44:1847–1859CrossRefPubMedGoogle Scholar
  2. 2.
    Cantor CH (2000) Suicide in the western world. In: Hawton K, van Heeringen K (eds) The international handbook of suicide and attempted suicide. Wiley, Chichester, pp 9–28Google Scholar
  3. 3.
    Cheng TA, Soong WY, Chong MY, Lin TY (1995) Urbanization, psychosocial stress, and minor mental illness in Taiwan. In: Harpham T, Blue I (eds) Urbanization and mental health in developing countries. Aldershot, Avebury, pp 61–74Google Scholar
  4. 4.
    Eckersley R, Dear K (2002) Cultural correlates of youth suicide. Soc Sci Med 55:1891–1904CrossRefPubMedGoogle Scholar
  5. 5.
    He ZX, Lester D (2002) Sex ratio in Chinese suicide. Percept Mot Skills 95:620PubMedGoogle Scholar
  6. 6.
    Isometsä E, Heikkinen M, Henriksson M, Marttunen M, Aro H, Lönnqvist J (1997) Differences between urban and rural suicides. Acta Psychiatr Scand 95:297–305PubMedGoogle Scholar
  7. 7.
    Ji J, Kleinman A, Becker AE (2001) Suicide in contemporary China: a review of China's distinctive suicide demographics in their sociocultural context. Harv Rev Psychiatr 9:1–12Google Scholar
  8. 8.
    Kowalski GS, Faupel CE, Starr PD (1987) Urbanism and suicide: a study of American counties. Soc Forces 66:85–101Google Scholar
  9. 9.
    Lester BY (2001) Learning from Durkheim and beyond: the economy and suicide. Suicide Life-Threat Behav 31:15–31PubMedGoogle Scholar
  10. 10.
    Lester D (1997) An empirical examination of Thomas Masaryk's theory of suicide. Arch Suicide Res 3:125–131Google Scholar
  11. 11.
    Mäkinen I (1997) Are there social correlates to suicide? Soc Sci Med 44:1919–1929PubMedGoogle Scholar
  12. 12.
    Murray CJL, Lopez AD (1996) Global Health Statistics: a compendium of incidence, prevalence, and mortality estimates for over 200 conditions. Harvard University Press, Cambridge, MAGoogle Scholar
  13. 13.
    National Bureau of Statistics of China (2002) China Statistical Yearbook 2002. China Statistics Press, BeijingGoogle Scholar
  14. 14.
    National Bureau of Statistics of China (1992–2001) China Population Statistics Yearbook (1992–2001). China Statistics Press, BeijingGoogle Scholar
  15. 15.
    Otsu A, Araki S, Sakai R, Yokoyama K, Voorhees AS (2004) Effects of urbanization, economic development, and migration of workers on suicide mortality in Japan. Soc Sci Med 58:1137–1146CrossRefPubMedGoogle Scholar
  16. 16.
    Parker G, Yap HL (2001) Suicide in Singapore: a changing sex ratio over the last decade. Singap Med J 42:11–14Google Scholar
  17. 17.
    Pearson V, Liu M (2002) Ling's death: an ethnography of a Chinese Woman's Suicide. Suicide Life-Threat Behav 32:347–358PubMedGoogle Scholar
  18. 18.
    Phillips MR, Li X, Zhang Y (2002) Suicide rates in China, 1995–99. Lancet 359:835–840PubMedGoogle Scholar
  19. 19.
    Qin P, Mortensen PB (2001) Specific characteristics of suicide in China. Acta Psychiatr Scand 103:117–121CrossRefPubMedGoogle Scholar
  20. 20.
    Simpson M, Conklin G (1989) Socioeconomic development, suicide and religion: a test of Durkheim's theory of religion and suicide. Soc Forces 67:945–964Google Scholar
  21. 21.
    Stack S (1993) The effect of modernization on suicide in Finland: 1800–1984. Sociol Perspect 36:137–148Google Scholar
  22. 22.
    Stack S (2000a) Suicide: a 15-year review of the sociological literature. Part I. Cultural and economic factors. Suicide Life-Threat Behav 30:145–162PubMedGoogle Scholar
  23. 23.
    Stack S (2000b) Suicide: a 15-year review of the sociological literature. Part II. Modernization and social integration perspectives. Suicide Life-Threat Behav 30:163–176PubMedGoogle Scholar
  24. 24.
    UN Theme Group on HIV/AIDS in China (2002) HIV/AIDS: China's titanic peril: 2001 Update of the AIDS Situation and Needs Assessment Report. UNAIDS, GenevaGoogle Scholar
  25. 25.
    WHO (2002) World Report on Violence and Health. WHO, GenevaGoogle Scholar
  26. 26.
    WHO (2001) World Health Report. WHO, GenevaGoogle Scholar
  27. 27.
    WHO (1999) World Health Report. WHO, GenevaGoogle Scholar
  28. 28.
    Yip PSF, Callanan C, Yuen HP (2000) Urban/rural and gender differentials in suicide rates: east and west. J Affect Disord 57:99–106CrossRefPubMedGoogle Scholar
  29. 29.
    Yip PSF, Tan RC (1998) Suicides in Hong Kong and Singapore: a tales of two cities. Int J Soc Psychiatry 44:267–279PubMedGoogle Scholar
  30. 30.
    Yip PSF (2001) An epidemiological profile of suicides in Beijing, China. Suicide Life-Threat Behav 31:62–70PubMedGoogle Scholar
  31. 31.
    Zhang J (1998) Suicide in the world: toward a population increase theory of suicide. Death Stud 22:525–539CrossRefPubMedGoogle Scholar
  32. 32.
    Zhou Y, Ma LJC (2003) China's urbanization levels: reconstructing a baseline from the Fifth Population Census. China Q 173:176–196Google Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Paul S. F. Yip
    • 1
  • Ka Y. Liu
    • 1
  • Jianping Hu
    • 2
  • X. M. Song
    • 3
  1. 1.The Hong Kong Jockey Club Centre for Suicide Research and PreventionUniversity of Hong KongPokfulamHong Kong
  2. 2.Ministry of HealthBeijingPeople's Republic of China
  3. 3.Institute of DemographyPeking UniversityPekingChina

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