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The Gender Ratio of Chinese Suicide Rates: An Explanation in Confucianism

Sex Roles volume 70, pages 146–154 (2014)Cite this article

Abstract

The gender (male to female) ratio of the Chinese suicide rates is different from those found in the rest of the world. None of the other societies with known suicide data has had female suicide rates higher than those for the males. While we investigate the factors that contribute to the relatively high suicide rates for Chinese women, we also need to ask what makes the relatively low suicide rates for Chinese men. In this study we try to examine some social and cultural variables in rural Chinese youths in order to identify the factors that account for the relatively low rate for men and relatively high rate for women. In rural China, 392 suicides (both men and women) aged 14–35 years consecutively sampled from 16 counties of three provinces were studied with 416 community living controls of the same age range and from the same locations. Case–control psychological autopsy method was used for the data collection. It is found that believing in Confucianism and being married are both protecting the rural young men from suicide, while the two same variables are either risk or non-protecting factors for the Chinese rural young women’s suicide. In rural China, social structure and culture may play an even more important role determining a society’s suicide rates as well as the gender ratios. Thus, suicide prevention may need to include culture specific measures.

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Authors and Affiliations

  1. Shandong University School of Public Health Center for Suicide Prevention Research, Jinan, China

    Jie Zhang

  2. Department of Sociology, State University of New York Buffalo State, 1300 Elmwood Avenue, Buffalo, NY, 14222, USA

    Jie Zhang

Authors
  1. Jie Zhang
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Correspondence to Jie Zhang.

Additional information

The research was supported by the United States National Institute of Mental Health (NIMH): R01 MH068560.

Appendix

Appendix

Chinese Version of the Instruments Measuring the Confucian Values

Respondents (informants) were asked to indicate how strongly the target person agreed or disagreed on a five-point Likert scale with the following statements:

Confucianism for men

  1. (1)

    Filial piety to parents

    他赞同“孝顺父母”对一个人来讲是很重要的事情吗?

  2. (2)

    Closeness to parents

    他赞同“父母在不远游”(父母活着的时候,子女不应出远门)吗?

  3. (3)

    Body and hairs are given by parents and no hurt should be brought to them

    他赞同“身体发肤,受之父母”(身体是父母给的,不应该自我伤残)吗?

  4. (4)

    Not die earlier than parents

    他赞同“白发人不送黑发人”(年轻人不可以在父母之前死掉)吗?

  5. (5)

    Being harmonious with family and friends

    他赞同“家庭和睦,邻里相让”吗?

  6. (6)

    Self-discipline

    他赞同“克己复礼”(约束自己,使每件事情符合礼节)吗?

  7. (7)

    Endurance

    他赞同“小不忍则乱大谋”(小事不忍耐,就会坏了大事情)吗?

Confucianism for women

  1. (1)

    Women should stay at home

    她赞同“女人应在家干活不应外出工作”吗?

  2. (2)

    Caring her husband and kids

    她赞同女人应该“相夫教子” (侍候丈夫、教育孩子)吗?

  3. (3)

    Bearing a son

    她赞同“生儿子”比生女儿更重要吗?

  4. (4)

    Keeping marriage without divorce

    她赞同“守寡”(为了保持贞节不再婚)吗?

  5. (5)

    Three Obediences

    她赞同妇女应“三从四德”(凡事服从男人)吗?

  6. (6)

    No social activities

    她赞同“妇女应该持家,而不应该参加社会活动(抛头露面)”吗?

  7. (7)

    Women working at home only

    她赞同“女主内男主外”吗?

  8. (8)

    Woman is less important than man

    她赞同总体上讲“男人比女人更重要”吗?

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Zhang, J. The Gender Ratio of Chinese Suicide Rates: An Explanation in Confucianism. Sex Roles 70, 146–154 (2014). https://doi.org/10.1007/s11199-013-0333-9

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Keywords

  • Gender ratio of suicide
  • Gender roles
  • Sexism
  • Religion
  • Confucianism
  • Suicide
  • China