TY  - JOUR
PY  - 2023//
TI  - Secular trends of suicide risk for residents in mainland China (2004 to 2019): an updated age-period-cohort analysis
JO  - Journal of affective disorders
A1  - Hou, Hao
A1  - Yu, Bin
A1  - He, Chenlu
A1  - Li, Guiyuan
A1  - Pei, Yifei
A1  - Wang, Jingjing
A1  - Tang, Jie
A1  - Chen, Xinguang
A1  - Gao, Xiuyin
A1  - Wang, Wei
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The overall suicide rate in China has dropped substantially since the 1990s, but a slowdown in the decrease and even a reversing trend was observed in specific groups in recent years. This study aims to investigate the latest suicide risk in mainland China by using the age-period-cohort (APC) analysis. <br><br>METHOD: This population-based multiyear cross-sectional study included Chinese ages 10 to 84 years using data from the China Health Statistical Yearbook (2005-2020). Data were analyzed by the APC analysis and intrinsic estimator (IE) technique. <br><br>RESULTS: The data satisfactorily fit the constructed APC models. The cohort effect indicated a high risk of suicide among people birth in 1920-1944 and a sharp decline in the 1945-1979 cohort. The lowest risk occurred in the 1980-1994 cohort before a sharp increase in generation Z (birth years in 1995-2009). The period effect showed a declining trend since 2004. The age effect indicated that the suicide risk increased over time, except for a gradual decline from age 35 to 49. The suicide risk increased greatly in adolescents and reached the highest among the elderly. LIMITATIONS: The aggregated population-level data and the non-identifiability of the APC model could result in bias in the accuracy of results in this study. <br><br>CONCLUSIONS: This study successfully updated the Chinese suicide risk from the age, period and cohort perspective using the latest available data (2004-2019). The findings enhance the understanding of suicide epidemiology and provide evidence supporting policies and strategies at the macro-level for suicide prevention and management. Immediate action is needed to focus on a national suicide prevention strategy that targets generation Z, adolescents and the elderly which will require a collaborative effort by government officials, public/community health planners and health care agencies.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2023.02.110
ID  - ref1
ER  -