{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:17:28Z","timestamp":1765837048131,"version":"3.48.0"},"reference-count":57,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,8,20]]},"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Previous studies have implied that there were many Chinese suicide attempters who did not want to die by suicide. In the current study, we explored the factors which were associated with low levels of suicide intent. We also examined features for medically serious suicide attempters who do not have a strong intent to die in rural china.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The interviews occurred between May 2012 and July 2013 in 13 rural counties in Shandong and Hunan provinces, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Subjects were 791 medically serious suicide attempters whose injury and wounds were so serious they required hospitalisation or immediate medical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results supported that less years of education (\u03b2=\u22120.11, p=0.037), religious beliefs (\u03b2=1.20, p=0.005), living alone (\u03b2=1.92, p=0.017), negative life events (\u03b2=0.29, p=0.003), low levels of impulsivity (\u03b2=\u22120.10, p=0.013) and mental disorders (\u03b2=2.82, p&lt;0.001) were associated with higher levels of suicide intent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results imply that there are some medically serious suicide attempters with a higher education and\/or exhibit impulsivity who do not want to die by suicide. These findings can inform practice to prevent suicide in rural China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-023991","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T09:30:41Z","timestamp":1536658241000},"page":"e023991","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Features for medically serious suicide attempters who do not have a strong intent to die: a cross-sectional study in rural China"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3070-8427","authenticated-orcid":false,"given":"Long","family":"Sun","sequence":"first","affiliation":[{"name":"Center for Suicide Prevention Research, School of Public Health, Shandong University, Jinan, China"},{"name":"Key Laboratory of Health Economics and Policy Research, National Health Commission of China, Jinan, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for Suicide Prevention Research, School of Public Health, Shandong University, Jinan, China"},{"name":"Department of Sociology, State University of New York Buffalo State, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorian A","family":"Lamis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,9,11]]},"reference":[{"key":"2025121514123543000_8.9.e023991.1","unstructured":"WHO. Preventing suicide: a global imperative. Geneva: World Health Organization, 2014."},{"key":"2025121514123543000_8.9.e023991.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-006762","article-title":"Incidence and fatality of serious suicide attempts in a predominantly rural population in Shandong, China: a public health surveillance study","volume":"5","author":"Sun","year":"2015","journal-title":"BMJ Open"},{"key":"2025121514123543000_8.9.e023991.3","unstructured":"Maris RW , Berman AL , Silverman MM . Comprehensive textbook of suicidology. New York: The Guilford Press, 2000."},{"key":"2025121514123543000_8.9.e023991.4","first-page":"1","article-title":"Suicidal thoughts and behaviors among adults aged \u226518 years-United States, 2008-2009","volume":"60","author":"Crosby","year":"2011","journal-title":"MMWR Surveill Summ"},{"key":"2025121514123543000_8.9.e023991.5","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/S0140-6736(02)07954-0","article-title":"Suicide rates in China, 1995\u201399","volume":"359","author":"Phillips","year":"2002","journal-title":"The Lancet"},{"key":"2025121514123543000_8.9.e023991.6","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12090"},{"key":"2025121514123543000_8.9.e023991.7","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2001.00008.x"},{"key":"2025121514123543000_8.9.e023991.8","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006943"},{"key":"2025121514123543000_8.9.e023991.9","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2010.09101476"},{"key":"2025121514123543000_8.9.e023991.10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0175752","article-title":"Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?","volume":"12","author":"Choo","year":"2017","journal-title":"PLoS One"},{"key":"2025121514123543000_8.9.e023991.11","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1002\/jclp.22039","article-title":"The moderating effects of impulsivity on Chinese rural young suicide","volume":"70","author":"Zhang","year":"2014","journal-title":"J Clin Psychol"},{"key":"2025121514123543000_8.9.e023991.12","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-004-0549-3"},{"key":"2025121514123543000_8.9.e023991.13","first-page":"27","article-title":"The comparison of impulsive and non-impulsive attempted suicide","volume":"29","author":"Li","year":"2003","journal-title":"Chinese J Nerv Men Dis"},{"key":"2025121514123543000_8.9.e023991.14","doi-asserted-by":"publisher","DOI":"10.1080\/13811110802324698"},{"key":"2025121514123543000_8.9.e023991.15","doi-asserted-by":"publisher","DOI":"10.1159\/000029136"},{"key":"2025121514123543000_8.9.e023991.16","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1097\/JGP.0b013e3181d145b0","article-title":"Differences between younger and older adults in the structure of suicidal intent and its correlates","volume":"18","author":"Miret","year":"2010","journal-title":"Am J Geriatr Psychiatry"},{"key":"2025121514123543000_8.9.e023991.17","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.ajp.2014.09.002","article-title":"Severity of suicidal intent, method and behaviour antecedent to an act of self-harm: a cross sectional study of survivors of self-harm referred to a tertiary hospital in Mysore, south India","volume":"12","author":"Krishna","year":"2014","journal-title":"Asian J Psychiatr"},{"key":"2025121514123543000_8.9.e023991.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.07.009"},{"key":"2025121514123543000_8.9.e023991.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.11.018"},{"key":"2025121514123543000_8.9.e023991.20","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0488-7"},{"key":"2025121514123543000_8.9.e023991.21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.comppsych.2014.11.019","article-title":"Characteristics of Chinese rural young suicides: who did not have a strong intent to die","volume":"57","author":"Sun","year":"2015","journal-title":"Compr Psychiatry"},{"key":"2025121514123543000_8.9.e023991.22","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2007.37.3.248"},{"key":"2025121514123543000_8.9.e023991.23","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2007.37.3.264"},{"key":"2025121514123543000_8.9.e023991.24","unstructured":"Beck AT , Schuyler D , Herman I . Development of suicidal intent scales. 249. Oxford, England: Charles Press Publishers, 1974."},{"key":"2025121514123543000_8.9.e023991.25","doi-asserted-by":"publisher","DOI":"10.1080\/00223980.1976.9921330"},{"key":"2025121514123543000_8.9.e023991.26","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1080\/13811118.2011.565269","article-title":"Suicidal intent among young suicides in rural China","volume":"15","author":"Zhang","year":"2011","journal-title":"Arch Suicide Res"},{"key":"2025121514123543000_8.9.e023991.27","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/NMD.0000000000000104","article-title":"Suicide ideation and acceptability among females aged 15 to 34 years in rural China","volume":"202","author":"Zhang","year":"2014","journal-title":"J Nerv Ment Dis"},{"key":"2025121514123543000_8.9.e023991.28","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-003510","article-title":"Pesticide poisoning in Zhejiang, China: a retrospective analysis of adult cases registration by occupational disease surveillance and reporting systems from 2006 to 2010","volume":"3","author":"Zhang","year":"2013","journal-title":"BMJ Open"},{"key":"2025121514123543000_8.9.e023991.29","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1971.01750160052010"},{"key":"2025121514123543000_8.9.e023991.30","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1002\/jclp.22140","article-title":"Coping skill as a moderator between negative life events and suicide among young people in rural China","volume":"71","author":"Sun","year":"2015","journal-title":"J Clin Psychol"},{"key":"2025121514123543000_8.9.e023991.31","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.58.1.95"},{"key":"2025121514123543000_8.9.e023991.32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.03.002"},{"key":"2025121514123543000_8.9.e023991.33","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.5.1.31"},{"key":"2025121514123543000_8.9.e023991.34","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1097\/NMD.0000000000000529","article-title":"Psychological strains and suicidal intent: an empirical study to relate the 2 Psychopathological Variables","volume":"204","author":"Sun","year":"2016","journal-title":"J Nerv Ment Dis"},{"key":"2025121514123543000_8.9.e023991.35","unstructured":"Spitzer RL , Williams JBW , Gibbon M , et al . Instruction manual for the structured clinical interview for DSM-III-R (SCID, 6\/1\/88 Revision). New York: Biometrics Research Department, New York State Psychiatric Institute, 1988."},{"key":"2025121514123543000_8.9.e023991.36","unstructured":"Gu J , Chen Y . Instruction manual for the structured clinical interview for DSM-III-R (Chinese Edition). Kaohsiung: Kaohsiung Medical College, Taiwan, 1993."},{"key":"2025121514123543000_8.9.e023991.37","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.schres.2014.02.018","article-title":"Characteristics of schizophrenia suicides compared with suicides by other diagnosed psychiatric disorders and those without a psychiatric disorder","volume":"155","author":"Lyu","year":"2014","journal-title":"Schizophr Res"},{"key":"2025121514123543000_8.9.e023991.38","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-524"},{"key":"2025121514123543000_8.9.e023991.39","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2000.00691.x"},{"key":"2025121514123543000_8.9.e023991.40","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.psychres.2017.01.096","article-title":"Suicide attempters with high and low suicide intent: different populations in rural China","volume":"251","author":"Liu","year":"2017","journal-title":"Psychiatry Res"},{"key":"2025121514123543000_8.9.e023991.41","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-8525.2006.00039.x"},{"key":"2025121514123543000_8.9.e023991.42","doi-asserted-by":"crossref","first-page":"102","DOI":"10.4103\/0022-3859.180556","article-title":"Stressful life events, hopelessness, and suicidal intent in patients admitted with attempted suicide in a tertiary care general hospital","volume":"62","author":"Jaiswal","year":"2016","journal-title":"J Postgrad Med"},{"key":"2025121514123543000_8.9.e023991.43","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5906.2011.01568.x"},{"key":"2025121514123543000_8.9.e023991.44","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X03258686"},{"key":"2025121514123543000_8.9.e023991.45","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910.26.1.4"},{"key":"2025121514123543000_8.9.e023991.46","doi-asserted-by":"crossref","first-page":"2239","DOI":"10.1017\/S0033291716000696","article-title":"The communication of suicidal intentions: a meta-analysis","volume":"46","author":"Pompili","year":"2016","journal-title":"Psychol Med"},{"key":"2025121514123543000_8.9.e023991.47","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.05.003"},{"key":"2025121514123543000_8.9.e023991.48","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.9.1680"},{"key":"2025121514123543000_8.9.e023991.49","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.ajp.2013.10.001","article-title":"Cluster analysis reveals risk factors for repeated suicide attempts in a multi-ethnic Asian population","volume":"8","author":"Choo","year":"2014","journal-title":"Asian J Psychiatr"},{"key":"2025121514123543000_8.9.e023991.50","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.genhosppsych.2010.06.003","article-title":"Comparison of patients with and without mental disorders treated for suicide attempts in the emergency departments of four general hospitals in Shenyang, China","volume":"32","author":"Bi","year":"2010","journal-title":"Gen Hosp Psychiatry"},{"key":"2025121514123543000_8.9.e023991.51","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.8.1009"},{"key":"2025121514123543000_8.9.e023991.52","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-010914","article-title":"A cross-sectional study on risk factors and their interactions with suicidal ideation among the elderly in rural communities of Hunan, China","volume":"6","author":"Xu","year":"2016","journal-title":"BMJ Open"},{"key":"2025121514123543000_8.9.e023991.53","doi-asserted-by":"crossref","unstructured":"Choo CC , Harris KM , Ho RC . Prediction of lethality in suicide attempts: gender matters. Omega 2017.doi:10.1177\/0030222817725182","DOI":"10.1177\/0030222817725182"},{"key":"2025121514123543000_8.9.e023991.54","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7361.441"},{"key":"2025121514123543000_8.9.e023991.55","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jad.2016.09.031","article-title":"Exploring the risk factors of suicidal ideation among the seniors in Shandong, China: A path analysis","volume":"207","author":"Ge","year":"2017","journal-title":"J Affect Disord"},{"key":"2025121514123543000_8.9.e023991.56","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1089\/cap.2014.0042","article-title":"Impulsive aggression, delay discounting, and adolescent suicide attempts: effects of current psychotropic medication use and family history of suicidal behavior","volume":"25","author":"Bridge","year":"2015","journal-title":"J Child Adolesc Psychopharmacol"},{"key":"2025121514123543000_8.9.e023991.57","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0127442","article-title":"The ABC\u2019s of Suicide risk assessment: applying a tripartite approach to individual evaluations","volume":"10","author":"Harris","year":"2015","journal-title":"PLoS One"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2018-023991","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:12:46Z","timestamp":1765836766000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2018-023991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":57,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2018,9,11]]},"published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1136\/bmjopen-2018-023991"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2018-023991","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}