{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:58:33Z","timestamp":1789235913019,"version":"build-2803163510"},"reference-count":43,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 109-2314-B-038-019-MY2"],"award-info":[{"award-number":["MOST 109-2314-B-038-019-MY2"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 109-2811-B-002-589"],"award-info":[{"award-number":["MOST 109-2811-B-002-589"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 110-2811-B-002 -588"],"award-info":[{"award-number":["MOST 110-2811-B-002 -588"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We investigated recent trends in youth suicide and their associations with societal and psychological factors in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Suicide data (1971\u20132019) for 10\u201324\u2009year olds were extracted from Taiwan\u2019s national cause-of-death data files. We investigated changes in trends in youth suicide rates, societal factors (gross domestic product per capita, Gini index, overall and youth unemployment rates, divorce rates in people aged 40\u201359\u2009years [i.e. the age of most 15\u201324\u2009year olds\u2019 parents] and Internet use rates) and psychological distress indicators (youth self-harm rates and the prevalence of worry-related insomnia, and suicide ideation, plan and attempt) using joinpoint regression and graphic examinations. The associations of these factors with youth suicide rates were examined using Prais\u2013Winsten regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Suicide rates in Taiwan\u2019s 10\u201324\u2009year olds changed from a downward trend (2005\u20132014) to an upward trend in 2014 and increased 11.5% (95% confidence interval\u2009=\u2009[5.2%, 18.1%]) annually between 2014 and 2019. There was also an upturn in divorce rates among females aged 40\u201359\u2009years in 2014 and self-harm rates among 15- to 24-year-old youth in 2013. The prevalence of self-reported insomnia and suicide ideation, plan and attempt in youth started to increase from 2013 to 2016. In the regression analysis, Internet use, female divorce rates and youth self-harm rates were positively associated with youth suicide rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Suicide rates and the prevalence of suicidal behaviors began to increase in Taiwanese youth in the 2010s. These increases may be associated with concurrent rises in parental divorce rates, Internet use and poor sleep. Further research is needed to examine the mechanisms underlying recent increases in youth suicide risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674221108640","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T06:11:15Z","timestamp":1657779075000},"page":"537-549","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Societal factors and psychological distress indicators associated with the recent rise in youth suicide in Taiwan: A time trend analysis"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1005-163X","authenticated-orcid":false,"given":"Yi-Han","family":"Chang","sequence":"first","affiliation":[{"name":"Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan"},{"name":"Institute of Health Behaviors and Community Sciences and Global Health Program, College of Public Health, National Taiwan University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4129-0879","authenticated-orcid":false,"given":"Shih-Cheng","family":"Liao","sequence":"additional","affiliation":[{"name":"National Suicide Prevention Center, Taiwanese Society of Suicidology, Taipei, Taiwan"},{"name":"Department of Psychiatry, College of Medicine and National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-Yeh","family":"Chen","sequence":"additional","affiliation":[{"name":"Taipei City Psychiatric Centre, Taipei City Hospital, Taipei, Taiwan"},{"name":"Institute of Public Health and Department of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-0834","authenticated-orcid":false,"given":"Fortune Fu-Tsung","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology and Human Resource Development, National Chi Nan University, Nantou, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Yueh","family":"Hsu","sequence":"additional","affiliation":[{"name":"Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Psychiatry, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gunnell","sequence":"additional","affiliation":[{"name":"Population Health Sciences, University of Bristol Medical School, Bristol, UK"},{"name":"National Institute for Health and Care Research Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5012-1132","authenticated-orcid":false,"given":"Shu-Sen","family":"Chang","sequence":"additional","affiliation":[{"name":"Institute of Health Behaviors and Community Sciences and Global Health Program, College of Public Health, National Taiwan University, Taipei, Taiwan"},{"name":"Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Global Health Program, College of Public Health, National Taiwan University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"bibr1-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-019-01219-y"},{"key":"bibr2-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232021267.08502021"},{"key":"bibr3-00048674221108640","unstructured":"Australian Bureau of Statistics (2021) 3303.0 causes of death, Australian, 2019: Intentional self-harm, age specific death rates, 5-year age-groups by sex, 2010-2019. Available at: www.abs.gov.au\/statistics\/health\/causes-death\/causes-death-australia\/latest-release#intentional-self-harm-suicides-key-characteristics (accessed 30 October 2021)."},{"key":"bibr4-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.10.028"},{"key":"bibr5-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114020"},{"key":"bibr6-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-009-0049-x"},{"key":"bibr7-00048674221108640","first-page":"536","volume":"39","author":"Chang Y-H","year":"2020","journal-title":"Taiwan Journal of Public Health"},{"key":"bibr8-00048674221108640","first-page":"1","volume":"69","author":"Curtin SC","year":"2020","journal-title":"National Vital Statistics Reports"},{"key":"bibr9-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03235-w"},{"key":"bibr10-00048674221108640","unstructured":"Department of Household Registration, Ministry of the Interior (2020) Population statistics. Available at: www.ris.gov.tw\/app\/portal\/346 (accessed 30 November 2020)."},{"key":"bibr11-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2006.01747.x"},{"key":"bibr12-00048674221108640","unstructured":"Eurostat (2021) Suicide death rate by age group. European Commission. Available at: https:\/\/ec.europa.eu\/eurostat\/web\/products-datasets\/-\/tps00202 (accessed 11 August 2021)."},{"key":"bibr13-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.01.023"},{"key":"bibr14-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.12.004"},{"key":"bibr15-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2019.04.022"},{"key":"bibr16-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-020-01591-8"},{"key":"bibr17-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2608"},{"key":"bibr18-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60322-5"},{"key":"bibr19-00048674221108640","unstructured":"Health Promotion Administration, Ministry of Health and Welfare (2015) Taiwan global school-based student health survey (GSHS). Available at: www.hpa.gov.tw\/Pages\/Detail.aspx?nodeid=1077&pid=6205 (accessed 30 March 2022)."},{"key":"bibr20-00048674221108640","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9044"},{"key":"bibr21-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420976861"},{"key":"bibr22-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1080\/02673843.2019.1590851"},{"key":"bibr23-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-019-01797-5"},{"key":"bibr24-00048674221108640","unstructured":"Ministry of Health and Welfare (2020) Cause of death statistics. Available at: www.mohw.gov.tw\/np-128-2.html (accessed 28 February 2021)."},{"key":"bibr25-00048674221108640","unstructured":"Ministry of Interior (2021) Statistical yearbook of interior. Department of Statistics, Ministry of the Interior. Available at: www.moi.gov.tw\/cl.aspx?n=4404 (accessed 1 March 2021)."},{"key":"bibr26-00048674221108640","unstructured":"National Cancer Institute (2020) Joinpoint trend analysis software. Available at: https:\/\/surveillance.cancer.gov\/joinpoint\/ (accessed 31 July 2020)."},{"key":"bibr27-00048674221108640","volume":"368","author":"Niederkrotenthaler T","year":"2020","journal-title":"British Medical Journal"},{"key":"bibr28-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.0922"},{"key":"bibr29-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.05.057"},{"key":"bibr30-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712002425"},{"key":"bibr31-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718001757"},{"key":"bibr32-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.04.015"},{"key":"bibr33-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60072-5"},{"key":"bibr34-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000547"},{"key":"bibr35-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.10.004"},{"key":"bibr36-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7742-9"},{"key":"bibr37-00048674221108640","doi-asserted-by":"crossref","unstructured":"Taiwan Network Information Center (2019) Taiwan internet report 2019. Available: www.twnic.tw\/stat_n.php (accessed 1 January 2021).","DOI":"10.1109\/ICCE-TW46550.2019.8992011"},{"key":"bibr38-00048674221108640","unstructured":"United Nations Statistics Division (2021) SDG indicators: Metadata repository. Available at: https:\/\/unstats.un.org\/sdgs\/metadata\/ (accessed 12 May 2021)."},{"key":"bibr39-00048674221108640","volume-title":"LIVE LIFE: Preventing Suicide","author":"World Health Organization","year":"2018"},{"key":"bibr40-00048674221108640","unstructured":"World Health Organization (2019a) PREVENTING SUICIDE: A resource for filmmakers and others working on stage and screen. www.who.int\/publications\/i\/item\/preventing-suicide-a-resource-for-filmmakers-and-others-working-on-stage-and-screen (accessed 30 October 2021)."},{"key":"bibr41-00048674221108640","volume-title":"Suicide in the World: Global Health Estimates","author":"World Health Organization","year":"2019"},{"key":"bibr42-00048674221108640","author":"World Health Organization and International Association for Suicide Prevention","year":"2017","journal-title":"Preventing Suicide: A Resource for Media Professionals"},{"key":"bibr43-00048674221108640","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.13513"}],"container-title":["Australian &amp; New Zealand Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00048674221108640","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00048674221108640","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00048674221108640","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:56:33Z","timestamp":1777373793000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00048674221108640"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,14]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/00048674221108640"],"URL":"https:\/\/doi.org\/10.1177\/00048674221108640","relation":{},"ISSN":["0004-8674","1440-1614"],"issn-type":[{"value":"0004-8674","type":"print"},{"value":"1440-1614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,14]]}}}