The Prevalence of Suicide Attempts and Independent Demographic and Clinical Correlates among Chronic Schizophrenia Patients in Agricultural Areas of China

  • Yi Zhong
  • Lei Xia
  • Tong-Tong Zhao
  • Yu-Long Zhang
  • Ye-Lei Zhang
  • Wen-Zheng Li
  • Yan-Qiong Hu
  • Xian-Hu Yao
  • Gabor S. Ungvari
  • Lloyd Balbuena
  • Huan-Zhong LiuEmail author
  • Yu-Tao XiangEmail author
Original Paper


This study investigated the lifetime prevalence of suicide attempts (SA) and independent demographic and clinical correlates in stabilized schizophrenia inpatients. A cross-sectional study was conducted in three psychiatric hospitals in Anhui province, an agricultural province located in east China. Psychopathology and depressive symptoms were assessed using the Positive and Negative Syndrome Scale (PANSS) and Hamilton Depression Rating Scale (HAMD), respectively. A total of 315 stable schizophrenia inpatients were interviewed prior to discharge. The lifetime prevalence of SA was 22.2%. Multiple logistic regression analysis revealed that female gender (P < 0.001, OR = 3.4, 95%CI: 1.9–6.0), being married (P = 0.02, OR = 2.2, 95%CI: 1.1–4.4) and having more severe depressive symptoms (P = 0.014, OR = 1.2, 95%CI: 1.01–1.3) were independently and significantly associated with higher risk of SA. Lifetime SA is common among hospitalized schizophrenia patients living in agricultural areas of China. For suicide prevention, regular assessments, appropriate interventions and clinical management should be integrated into a community-based psychiatric service model for this population.


Schizophrenia Suicide Risk factors China 



The study was supported by the National Natural Science Foundation of China (No. 81771449), the Anhui Province Key Scientific and Technological Projects (1804 h08020263).

Compliance with Ethical Standards

Conflict of Interest

The authors have no conflicts of interest concerning this article.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent



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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PsychiatryChaohu Hospital of Anhui Medical UniversityHefeiChina
  2. 2.Anhui Psychiatric CenterAnhui Medical UniversityAnhui ProvinceChina
  3. 3.Hefei Fourth People’s HospitalAnhui ProvinceChina
  4. 4.MaAnshan Fourth People’s HospitalAnhui ProvinceChina
  5. 5.The University of Notre Dame Australia / Graylands HospitalPerthAustralia
  6. 6.Division of Psychiatry, Medical SchoolUniversity of Western AustraliaPerthAustralia
  7. 7.Department of PsychiatryUniversity of SaskatchewanSaskatoonCanada
  8. 8.Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health SciencesUniversity of MacauMacauChina

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