In this paper we conduct a comparison of the rates of suicide for men and women across four settings: the People's Republic of China (PRC), Taiwan, Hong Kong, and Asian groups in the US. The rates for rural PRC women are the highest, followed by urban PRC, Hong Kong, Taiwan, and at the lowest rate, US Asians. The highest rates for men were found in the rural PRC setting, followed by Hong Kong, Taiwan, Asians in the US, and the lowest rate was found in the urban PRC. The high rate among women in rural PRC settings fits with observations on their stressful life circumstances. For these women, local belief systems, life conditions, and lack of social and economic opportunities increase the risk of suicide in the face of intolerable shame and pain.
Barraclough, B. M. (1973). Differences between national suicide rates. British Journal of Psychiatry, 122, 95-96.
2.
Beijing Review, 24-10-1994, p.83-83.
3.
Blinn, R. (1996). Asian-American and Chinese-American suicide in San Francisco. Unpublished dissertation, Pacific Graduate School of Psychology, Palo Alto, CA.
4.
Bourne, P. G. (1973) Suicide among Chinese in San Francisco. American Journal of Public Health, 63(8), 744-750.
5.
Canetto, S. S. , & Lester, D., (Eds.) (1995). Women and suicidal behavior. New York: Springer.
6.
Committee of Classification and Diagnosis of Mental Disorders (1989). Chinese Society of Neurology and Psychiatry: the Chinese classification and diagnostic criteria of mental disorders (2nd ed.). Changsha, China (PRC): University Hospital of Chang Sha.
7.
Department of Health, the Executive Yuan, R.O.C. (1995). Health and vital statistics: L General health statistics, 1995, Republic of China. Taipei, Taiwan.
8.
Duan, C. E. , & Xiang F. Z. (1996). A study of suicide in Lisu of Dechang County of Sichuan Province. Clinical Journal of Psychiatry, 5, 72-73 (in Chinese).
9.
Farberow, N. L. (Ed.) (1975). Suicide in different cultures. Baltimore, MD: University Press.
10.
Group for the Advancement of Psychiatry . (1989). Suicide and ethnicity in the United States (Report #129). New York: Brunner/Mazel.
11.
Harevan, T. (1986). Historical changes in the social construction of the life course. Human Development, 29, 171-178.
12.
He, Z. X. , & Lester, D. (1997). The gender difference in Chinese suicide rates. Archives of Suicide Research, 3, 81-97.
13.
Hsieh A. , & Spence J. (1982). Suicide and family in pre-modern China. In: A. Kleinman & T. Y. Lin (Eds.). Normal and abnormal behavior in Chinese culture, pp. 29-48. Dordrecht: D. Reidal.
14.
Jackson, J. S. , Antonucci, T. C., & Gibson, R. (1990). Cultural, racial, and ethnic minority influences on aging. In J. E. Birren & K. W. Schaie (Eds). Handbook of the psychology on aging (3rd ed.). San Diego, CA: Academic Press.
15.
Jarvis, G. , Boldt, M., & Butt, J. (1991). Medical examiners and manner of death. Suicide and Life-Threatening Behavior, 21(2), 115-133.
16.
Internet: China-Income, Consumption, and Expenditure Statistics. (1997). Access: http://usda.mannlib.cornell.edu:70/data-sets/international/90021
17.
Internet: Population Figures and Per Capita Income Information. April, 1997.
18.
Kachur, S. , Potter, L., James, S., & Powell, K. (1995). Suicide in the United States 1980-1992: Violence surveillance summary series No. 1. Atlanta, GA: National Center for Injury Prevention and Control.
19.
Kitayama, S. , & Markus, H. (1994). Emotion and culture. Washington, D.C.: APA Press.
20.
La Vecchia, C. , Lucchini, F., & Levi, F. (1994). Worldwide trends in suicide mortality, 1955-1989. Acta Psychiatrica Scandinavica, 90, 53-64.
21.
Lee, S. (1994). The vicissitudes of neurasthenia in Chinese societies: Where will it go from the ICD-10?Transcultural Psychiatry, 31, 153-172.
22.
Lester, D. (1992). Suicide among Asian-Americans and social deviancy. Perceptual and Motor Skills, 75, 1134-1134.
23.
Lester, D. (1994a). The epidemiology of suicide in Chinese populations in six regions of the world. Chinese Journal of Mental Health, 7, 25-36.
24.
Lester, D. (1994b). Differences in the epidemiology of suicide in Asian Americans by nation of origin. Omega, 29, 89-93.
25.
Lester, D. (1995). Domestic integration and the Taiwanese homicide and suicide rate. Chinese Journal of Mental Health, 8, 21-25.
26.
Lester, D. , &Yang, B. (1995). Do Chinese women commit fatalistic suicide?Chinese Journal of Mental Health, 8(1), 23-26.
27.
Li, G. , & Baker, S. P. (1991). A comparison of injury death rates in China and the United States, 1986. American Journal of Public Health, 81, 605-609.
28.
McIntosh, J. L. , & Santos, J. F. (1981). Suicide among minority elderly: A preliminary investigation. Suicide and Life-Threatening Behavior, 11, 151-166.
29.
Pearson, V. (1995). Goods on which one loses: Women and mental health in China. Social Science and Medicine, 41, 1159-1173.
30.
Shiang, J. Blinn , R. Bongar, B., Stephens, B., Allison, D., & Schatzberg, A. (1997). Suicide in San Francisco, CA.: A comparison of Caucasians and Asian groups, 1987-1994. Suicide and Life-Threatening Behavior, 27, 80-91.
31.
Smith, A. (1970). Village life in China. Boston: New York City: F. H. Revell. (Originally published 1899.)
32.
South China Morning Post, 15-10-1988, reported in China Women's Daily, Reuter's Report.
33.
Triandis, H. , Kashima, Y., Shimada, E., & Villareal, M. (1986). Acculturation indices as a means of confirming cultural differences. International Journal of Psychology, 21, 43-70.
34.
US Bureau of the Census (1996). Statistical abstracts of the US: 1996. (116th ed.). Washington, D.C: Hoover's Business Press.
35.
Wolf, M. (1975). Women and suicide in China. In M.Wolf & R. Witke (Eds.) Women in Chinese society. Stanford, CA: Stanford University Press.
36.
World Health Statistics Annual (1987-1994). Geneva: World Health Organization.
37.
Wong, J. (1996). Red China blues. New York: Doubleday, Anchor Books.
38.
Yip, S. F. (1996). Suicides in Hong Kong, Taiwan, and Beijing. British Journal of Psychiatry, 169, 495-500.
39.
Ziao, S. , Qu, G., Peng, Z., & Peng, T. (1994). The sex ratio of suicide rates in China. Crisis, 15, 44-48.
