196960 Stressful life events and suicidal ideation among rural-to-urban migrants in China: The role of coping

Tuesday, November 10, 2009

Xiaoming Li, PhD , Department of Pediatrics, Wayne State University, Detroit, MI
Yan Hong, PhD , Department of Social and Behavioral Health, Texas A&M School of Rural Public Health, College Station, TX
Background & Objective: Stressful life events (SLE) pose potential risks for poor mental health including suicidal behaviors, but how SLE affects one's suicidal behaviors remain under-studied. Data are further limited on how coping mediates the relationship between SLE and suicidal behaviors. This study, using data from a sample of rural-to-urban migrants in China, examine the relationship of SLE, suicidal ideation and coping.

Methods: A total of 1,006 rural-to-urban migrants (mean age 25.39 years and 33% women) were recruited from 10 occupation clusters in Beijing using quota sampling scheme. A cross-sectional survey was administered; multivariate regressions and structural equation modeling were employed to assess the relationship between SLE and suicidal ideation as well as the mediation effects of adaptive and maladaptive coping.

Results: Approximately 10% of migrants (9% female and 10% male) had suicidal ideation. There were no gender differences in number of SLE and coping. There is a dose-response relationship between SLE and the likelihood of suicidal ideation. SLE and coping are both significant predictors of suicidal ideation, even after controlling for potential confounders. Adaptive coping reduced the effect of SLE on suicidal ideation, while maladaptive coping exacerbated the effect of SLE on suicide ideation.

Conclusion: In study of SLE and suicidal behaviors, coping remains an important factor their relationship. Adaptive coping and maladaptive coping represent different mediating effects in the relationship between SLE and suicidal ideation. Public health interventions are needed to improve mental health of the migratory population. Specially, training of adaptive coping can be an effective approach.

Learning Objectives:
The participants at the end of the presentation may learn about: 1. Scale of economics-driven, rural-to-urban migration in China 2. Prevalence of stressful life events and suicidal ideation among rural migrants in China 3. Measurement of coping among the target population 4. Direct effect of SLE on suicidal ideation 5. Effect of coping in mediating the effect of SLE on suicidal ideation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research related to mental health issues among rural migrants in China.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.