“I thought that I had to be alive to repay my parents”: Filial piety as a risk and protective factor for suicidal behavior in a qualitative study of Chinese women

Filial piety involves the Confucian view that children always have a duty to be obedient and to provide care for their parents. Filial piety has been described as both a risk and a protective factor in depression and suicide. This qualitative study aimed to explore the role of filial piety in the suicidal behavior of Chinese women. Qualitative interviews were conducted with Chinese women with a history of suicidal behavior living in the Beijing area ( n = 29). Filial piety data were extracted and analyzed in accordance with constructivist grounded theory. The women described five specific family and filial piety factors and how they influenced their ability to fulfill family role obligations, which was described as a nexus connecting these factors to depression, suicidal behavior, and recovery. The five factors were: 1) rigidity of parental filial expectations, 2) perception of family relationships as positive/supportive or negative/harsh, 3) whether filial piety is of high or low personal value in the woman's life, 4) any experiences of rebellion leading to punitive consequences, and 5) how much filial piety she receives from her children. These factors could inform suicide risk assessments in this population. They can be harnessed as part of recovery and protect against future suicidal behavior.

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Engendering the Chinese Revolution: Radical Women, Communist Politics, and Mass Movements in the 1920s. By ChristinaKelley Gilmartin. [Berkeley: University of California Press, 1995. xiii + 303 pp. Hard cover £32.00, $40,00, ISBN 0-520-08981-2; paperback £11.95, $15.00, ISBN0-520-20346-1.]Unbound Feet: A Social History of Chinese Women in San Francisco. ByJudy Yung. [Berkeley: University of California Press, 1995. xiv + 395 pp. Hard cover £35.95, $45.00, ISBN0-520-08866-2; paperback £12.95, $15.95, ISBN 0-520-08867-0.]Working Daughters of Hong Kong: Filial Piety or Power in the Family? By Salaff Janet W. [New York: Columbia University Press, 1995. xli + 317 pp. $17.50. ISBN0-231-10225-9.]

The China Quarterly ◽

10.1017/s0305741000052693 ◽

1997 ◽

Vol 150 ◽

pp. 479

Author(s):

Harriet Evans

Keyword(s):

New York ◽

Social History ◽

San Francisco ◽

Filial Piety ◽

Chinese Women ◽

University Of California ◽

Columbia University ◽

The Family ◽

History Of ◽

Hard Cover

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A qualitative study of adjustment to caring for an older spouse with psychiatric illness

Ageing and Society ◽

10.1017/s0144686x98007120 ◽

1998 ◽

Vol 18 (6) ◽

pp. 659-671 ◽

Cited By ~ 17

Author(s):

JOANNA MURRAY ◽

GILL LIVINGSTON

Keyword(s):

Mental Illness ◽

Qualitative Study ◽

Psychiatric Illness ◽

Qualitative Interviews ◽

Community Study ◽

Care Giving ◽

History Of ◽

The Relationship

An understanding of ways in which older carers' perceptions of their marital relationship and duty to their spouse underlie adjustment to care-giving is required for the development of acceptable and efficacious services for spouse carers. With this aim we conducted qualitative interviews with 20 spouses of older people with a mental illness identified in a representative community study. While carers acknowledged distressing changes in their spouse, a history of reciprocity and intimacy emerged, comprising positive themes and perceived continuity which favourably influenced adjustment to care-giving. Those who still experience closeness in the relationship see themselves as coping and are reluctant to accept formal help. Others describe long-term unhappiness in marriage and experience feelings of entrapment in the role of carer. They require early and comprehensive services. Hypotheses regarding these themes are proposed.

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Engendering the Chinese Revolution: Radical Women, Communist Politics, and Mass Movements in the 1920s. By Kelley Gilmartin Christina. [Berkeley: University of California Press, 1995. xiii + 303 pp. Hard cover £32.00, $40,00, ISBN 0-520-08981-2; paperback £11.95, $15.00, ISBN0-520-20346-1.]Unbound Feet: A Social History of Chinese Women in San Francisco. By Yung Judy. [Berkeley: University of California Press, 1995. xiv + 395 pp. Hard cover £35.95, $45.00, ISBN0-520-08866-2; paperback £12.95, $15.95, ISBN 0-520-08867-0.]Working Daughters of Hong Kong: Filial Piety or Power in the Family? By Janet W. Salaff. [New York: Columbia University Press, 1995. xli + 317 pp. $17.50. ISBN0-231-10225-9.]

The China Quarterly ◽

10.1017/s030574100005270x ◽

1997 ◽

Vol 150 ◽

pp. 479

Author(s):

Harriet Evans

Keyword(s):

New York ◽

Social History ◽

San Francisco ◽

Filial Piety ◽

Chinese Women ◽

University Of California ◽

Columbia University ◽

The Family ◽

History Of ◽

Hard Cover

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Suicidal Behavior in German Adolescents

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000331 ◽

2015 ◽

Vol 43 (1) ◽

pp. 39-45 ◽

Cited By ~ 4

Author(s):

Joana Straub ◽

Ferdinand Keller ◽

Nina Sproeber ◽

Michael G. Koelch ◽

Paul L. Plener

Keyword(s):

Suicidal Behavior ◽

Suicide Attempts ◽

Depression Scale ◽

Epidemiological Studies ◽

Present Sample ◽

Manic Symptoms ◽

Symptoms Of Depression ◽

Adolescent Sample ◽

History Of ◽

Sum Scores

Objective: Research in adults has identified an association between bipolar disorder and suicidal behavior. This relationship, however, has been insufficiently investigated in adolescents to date. Methods: 1,117 adolescents from 13 German schools (mean age = 14.83, SD = .63; 52.7% females) completed an extended German version of the Center for Epidemiological Studies Depression Scale (CES-D), which assesses depressive and manic symptoms during the last week, as well as the Self-Harm Behavior Questionnaire (SHBQ) for the assessment of lifetime suicidal behavior. Results: In the present sample 39.4% of the girls and 23.1% of the boys reported lifetime suicidal thoughts and 7.1% of the girls as well as 3.9% of the boys a lifetime history of suicide attempts. 18.7% of the adolescent sample revealed elevated symptoms of depression and 9% elevated levels of mania symptoms. Elevated sum scores of depression and mania were associated with a higher number of suicidal ideations and suicide attempts. A block-wise regression analysis revealed that sum scores of depression and mania predicted suicidal ideations best. Concerning suicide attempts, the best predictors were age as well as depression and mania sum scores. Conclusions: Suicidal behavior was reported more often when adolescents demonstrate symptoms of mania as well as symptoms of depression than when they demonstrate only depressive symptoms. The presence of bipolar symptoms in adolescents should alert clinicians to the heightened possibility of suicidal behavior.

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Protective Factors and Suicidality in Members of Arab Kindred

Crisis ◽

10.1027/0227-5910/a000116 ◽

2012 ◽

Vol 33 (2) ◽

pp. 80-86 ◽

Cited By ~ 6

Author(s):

Sami Hamdan ◽

Nadine Melhem ◽

Israel Orbach ◽

Ilana Farbstein ◽

Mohammad El-Haib ◽

...

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Suicidal Behavior ◽

Composite International Diagnostic Interview ◽

Diagnostic Interview ◽

Suicidal Risk ◽

Arab Population ◽

Psychiatric Interview ◽

History Of

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

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Stress, Cortisol and Suicide Risk

10.31234/osf.io/92b7z ◽

2019 ◽

Author(s):

Daryl Brian O'Connor

Keyword(s):

Risk Factors ◽

Suicidal Behavior ◽

Suicide Risk ◽

Stressful Events ◽

Additional Risk ◽

Global Health Issue ◽

History Of ◽

Hpa Axis Activity ◽

The Impact

Suicide is a global health issue accounting for at least 800,000 deaths per annum. Numerous models have been proposed that differ in their emphasis on the role of psychological, social, psychiatric and neurobiological factors in explaining suicide risk. Central to many models is a stress-diathesis component which states that suicidal behavior is the result of an interaction between acutely stressful events and a susceptibility to suicidal behavior (a diathesis). This article presents an overview of studies that demonstrate that stress and dysregulated hypothalamic-pituitary-adrenal (HPA) axis activity, as measured by cortisol levels, are important additional risk factors for suicide. Evidence for other putative stress-related suicide risk factors including childhood trauma, impaired executive function, impulsivity and disrupted sleep are considered together with the impact of family history of suicide, perinatal and epigenetic influences on suicide risk.

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Impact of Pediatric COVID-19 on Family Health-Related Quality of Life: A Qualitative Study from Latvia

Global Pediatric Health ◽

10.1177/2333794x211012394 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2110123

Author(s):

Inese Stars ◽

Liene Smane ◽

Zanda Pucuka ◽

Ieva Roge ◽

Jana Pavare

Keyword(s):

Quality Of Life ◽

Qualitative Study ◽

Family Relationships ◽

Family Health ◽

Support Network ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

Information on family health-related quality of life (FHRQoL) among families of children with the coronavirus disease 2019 (COVID-19) is limited. This qualitative study explores the impact of pediatric COVID-19 on FHRQoL from the parents’ perspective. Semi-structured interviews were conducted with parents (n = 20) whose children had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Inductive thematic analysis revealed the following 10 themes that represented parents’ perception of FHRQoL while taking care of a child with COVID-19: pediatric COVID-19 as a disease with many unknowns; emotional saturation; internal family relationships in the context of “a new experience”; routine household activities and daily regimen while family is in lockdown; plenty of free time; a wide social support network; social stigma associated with COVID-19; different options for work; savings and debts; challenges with family housing and transport availability. Our results show that parents experience multiple effects of pediatric COVID-19 with regard to FHRQoL.

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Sexual function in Chinese women from pregnancy to postpartum: a multicenter longitudinal prospective study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03546-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Qiuxiang Zhang ◽

Min Shen ◽

Yaning Zheng ◽

Shimei Jiao ◽

Shangxiao Gao ◽

...

Keyword(s):

Weight Gain ◽

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Chinese Women ◽

Qualitative Interviews ◽

First Trimester ◽

Partnership Quality ◽

Pregnancy And Postpartum ◽

Postpartum Weight

Abstract Background The aims of our research were as follows: First, to estimate the prevalence of female sexual dysfunction in early, middle, late stages of pregnancy, and postpartum 6 months after delivery. Second, to discuss relevant factors associated with female sexual dysfunction among women in 6 months after delivery in Nanjing, Yangzhou and Huaian Main, China. Methods Our multicenter longitudinal study was carried out from September 2017 to March 2019, with participants recruited from Southeast China: Nanjing, Yangzhou and Huaian. Participants were recruited when they built their Record of Prenatal Care in community hospitals. The online questionnaires included a set of validated tools, sociodemographic information as wells as medical history data. In the meantime, qualitative interviews were conducted during different periods of pregnancy (from the first trimester to the third trimester of pregnancy and following up to six-month postpartum) respectively. All participants have obtained written informed consent. Results By qualitative interview, the vast majority of the participants were inactive in having sex from pregnancy to postpartum. There were negative aspects of sexual experiences, emotional responses closely related to self-attitudes toward sexual behavior during this period. Through quantitative analysis, pre pregnancy BMI (OR = 1.15, P = 0.012), postpartum weight gain (OR = 1.057, P = 0.033) and partnership quality (OR = 1.181, P = 0.04) were associated with postpartum sexual dysfunction 6 months after delivery. Conclusions Women are at the risk of significantly different FSD with regard to pre-pregnancy BMI, postpartum weight gain and partnership quality. The impaired sexual function from pregnancy to postpartum period indicated the requirement for further survey as well as extensive investigation.

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