A study involving 21,702 graduate students conducted in 2007 indicated that the prevalence of psychological distress for graduate students was about 6.8%, while the overall prevalence of suicide ideation among graduate students was about 1.78% ( 8). Although graduate students experience high levels of stress and anxiety and may be at an elevated risk for suicide, they receive less attention compared with college students, and there are few surveys of suicide in Chinese graduate students ( 5– 7). Reports of graduate students' suicides hit headlines at times, and the concern for the mental health of these students has been enhanced. However, there are no subgroup analyses of national suicide rates of different populations due to limits of the Chinese vital registration system, although the number of graduate students in this age group is facing a huge increase and the total enrollment reached 2.86 million in 2019 ( 4). Graduate students have a high level of knowledge and a good psychological quality, but the suicides have made it necessary for us to re-understand this problem. In recent years, the frequent suicides of Chinese graduate students have aroused heated social discussions. Statistics showed that the Chinese suicide rate of people aged 25–39 years old in urban areas was about 2.35–2.87 per 100,000 people, as well as 4.47–4.91 in rural areas in 2018 ( 3). Suicide occurs throughout the lifespan, is the second leading cause of death among people aged 15–34 years old globally, and accounts for 19% of all deaths ( 2). Nearly 800,000 people commit suicide each year, that is, one person every 40 s ( 1). Suicide is a major and serious public health problem worldwide. There is an urgent need for the Chinese government and universities to pay more attention to prevent suicides among graduate students. Graduation pressure, depression, and academic pressure were the three leading suicidal causes. The top three suicide methods were jumping, hanging, and drowning. Among the 150 students, 65.8% were male, nearly half between 26 and 30 years old, most (83.3%) never married, and 43.4% of graduation students committed suicide in graduation year and postponed years. A total of 150 cases of graduate students' suicides were reported from 2000 to 2019. We conducted a systematic search of public reports on local media and medical websites in this review to gain a basic understanding of these questions. The characteristics of Chinese graduate students' suicides and the reasons they occur have never been reported systematically. Suicide is an important public problem in China. Division of Nephrology, Pudong Medical Center, Shanghai Pudong Hospital, Fudan University, Shanghai, China.Yun Cheng † Xiao Meng Zhang † Shui Ying Ye † Hui Min Jin * Xiu Hong Yang *
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