Original ArticlesFamily Functioning and Suicide Among the Elderly in Rural China A Case-Control Psychological Autopsy StudyWei, Yan-Xin MB*; Liu, Bao-Peng MPH*; Ma, Zhen-Yu PhD†; Zhou, Liang MD‡; Jia, Cun-Xian PhD*Author Information *Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Jinan †School of Public Health, Guangxi Medical University, Nanning ‡The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China. Send reprint requests to Cun-Xian Jia, PhD, Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, 44 Wenhuaxi Rd, Lixia District, Jinan 250012, China. E‐mail: email@example.com; or Liang Zhou, MD, Department of Social Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), 36 Mingxin Rd, Liwan District, Guangzhou 510370, China. E-mail: firstname.lastname@example.org. Online date: December 1, 2019 The Journal of Nervous and Mental Disease: February 2020 - Volume 208 - Issue 2 - p 131-137 doi: 10.1097/NMD.0000000000001116 Buy Metrics Abstract This study aimed to examine the association between family functioning and suicide among the elderly in rural China. This 1:1 paired case-control psychological autopsy study included 242 suicides at age 60 or more and an equal number of controls matched on age (±3 years), gender, and residency. Family functioning was assessed by the Family Adaptation Partnership Growth Affection Resolve Index. Family dysfunction was reported more frequently in suicides than in paired controls. Severe family dysfunction denoted a significant risk factor for suicide only in women after adjusting for potential confounding factors. Suicides with family dysfunction were prone to have unstable marital status, physical illness, mental disorders, family suicide history, and more stressful life events than those with good family functioning. The findings suggest that the intervention enhancing family functioning may be effective in decreasing suicide among the elderly in rural China. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.