Objective: To understand the attitudes about mental illnesses of different types of community members. Method: A questionnaire was first developed using qualitative methods and then administered to 225 schizophrenic patients, 230 family members of schizophrenic patients, 257 community residents and 283 psychiatrists and psychiatric nurses in Beijing. Result: Patients were most optimistic and community members were most pessimistic about mental illnesses; family members tend to be optimistic, but were less positive than patients about the social contribution and treatment prospects. Mental health professionals were more negative than patients and family members but less negative than community members about social contribution, dangerousness, and need to restrict the behavior of those mentally ill. Unlike the other three groups, mental health professionals were much more likely to attribute mental illnesses to biological factors and much less to consider personal or social causes. Conclusion: To improve patient's and family members' damaged self-esteem, to enhance compliance with treatment, and to maximize patients' social rehabilitation, it is essential to rapidly institute effective measures of decreasing negative attitudes about the mentally ill in the community.

Objective: To improve clinical utility of the Nurses Observation Sca le for Inpatient Evaluation (NOSIE-30) in China. Methods: Based on the original scale, which only provides names and ranked scores for items, we developed clear definitions for each item and anchoring descriptions for score rating. 164 firs t-episode schizophrenic patients were evaluated with this scale every two weeks after admission. A total of 994 evaluations were completed. The collected data w ere randomly divided into two independent data sets. The number and content of t he subscales were revised based on principal component factor analysis and item analysis of the first data set. The revised scale was then evaluated and compare d with the original 7-subscale version of the instrument using the second data s et. Results: Factor analysis found that the factor structu re of the revised scal e was markedly different from that of the original instrument. Item analysis res ulted in elimination of 30 original items and redistribution of the remaining 26 items into 5 subscales. Comparison of the revised scale with the original instr ument revealed better psychometric properties for the former than the latter.Conclusion: The subscale scores of the original 7-subscale v ersion of NOSIE-30 did not reflect independent symptom clusters in Chinese schizophrenic inpatients. T o improve the usefulness of the scale in China, the present study recommended a better revised scale with re-definition of items into 5 subscales.

Objective:To compare of life satisfactions and suicide intensions in suicide survivors with and without psychiatric disorders.Methods:Suicide survivors of emergency department of general hospitals were diagnosed by psychiatrists according to the criteria of CCMD-3.Their life satisfactions and suicide intension were assessed Result:In general,there were 39 survivors with psychiatric disorders and 81 without.Survivors with psychiatric disorders had higher suicide intension and lower life satisfactions lower than those without.All survivors felt their life satisfactions lowest just around their attempt and had been better before.Conclusion:Higher suicide intension and lower life satisfactions are found in attempters with mental disorders,these probably the reasons why much more completed suicide and multiple attempts among psychiatric patients.

Objective To describe the prevalence and risk factors for suicide ideation among college students in Chongqing city. Methods Data on suicide ideation and related factors were collected from 9808 college students at 11 colleges randomly selected in Chongqing. A multiple logistic regression model was used to identify risk factors for suicide ideation. Results 1279 (13.0%) of the 9808 students reported suicide ideation and the constituent ratio of boys and girls was 3:4 whileriskfactors for suicide ideation were ranked as follows: high frequency of feeling hopeless in prior year (OR=5.07,95%CI: 4.27-6.02); having psychological problems in recent 1 month that affecting daily lives and learning(2.07,1.79-2.38); relatives having suicide behavior (1.77,1.52-2.08); having had sexual experience (1.95,1.65-2.30); being female (1.66,1.45-1.90) and friends who had had suicide attempts(1.46,1.28-1.67);having diseases in the last 1 month that affecting daily lives and learning (1.29,1.08-1.52). Conclusion The prevalence of suicide ideation among these college students was high that calls the development,implementation and assessment of suicide prevention plans for college students that focusing on the risk factors identified for suicide ideation.