With the dramatic recent socio-economic changes in China along with the way mental health care is delivered, our findings point out that the recognition of depressive symptoms are important risk factors clinicians need to be aware of when screening for suicidal behavior. Our findings are consistent with risk factors for suicidal patients with schizophrenia which researchers have determined to be important predictors in industrialized Western nations (Hawton et al., 2005). As China continues to rapidly industri- alize and exhibit expansion with their mental health systems, clinicians will need to carefully observe these risk factors in patients with schizophrenia to help prevent suicidal behaviors.