Sociocultural context of suicidal behaviour in the sundarban region of India (original) (raw)

Psychiatric Morbidity and the Socio-Demographic Determinants of Patients Attempting Suicide in Kashmir Valley: A Cross-Sectional Study

2012

Background: Human suicidal behaviour has always been a source of dread and wonder to mankind. As in many countries, suicide in India is hidden and silent epidemic. Suicide has many determinants, studying various determinants has always been the topic of interest for many researchers. Objectives: To study the socio-demographic and the clinical profiles of the subjects who had attempted suicide in Kashmir valley. Design: Retrospective study Setting: Tertiary referral Hospital, SMHS Srinagar. Materials and Methods: We conducted a cross-sectional study for a period of 2 years in SMHS Government medical college associated Hospital. We monitored every alternate patients admitted to the hospital after attempting suicide during our ongoing study period (n =201).The data was recorded in a specially designed Proforma, which included the socio-demographic variables, psychiatric illnesses, psycho-social stress factors, past and family history and the details of the suicide attempt. Chi-square and t tests were used to note the statistically significant associations. Results: Majority of cases belong to Muslim group (95.02%). Younger people of 15-25 years of age (52.7%) predominated in the study. Females (54.7%) outnumbered the males (45.27%). Majority of the patients were married and housewives and were from rural and low socioeconomic backgrounds. Many of the patients had no family history of self-harm and they used poison as the most preferred method of suicide. Majority of the patients examined were suffering from psychiatric illness, which was predominated by depression (21.90%). Besides this, family conflicts (31.8%) and failure in exams (10.44%) were found to be the most common precipitating factors for suicide. Conclusion: The results of the present study suggest that suicide attempts must be carefully evaluated in subjects with previous psychiatric disorders, previous suicide attempts and a family history of psychiatric disorders. Steps like awareness programs, preventive measures and proper psychiatric referral systems should be built to control the increasing incidence of suicide in the

Suicide in rural central India: Profile of attempters of deliberate self harm presenting to padhar hospital in Madhya Pradesh

Indian Journal of Psychological Medicine, 2016

Background: Suicide is a significant public health issue. India currently has the largest number of suicides in the world and has a disproportionate number of youth suicides including young women. The studies on patterns of suicide in rural central India are sparse, particularly among tribal communities. Aims: The aim of this study is to describe the profile of suicide attempters presenting to a secondary-level hospital in rural central India and identify areas for potential future research toward preventive strategies. Materials and Methods: A retrospective chart review was carried out of eighty patients who were admitted with presenting complaints of deliberate self-harm and survived until psychiatric consultation. Descriptive statistics was employed to generate the results. Results and Conclusions: 86% of the attempts were isolated impulsive attempts following triggers, the most common of which was interpersonal disputes (71%). Only 67% of patients had a mental health condition, the most common syndrome being alcohol use disorder, followed by depression, and personality disorders. Although 45% of attempters had background interpersonal conflicts, only 5% reported financial stressors as contributory. Psychosocial stressors, especially interpersonal conflicts within the family, appear to be at least as important factors as mental illnesses in contributing to suicide attempts in the area.

Victim Profile of Suicidal Deaths: A Perspective from Tertiary Health Care Centre, Mangalore, Southern India

Journal of Evolution of medical and Dental Sciences, 2014

Suicidal deaths in a region reflect the socio-economic status and intellectual health status of that population. Suicidal deaths are preventable health hazards. A six year retrospective research from January 2005 to December 2010 was conducted at A. J. Institute of Medical Sciences and Research Centre, Mangalore, India, one of the leading tertiary health care centre of southern part of Karnataka. Among fifty six suicidal death cases reported during the period from January 2005 to December 2010, thirty six were males and twenty females. Majority of suicidal deaths were found in the age group of 21 to 30years. Maximum numbers of victims (38) were from the rural background. The maximum number of suicidal deaths (60.71%) was among the married persons. The most common mode of committing suicide in our study was Poisoning. Suicidal deaths can be curtailed by the collective efforts of the family members and other social groups and more importantly change in the frame of mind of the people ...

Study of Trends of Suicidal Deaths in Central Mumbai Region of India

2015

Suicide is one of the largest and most complex social problems that have accompanied man since antiquity. Globally, more than a million deaths accounted, out of which 20% were Indians. Aim of our study is to find out most common age group involved, marital status, socioeconomic status, cause of death and reason behind suicide. A total of 157 cases of suicide were noted in our study. Males (62.42%) outnumbered the females (37.57%) in our study. Most common age group involved in suicidal deaths third (21-30) and fourth decade (31-40). Most of the cases were belonging to Hindu religion (87.89%) and unemployed (21.65%). Majority of suicidal deaths were seen in low socioeconomic status (Class 444.58%). Most common cause of death was hanging (43.31%), followed by poisoning (30.57%) and burns (19.10%). Reason for majority of suicidal deaths was mental stress. This Study is conducted to observe various reasons, socio-cultural factors affecting suicidal deaths, so that sound prevention progr...

Psychiatric Morbidity of Attempted Suicide Patients Admitted To A General Hospital In Rural Area Of South India

IOSR Journal of Dental and Medical Sciences, 2013

Background: The number of suicides in India during the last decade has recorded an increase of 25.0%. Suicide attempt rates are found to be higher than rates for completed suicides. This study is aimed to evaluate the sociodemographic profile and psychiatric morbidity in attempted suicide patients. Material and Methods: A prospective study was conducted in Dr. PSIMS & RF hospital, a general hospital, in rural region of Krishna district, South India. 150 consecutive cases of attempted suicide were recruited for the study. Structured proforma containing sociodemographic variables and suicide attempt data was administered. Mini International Neuropsychiatric Interview (M.I.N.I. Plus) was applied to assess the psychiatric disorder and the diagnosis was confirmed using ICD 10. Results: Majority of the suicide attempters were <30 years of age (67%), men (62%), education below or up to 7 th std.(69%), married (57%), low socioeconomic status (62%) and employed (61%), used oral agents (97%) and made an impulsive attempt (72%). Domestic quarrel (48%) and relationship issues (23%) were the major reasons for attempt. 59% suffered from a psychiatric disorder and major depressive episode (28%) was found to be most common diagnosed disorders. Conclusion: The presence of psychiatric morbidity was observed to confer a considerable risk of suicide.

Characteristics of suicidal attempts among farmers in rural South India

Industrial psychiatry journal

Globally, farming as an industry is considered a high-risk occupation for suicides. Certain states in India like Karnataka have a suicide rate higher than the national average, and this is generally attributed to the farmers' suicide. The aim is to study the characteristics of suicidal attempts among the farmer community in South India, with special emphasis on gender differences, modes used, and the immediate precipitant causes. Retrospective, case register-based, explorative-descriptive study of 426 consecutive medicolegal case files of patients whose stated occupation was farming and who were admitted as cases of deliberate self-harm or suicide attempt to a rural tertiary care hospital in rural South India. Out of the 426 farmers who attempted suicide, majority were male (355, 83.3%), in the age group of 21-40 years (318, 75%), married (358, 84%), and belonging to lower socioeconomic status (268, 62.9%). About 54% of them had attempted suicide by consuming pesticides (230). S...

Assessment of Demographic Profile of Patients Admitted with a Diagnosis of Alleged Self-Harm at a Teaching Hospital in Hindi Heartland

Journal of Evidence Based Medicine and Healthcare, 2019

BACKGROUND At any point of time, we can observe several cases of alleged self-harm in our medical wards. Although most of the studies look at nature and types of poison and its management & prognosis, there is a lack of data to analyse demographic profile of these victims. We wanted to assess demography including age, sex, marital status, religion, locality and mode of suicide of patients presenting to emergency department of our tertiary care hospital in North India. METHODS We looked into admission register of emergency department of our hospital and sorted out data of patients of alleged suicidal attempt. RESULTS We collected data of 408 patients admitted to our hospital. 365 (90%) were Hindus and rest belonged to other religions. 367 (90%) attempted suicide by poisoning, 36 (9%) by hanging and 5 (1%) by self-injury, including cutting wrist. 252 (62%) were males and 156 (38%) females. Out of these 156 females, 97 (62%) were married and rest 59 (38%) unmarried. CONCLUSIONS Suicide is a public health challenge. To control the problem, we need to measure its dimensions in its fullest extent. By looking at demography of these patients, we made an attempt to identify vulnerable population. And in the next step, potentially preventable measures should be taken to help the victims.

Suicide menace in North-Eastern India: a hospital-based study on the clinical aspects of suicide attempters

Open Journal of Psychiatry and Allied Sciences, 2018

Context: Suicide is a rapidly evolving public health problem affecting people worldwide and is the second leading cause of death among 15-29 year olds globally in 2012. It is a multidimensional and multifactorial phenomenon in terms of the cause and the effect. Objectives: To find out sociodemographic profiles, modes of attempting suicide, and prevalence of depression among the subjects with suicide attempt, and to find any association between them. Methods: One hundred and eight cases of attempted suicide were selected consecutively who were attending the hospital irrespective of the department and were evaluated to find out various sociodemographic variables, methods of attempting suicide, and if they fulfilled ICD-10 criteria for depressive disorder. Results: Higher prevalence of suicide was seen in cases with age <35 years (77.6%), female gender (54.62%), from rural background (69.44%), living in nuclear family (64.81%), who were unmarried/single (60.18%), illiterate or havin...