Failed suicide and deliberate self-harm: A need for specific nomenclature

Sarkar, Prakash; Sattar, Fiaz Ahmed; Gode, N; Basannar, D.R.

doi:10.4103/0019-5545.31594

Cited by 32 publications

(27 citation statements)

References 6 publications

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“…Divorcees and individuals who were separated accounted for about 3.4%, while widows and widowers comprised 4.3% of the total suicide victims. [21] In individual studies, some show higher attempted suicides among unmarried persons[37444572] while others show a higher rate among those who are married. [4647] Among attempters, men were more likely to be single and women, married.…”

Section: Epidemiologymentioning

confidence: 99%

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Suicide: An Indian perspective

Radhakrishnan

Andrade

2012

Indian J Psychiatry

210

167

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Suicide is the third leading cause of death among young adults worldwide. There is a growing recognition that prevention strategies need to be tailored to the region-specific demographics of a country and to be implemented in a culturally-sensitive manner. This review explores the historical, epidemiological and demographic factors of suicide in India and examines the strategies aimed at the prevention of suicide. There has been an increase in the rates of suicide in India over the years, although trends of both increases and decline in suicide rates have been present. Distinct from global demographic risk factors, In India, marital status is not necessarily protective and the female: male ratio in the rate of suicide is higher. The motives and modes of suicide are also distinct from western countries. Preventive strategies implemented at a community level and identifying vulnerable individuals maybe more effective than global strategies.

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Section: Epidemiologymentioning

confidence: 99%

“…The attempts in this group were impulsive, of low intentionality and lethality, and most sought help after the attempt. [37]…”

Section: Other Risk Factorsmentioning

confidence: 99%

Suicide: An Indian perspective

Radhakrishnan

Andrade

2012

Indian J Psychiatry

210

167

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“…3 While high intent was seen in the arranged group than the love group in our study, Sarkar et al found in his study on attempters and selfharmers, in the former, the acts were thoughtful, intent and fatality was high, with less voluntary disclosure; the latter were emotionally unstable with personality difficulties, with impulsive, low intent and less lethal attempts, and most seeking rescue eventually. 55,56 In the studies by Pearson & Liu, 26 and Kamimura et al, 27 couple satisfaction rates were still good in 40% spouses. Similarly, in this study too, couple satisfaction moderated suicidal intent in arranged marriage, but only mildly in love marriage.…”

Section: Discussionmentioning

confidence: 96%

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Raaj¹,

Kumar²

2019

jebmh

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BACKGROUND Even as marriage tends to protect many from suicidal thoughts and attempts, by cushioning the mind from extrinsic stressful events, it also brings into play an inherent set of additional stressors. Interpersonal conflicts including disjointed and disdainful behaviour, emotional and cultural duress, spousal and substance abuse, financial demands, and an occasional conjugal jealousy may cause significant psychiatric morbidity. This coupled with impulsive traits increase suicidal risk, which can be countered by a satisfactory and well-adjusted marriage. We wanted to estimate the intricate variables like impulsiveness, couple satisfaction, adjustment, and their impact on suicidal intent in arranged and love marriages. METHODS A cross-sectional observational study with 39 and 41 suicidal attempters with arranged and love marriage respectively using sociodemographic profile and Barratt's impulsiveness scale, presumptive life events scale and Beck's suicide intent scale, along with couple satisfaction and adjustment scales. RESULTS In this South Indian study, both the groups showed preponderance in suicidal attempts of males, those marrying earlier, went high school or above, from rural and nuclear families, of low socioeconomic group, from alcohol-related quarrels, but minimal correlation with life events. Children did not have significant effect in both groups. The love group had 86% more unemployed and skilled workers, slightly (7%) more impulsiveness, 43% more borderline traits, 66% more attempts before the first anniversary. Spouses from arranged group had 14% lesser couple satisfaction, 7% lesser adjustment, were 26% more depressed, responded 19% more to acute suicidal ideation, had 36% more frequent attempts, along with significantly higher intent. CONCLUSIONS With respect to intent and recurrence, couple satisfaction and parental support were found to be more protective in the arranged group. Adjustment was better with higher satisfaction in the love group. It has been reiterated that focus on marital quality constructs can save both the marriage and the lives, through community-based programs.

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“…The risk of suicide is also increasing during adverse events such as lack of social support, aggravation of the disease, and gradual increase in the incidence of diabetes complications. The next risk factor may be easy access of patients to self-injury tools [36]. Suicide by injecting insulin is not uncommon in both nondiabetic and non-diabetic subjects.…”

Section: The Impact Of Diabetes On the Risk Of Suicidementioning

confidence: 99%

Depression and anxiety disorders in people with diabetes

Araszkiewicz

Mirlak

2017

Current Problems of Psychiatry

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Introduction: As the global number of diabetes and the burden of depression together with other mental disorders increases, there is a need for better understanding of the connection between these diseases. In patients with diabetes, mental disorders are more common than in the general population, especially anxiety disorders and depression, which are often difficult to detect by health professionals.Material and methods: Using the keywords searched in the international bibliographic databases: Embase, Medline, Science Direct, Web of Science. We analyzed clinical trials published in English and international journalsResults: Patients with diabetes are exposed to serious physical and mental complications. The occurence of depression and psychiatric disorders among people with diabetes was twice as frequent as in the general population. There are also studies showing a higher risk of suicide among people with diabetes. In addition, patients with both diseases, diabetes and depression, had an increased risk of cardiovascular complications and increased mortality and higher costs of health care. Diabetic patients have increased incidence of anxiety disorders in relation to non-diabetic patients by 20%.Conclusion: Further researches and integration of medical and psychological treatment are needed. Cooperation between psychiatrists and diabetologists can reduce mental and physical harm in patients with diabetes.

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Failed suicide and deliberate self-harm: A need for specific nomenclature

Cited by 32 publications

References 6 publications

Suicide: An Indian perspective

Suicide: An Indian perspective

Clandestine Factors in Suicidal Attempts in Arranged and Love Marriages

Depression and anxiety disorders in people with diabetes

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