Psychological autopsy of suicide-a cross-sectional study

Khan, Farooq; Bhatt, Anand; Devi, M. Gowri; Murthy, K. Krishna

doi:10.4103/0019-5545.55935

Cited by 50 publications

(50 citation statements)

References 15 publications

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“…[21] Youth in the age group 15-29 years accounted for the largest proportion (34.5%) of suicides followed by those in the age group 30-44 years (34.2%). Other studies in India also indicate that young adults are at increased risk, with ages 20-24 years followed by 25-29 years showing the highest rates of suicide in a psychological autopsy study,[35] and the15-39 age group identified as the most vulnerable in another study. [51] Two-thirds of women who completed suicide were <25 years.…”

Section: Epidemiologymentioning

confidence: 95%

Suicide: An Indian perspective

Radhakrishnan

Andrade

2012

Indian J Psychiatry

206

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: 95%

Suicide: An Indian perspective

Radhakrishnan

Andrade

2012

Indian J Psychiatry

206

167

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show abstract

“…Evidence for a role of threat sensitivity in suicidality comes from research demonstrating positive relations of negative emotional tendencies with suicidal tendencies and clinical conditions associated with suicide (e.g., depressive, anxiety-related disorders; Brandes and Bienvenu, 2006). Negative emotional reactivity represents a pre-morbid vulnerability factor for depression (Kendler et al, 2003) and suicide (Khan et al, 2005), and constitutes the key dispositional variable linking internalizing disorders with suicidality. Notably, a diagnostic condition with high rates of suicidal behavior, borderline personality disorder (Sansone, 2004), reflects the conjunction of impulsive-aggressive tendencies and high negative affectivity.…”

Section: Introductionmentioning

confidence: 99%

Separate and interactive contributions of weak inhibitory control and threat sensitivity to prediction of suicide risk

Venables¹,

Sellbom²,

Sourander³

et al. 2015

Psychiatry Research

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Biobehavioral dispositions can serve as valuable referents for biologically-oriented research on core processes with relevance to many psychiatric conditions. The present study examined two such dispositional variables—weak response inhibition (or disinhibition; INH−) and threat sensitivity (or fearfulness; THT+)—as predictors of the serious transdiagnostic problem of suicide risk in two samples: male and female outpatients from a U.S. clinic (N=1,078), and a population-based male military cohort from Finland (N=3,855). INH− and THT+ were operationalized through scores on scale measures of disinhibition and fear/fearlessness, known to be related to DSM-defined clinical conditions and brain biomarkers. Suicide risk was assessed by clinician ratings (clinic sample) and questionnaires (both samples). Across samples and alternative suicide indices, INH− and THT+ each contributed uniquely to prediction of suicide risk—beyond internalizing and externalizing problems in the case of the clinic sample where diagnostic data were available. Further, in both samples, INH− and THT+ interactively predicted suicide risk, with individuals scoring concurrently high on both dispositions exhibiting markedly augmented risk. Findings demonstrate that dispositional constructs of INH− and THT+ are predictive of suicide risk, and hold potential as referents for biological research on suicidal behavior.

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“…The sample was predominantly a rural sample with surprisingly low (2.5%) of illiteracy, majority being students ( n = 28; 70%), lower socioeconomic status ( n = 27; 67.5%), and of Hindu religion ( n = 35; 87.5%). Although urban areas where stressors are rampant[13] have reported higher rates of suicide, in this case, the lack of a comparison group provides little knowledge to explain the presence of stressors and suicide in our rural sample.…”

Section: Discussionmentioning

confidence: 94%

Profile of Young Suicide Attempt Survivors in a Tertiary Care Hospital in Puducherry

Lingeswaran¹

2016

Indian Journal of Psychological Medicine

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Context:Puducherry has the highest suicide prevalence rate in India by 2014, predominantly among the 14–30 years age group.Aims:The aim of the present study is to study the characteristics of adolescent and youth suicide attempters in Puducherry and measure the suicide intent.Settings and Design:An observational study of 6 months duration was conducted in the Department of Psychiatry, at Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.Materials and Methods:Modified version of World Health Organizations SUicide PREvention Multisite Intervention Study on Suicidal questionnaire was used to collect sociodemographic data and Beck's suicide intent scale was used to measure the suicide intent scores. International Classification of Diseases-10 was used for diagnosis.Statistical Analysis:Statistical Package for the Social Sciences version 13 was used for descriptive analysis and correlation statistics. P value was set as <0.05.Results:Of 56 eligible participants, 40 formed the sample, their mean age was 18. 13 (±2.50), more females (1.1:1), rural, literate, lower socioeconomic status (67.5%), mostly single (90%), living in nuclear (95%), and Hindu (87.5%). One hundred percent had psychosocial stressors before suicide attempt. Acute stress disorder/adjustment disorder was the most common diagnosis. Emotionally unstable and anankastic personality traits were seen in 12%. Pesticide ingestion (45%) was the most common suicide method. Sixty percent attempted suicide within <30 min of suicidal contemplation. Statistical associations were found between the alleged purpose, seriousness, attitude toward living/dying, conception about medical rescuability, and the overall suicide intent.Conclusions:Adolescent and youth suicide attempts occur due to psychosocial stressors rather than due to the past or on-going mental health disorders with above personality traits suggest poor coping skills and resilience taken to deal with stressful situations by younger people.

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Psychological autopsy of suicide-a cross-sectional study

Cited by 50 publications

References 15 publications

Suicide: An Indian perspective

Suicide: An Indian perspective

Separate and interactive contributions of weak inhibitory control and threat sensitivity to prediction of suicide risk

Profile of Young Suicide Attempt Survivors in a Tertiary Care Hospital in Puducherry

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