Risk factors for completed suicides: a case–control study from Bangalore, India

Gururaj, G; Isaac, Mohan; Dk, Subbakrishna; Ranjani, R.

doi:10.1080/156609704/233/289706

Cited by 159 publications

(144 citation statements)

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“…An Indian study is similar with the present findings. 16 That study done in Bangalore, India has shown that several factors in the areas of family, marriage, education, occupation, general health, mental health and absence of protective factors contribute significantly for suicides. The cumulative and repetitive interaction of several factors in a complex manner results in suicides.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Suicide and Para Suicide in Rural Bangladesh

et al. 2014

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Background: Suicide is a public health problem too often neglected by researchers, health policy makers and the medical profession. In the year 2000, approximately one million people died of suicide which represents a global mortality rate of 16 per 100,000. According to WHO estimates for the year 2020 and based on current trends approximately 1.53 million people will die from suicide and 10-20 times more people will attempt suicide worldwide. This represents on average 1 death per 20 seconds and 1 attempt every 1-2 seconds. No nationwide survey on suicidal risk factors has yet been conducted in Bangladesh. Reports from police records, Media, court, hospitals and the focused study on selected population indicate that suicide is a public health problem in Bangladesh. The aim of this study was to unearth the potential risk factors of suicide or suicidal attempts and to assess psychiatric illness, non psychiatric co-morbidity, individuals behavioral and physical factor, familial risk factors and socio-demographic risk factors of suicide and its attempts. Study Design and Setting: A case control study was carried out by members of the Department of Medicine, Shaheed Suhrawardi Medical College and Hospital at Mominpur,Haowlee and Jibonnagar unions under three Upazilla of district Chuadanga,. Statistical analyses were performed using SPSS 16. Results: A total 230 subjects (113 cases and 117 controls) were interviewed. Mean age among cases was 29.6±12.8 years and controls were 29.7±12.9 years.Majority of the participants, 65.5% of cases and 63.2% of controls were aged between 20-39 years. Among cases 38.9% were male and among the controls 42.7% were male.Among cases 30.1% and among controls 27.4% had less than 4 family members. More than half of the participants, among cases (58.4%) and among controls (55.6%) had between 4- 6 members in the family. Economic status was also similar in two groups.Problem of love affair (OR 5.2), Personal problem (OR 11.9), Feeling of economic hardship (OR 2.4) appeared to have statistically significant association with suicidal attempt. Problem with relatives (OR 3.8), death of near relative (OR 0.9) and poor academic performance (OR 1.6) didnt appear to have any association with risk of suicidal attempt. History of chronic disease (OR 2.9) showed statistically significant association but long term physical disability (OR 4.4) and physical problems didnt appear to have any significant association with suicidal attempt. History of suicidal attempt by any relative (OR 4.2) and previous attempt to suicide (OR 7.4) appeared as highly significant factor for suicide. Not being reared by biological parents (OR 3.2), marital disharmony (OR 4.0), Conflict within the family (OR 6.9) appeared to be strongly associated with suicidal attempts. Suicidal attempts of participants were significantly associated with sleeping disturbance (OR 2.3), uncertainty about future (7.2), impulsivity (OR 13.8), and history of criminal behavior (OR 2.1). Conclusion: Case control study on the risk factors of suicide in rural area of South-West Bangladesh revealed that the married female especially the younger age from unitary family of low income group are more vulnerable to commit suicide or parasuicide. Several emotional factors, presence of chronic diseases, familial suicidal predisposition, individual factor and mental state, premorbid persionality and psychiatric syndrome appeared to have significant association with suicidal attempts. DOI: http://dx.doi.org/10.3329/jom.v14i2.19653 J Medicine 2013, 14(2): 123-129

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Section: Discussionmentioning

confidence: 99%

Risk Factors of Suicide and Para Suicide in Rural Bangladesh

et al. 2014

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“…Eight studies [59][60][61][62][63][64][65][66] were of low quality due to problems with risk of bias: performance, attrition and detection bias (interrupted-time series); selection bias, unclear case definitions, detection bias, lack of adjustment for confounding factors (case-control studies); detection bias, lack of adjustment for confounding factors (cross sectional and ecological studies). Table 4 summarises the relationships between SIB and poverty reported in 37 included studies (full details in appendix).…”

Section: <Figure 1> <Table 2>mentioning

confidence: 99%

Section: Unemploymentmentioning

confidence: 99%

“…Six 31,38,49,51,59,62 focused on completed suicide and six 30,32,39,41,46,54 on non-fatal SIB, with one 52 looking at both dimensions. Among the seven studies reporting on completed suicide, three 31,51,62 reported a positive and one 38 a null association between completed suicide and unemployment using bivariate analysis. Results were mixed when studies used multivariate analysis, with one 59 showing a positive association with female low labour force participation in Iran (r=-0•38),one 52 reporting null association with unemployment rates amongst the working age population in Sri Lanka (IRR=1•29, 95% CI 0•96-1•72), and another 49 unclear association with unemployment rates amongst men and women in Belarus.…”

Section: Unemploymentmentioning

confidence: 99%

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Suicide and poverty in low-income and middle-income countries: a systematic review

Iemmi

Bantjes

Coast

et al. 2016

The Lancet Psychiatry

216

129

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“…As shown in Table 1, the crude ORs of the included studies [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] ranged from 0.14 to 56.39. The summary OR for alcohol/substance-related disorders among both sexes combined 14 populations were 5.24 (95% CI = 3.30-8.31).…”

Section: Substance (Alcohol)-related Disordersmentioning

confidence: 99%

Suicidal risk factors and completed suicide: meta-analyses based on psychological autopsy studies

Yoshimasu

Kiyohara

Miyashita

2008

Environ Health Prev Med

312

184

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The purpose of the present review is to evaluate the effects of common risk factors for suicide by meta-analyses using data extracted from studies based on the psychological autopsy method. We focused on five common risk factors of suicide: substance-related disorders, mood disorders, adverse marital status, adverse employment status, and self-harm behaviors. A total of 24 articles were identified from MEDLINE in which the crude odds ratio (OR) could be calculated for the above five risk factors through 30 April 2007, using such search keywords as ''suicide,'' ''psychological autopsy,'' and ''case-control study.'' Overall, both substance-related disorders [OR = 5.24; 95% confidence interval (CI) = 3.30-8.31] and mood disorders [OR = 13.42; 95% CI = 8.05-22.37] were strongly associated with suicidal risk. Suicidal attempt and deliberate self-harm, which can directly lead to completed suicide, have been shown to be very strongly associated with suicidal risk [OR = 16.33; 95% CI = 7.51-35.52]. Effects of social factors such as adverse marital and employment status were relatively small. As substance-related disorders and mood disorders were strongly associated with an increased risk of completed suicide, the comorbidity of these two disorders should be paid a maximum attention. The effective prevention of suicide depends on whether we can successfully incorporate these personal factors as well as social factors into an adequate multi-factorial model.

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Risk factors for completed suicides: a case–control study from Bangalore, India

Cited by 159 publications

References 0 publications

Risk Factors of Suicide and Para Suicide in Rural Bangladesh

Risk Factors of Suicide and Para Suicide in Rural Bangladesh

Suicide and poverty in low-income and middle-income countries: a systematic review

Suicidal risk factors and completed suicide: meta-analyses based on psychological autopsy studies

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