Risk Factors of Suicide and Para Suicide in Rural Bangladesh

Reza, AM Selim; Feroz, Ahm; Islam, SM Nurul; Karim, Md Nazmul; Rabbani, Md. Golam; Alam, Md. Shah; Rahamn, AKM Mujibur; Rahman, Mustafizur; Ahmed, Helal Uddin; Bhowmik, Avra Das; Khan, Mmr; Sarkar, Mekhala; Alam, Mohammad Tariqul; Uddin, MM Jalal

doi:10.3329/bjmed.v24i1.15030

Cited by 7 publications

(14 citation statements)

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“…16 The male-female ratio is slightly inclined towards the females was possible due to passive gender role, early marriage, lack of economic freedom, low literacy and such cultural factors predominant in the Asian countries. 16,24,25 The rural people attempted suicide most in the current study (73%) and this was similar to other studies in perspective of Bangladesh. 16,17,18,25 Unmarried subjects were also found to be slightly more than married (51%) which could be explained by the study from Denmark which reported cohabiting or single marital status was a significant risk factor for suicide.…”

Section: Suicide Was One Of the Priority Conditions In The Who Mentalsupporting

confidence: 91%

“…16,24,25 The rural people attempted suicide most in the current study (73%) and this was similar to other studies in perspective of Bangladesh. 16,17,18,25 Unmarried subjects were also found to be slightly more than married (51%) which could be explained by the study from Denmark which reported cohabiting or single marital status was a significant risk factor for suicide. 26 Being separated or divorced was noted to be significantly associated with a suicidal act in another study.…”

Section: Suicide Was One Of the Priority Conditions In The Who Mentalsupporting

confidence: 91%

“…Only 37% of our study subjects had prior suicidal thoughts which coincided with the statistical figure (about 23%) of the study conducted by Ponnudurai et al 20 Domestic quarrel (49%) and relationship issues (21%) accounted the most behind suicide attempts among the study group and this confirmed the trend of other studies. 16,18,25 While assessing psychiatric disorders we found 65% of the suicide attempters suffered from a psychiatric disorder. Major depressive disorder (18%) and conversion disorder (12%) were found to be the most common diagnosed disorders.…”

Section: Suicide Was One Of the Priority Conditions In The Who Mentalmentioning

confidence: 98%

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Socio-demographic profile and psychiatric morbidities of suicide attempters: a cross-sectional observation in a tertiary care hospital of Bangladesh

Roy

Adiluzzaman

Hasan³

et al. 2020

Bang J Psychiatry

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Nearly 800,000 people die due to suicide every year, which is 1 person every 40 seconds. In 2015, suicide alone accounted for 1.4% of all deaths worldwide, making it the 17th leading cause of death. 1 60% of these occur in Asia as estimated. 1 A recent review of suicide in Asia demonstrates higher average suicide rates in Asia compared to high-income countries. 2 Despite the fact that it is an enormous public health issue, suicide receives relatively less attention.According to the latest data published in may 2014 by World Health Organization (WHO), suicide deaths in Bangladesh reached 10,167 or 1.40% of total deaths. The age adjusted death rate is 7.63 per 100,000 of population which ranks Bangladesh 97 th in the world. 3 So it is crucial to understand the predisposing factors behind the suicide attempts among the population for preventing it. Given that most people who choose to end their lives do so for complex reasons, psychiatric problems such as depression and other mood disorders play a central role. 4 Recent studies of Deliberate Self Harm (DSH) from other countries have reported high rates of psychiatric disorders as well. 5-10 Study showed suicide attempt rates are 10-40 times higher than rates for completed suicides. 11 The methods used for suicidal attempts are usually different, ranging from self-poisoning to hanging, self-cutting etc. This may be related to the differences in the accessibility of certain methods. In the WHO Multicentre Study, 64 per cent of males and 80 percent of females used self poisoning. 12 And more than 50% of the suicide attempters made more than one attempt, and nearly 20% of the second attempts were made within 12 months after the first attempt. 11 There is also socio demographic risk factors in relation to repetition, which belong to the age group of 25 to 49 years, being divorced, unemployed, and coming from low social class. 12 In this study SummarySuicide is a perplexing phenomenon of taking one's own life. Reasons behind suicide attempts are also unique. Clinical characteristics of these patients have not been adequately studied from a psychosocial and psychiatric point in Bangladesh. This study was aimed to assess the sociodemographic profile and psychiatric morbidities in suicide attempters. This was a descriptive cross sectional study conducted from May 2017 to September 2017. A total of 101 patients were selected purposively who were admitted following suicide attempt in different departments of Rangpur Medical College Hospital (RMCH). Medical officers in the psychiatry department interviewed them by using a semi-structured questionnaire. Diagnosis was made according to DSM-IV. The results showed that the majority of the respondents were socio-economically deprived young persons. Most (42%) of them were <20 years of age with female (53%) preponderance. Among them 51% were unmarried, 73% were rural dwellers 37% were students and 58% attempts were impulsive. Among the respondents 63% had no prior suicidal thoughts, 56% resorted to poisoning, 49% attempted due to dom...

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Section: Suicide Was One Of the Priority Conditions In The Who Mentalsupporting

confidence: 91%

Section: Suicide Was One Of the Priority Conditions In The Who Mentalsupporting

confidence: 91%

Section: Suicide Was One Of the Priority Conditions In The Who Mentalmentioning

confidence: 98%

See 1 more Smart Citation

Socio-demographic profile and psychiatric morbidities of suicide attempters: a cross-sectional observation in a tertiary care hospital of Bangladesh

Roy

Adiluzzaman

Hasan³

et al. 2020

Bang J Psychiatry

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“…5 Studies also found that married females living in low socioeconomic status in the country are dying by suicide more frequently, although the difference was not prominent in the current study. 5,6 The total population structure is also comparable with the study sample, as the most recent census revealed a nearly equal number of men and women, and >60% of the population were aged <30 years. However, our findings revealed that marriage by choice was more common among the suicide cases, which was statistically significant.…”

Section: Discussionsupporting

confidence: 51%

“…5 Female gender, age <30 years and immediate emotionally charged events, rather than mental disorders, have been reported as risk factors in the country. 5,6 As a result, few and sporadic suicide prevention activities have been initiated, with no central strategy or harmonisation. 7 With this background, there is an immediate and unmet need to determine the risk factors for suicide in Bangladesh, to formulate a national suicide prevention strategy.…”

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confidence: 99%

Risk factors for suicide in Bangladesh: case–control psychological autopsy study

Arafat¹,

Mohit²,

Mullick

et al. 2020

BJPsych open

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Background Suicide is an important, understudied public health problem in Bangladesh, where risk factors for suicide have not been investigated by case–control psychological autopsy study. Aims To identify the major risk factors for suicide in Dhaka, Bangladesh. Methods We designed a matched case–control psychological autopsy study. We conducted a semi-structured interview with the next-of-kin of 100 individuals who died by suicide and 100 living controls, matched for age, gender and area of residence. The study was conducted from July 2019 to July 2020. Results The odds ratios for the risk factors were 15.33 (95% CI, 4.76–49.30) for the presence of a psychiatric disorder, 17.75 (95% CI, 6.48–48.59) for life events, 65.28 (95% CI, 0.75–5644.48) for previous attempts and 12 (95% CI, 1.56–92.29) for sexual abuse. Conclusions The presence of a psychiatric disorder, immediate life events, previous suicidal attempts and sexual abuse were found as significant risk factors for suicide in Dhaka, Bangladesh.

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Suicide prevention in Bangladesh: The role of family

Arafat¹,

Saleem

Edwards

et al. 2022

Brain and Behavior

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Background: Suicide is a public health problem that gets little attention in Bangladesh especially in prevention aspects. Recent studies revealed that a significant portion of risk factors is closely related to family events. However, potential prevention strategies considering the family structure and involving family dynamics of Bangladesh have not been discussed. Objectives:We aim to highlight areas of family vulnerability and resilience when the threat of suicide is present, as well as the potential roles of family in suicide prevention in Bangladesh. Methods:We conducted a thorough narrative and focused literature search and synthesized evidence based on available articles discussing suicidality and family dynamics in Bangladesh.Results: Risk factors for suicide prevailing in the family have been organized, and several strategies for coping with family risk factors, including marital discord and family conflict have been proposed for testing empirically. Conclusions:The family has an important role to play in suicide prevention in Bangladesh. However, potential prevention strategies and their effectiveness have been untapped in the country. Studies are warranted to test the effectiveness of the proposed strategies.

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Risk Factors of Suicide and Para Suicide in Rural Bangladesh

Abstract: Bangladesh Journal of Medicine, Vol 24 No 1, 2013, Page 14-19 DOI: http://dx.doi.org/10.3329/bjmed.v24i1.15030

Cited by 7 publications

References 0 publications

Socio-demographic profile and psychiatric morbidities of suicide attempters: a cross-sectional observation in a tertiary care hospital of Bangladesh

Socio-demographic profile and psychiatric morbidities of suicide attempters: a cross-sectional observation in a tertiary care hospital of Bangladesh

Risk factors for suicide in Bangladesh: case–control psychological autopsy study

Suicide prevention in Bangladesh: The role of family

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