Suicides in young people in rural southern India

Aaron, Rekha; Joseph, Abraham; Abraham, Sunil; Muliyil, Jayaprakash; George, Kuryan; Prasad, Jasmin Helan; Minz, Shantidani; Abraham, Vinod Joseph; Bose, Anuradha

doi:10.1016/s0140-6736(04)15896-0

Cited by 255 publications

(177 citation statements)

References 3 publications

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“…Suicide and deliberate self-harm have been recognised as major public health problems in India for some time, but there are significant obstructions to effective intervention, including difficulties in following western models to understand these behaviours and some unfavourable attitudes of health care professionals towards those who self-harm ( Aaron et al, 2004;Bose et al, 2006;Gunnell et al, 2007). Research evidence has indicated that such unfavourable attitudes among doctors and nurses further influence their suicide risk assessment, management skills, including the quality and impact of care (Ouzouni and Nakakis, 2009;Saunders et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Nurses attitudes and beliefs to attempted suicide in Southern India

Jones

Krishna

Rajendra

et al. 2015

Journal of Mental Health

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Nurses attitudes to attempted suicide in Southern India. WORD COUNT including reference list;Research undertaken at Holdsworth Memorial Hospital, Mysore, Karnataka, Southern India Nurses attitudes to attempted suicide in Southern India. 2Abstract There is growing interest into the attitudes and clinical management of persons who have attempted suicide. This paper reports on a group of 15 nursing staff from a large general hospital in Mysore, Southern India. The principal purpose was to determine senior nursing staff attitudes towards patients who had attempted suicide from a professional and cultural perspective, which might influence care following hospital admission. The focus concerned nursing staff interactions at a psychological level that compete with physical tasks on general hospital wards. A qualitative methodology was employed with audio-taped interviews utilising four level data coding. Findings suggested that patient care and treatment is directly influenced by the nurse's religious beliefs within a general hospital setting. The results allow a series of recommendations for educational and skills initiatives before progressing to patient assessment and treatment projects and cross cultural comparison studies.

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Section: Introductionmentioning

confidence: 99%

Nurses attitudes and beliefs to attempted suicide in Southern India

Jones

Krishna

Rajendra

et al. 2015

Journal of Mental Health

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“…2 Common mental disorders such as depressive and anxiety disorders, and social disadvantage such as gender-based violence and poverty, are major risk factors for suicide among women. 1,3,[6][7][8] Although research from high-income countries shows that common mental disorders are a major contributor to the risk of suicidal behavior, their role is less clear in low-and middle-income countries in which social disadvantage has been found to be at least as important. 1,3,[6][7][8] Gender disadvantage is increasingly seen as an important contributing factor to the high rates of suicide seen among women in Asia.…”

mentioning

confidence: 99%

“…1,3,[6][7][8] Although research from high-income countries shows that common mental disorders are a major contributor to the risk of suicidal behavior, their role is less clear in low-and middle-income countries in which social disadvantage has been found to be at least as important. 1,3,[6][7][8] Gender disadvantage is increasingly seen as an important contributing factor to the high rates of suicide seen among women in Asia. 1,3,6,7 Gender-based violence is a common manifestation of gender disadvantage and has been linked with common mental disorders and suicide in population-based studies of women and young adults in Goa, India.…”

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confidence: 99%

“…1,3,[6][7][8] Gender disadvantage is increasingly seen as an important contributing factor to the high rates of suicide seen among women in Asia. 1,3,6,7 Gender-based violence is a common manifestation of gender disadvantage and has been linked with common mental disorders and suicide in population-based studies of women and young adults in Goa, India. 4,5,9 Lack of autonomy, early sexual debut, limited sexual choices, poor reproductive health, and social isolation are other manifestations of gender disadvantage.…”

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confidence: 99%

See 1 more Smart Citation

Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic

Shahmanesh¹,

Wayal²,

Cowan³

et al. 2009

Am J Public Health

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Objectives. We sought to study suicidal behavior prevalence and its association with social and gender disadvantage, sex work, and health factors among female sex workers in Goa, India. Methods. Using respondent-driven sampling, we recruited 326 sex workers in Goa for an interviewer-administered questionnaire regarding self-harming behaviors, sociodemographics, sex work, gender disadvantage, and health. Participants were tested for sexually transmitted infections. We used multivariate analysis to define suicide attempt determinants. Results. Nineteen percent of sex workers in the sample reported attempted suicide in the past 3 months. Attempts were independently associated with intimate partner violence (adjusted odds ratio [AOR] = 2.70; 95% confidence interval [CI] = 1.38, 5.28), violence from others (AOR = 2.26; 95% CI = 1.15, 4.45), entrapment (AOR = 2.76; 95% CI = 1.11, 6.83), regular customers (AOR = 3.20; 95% CI = 1.61, 6.35), and worsening mental health (AOR = 1.05; 95% CI = 1.01, 1.11). Lower suicide attempt likelihood was associated with Kannad ethnicity, HIV prevention services, and having a child. Conclusions. Suicidal behaviors among sex workers were common and associated with gender disadvantage and poor mental health. India's widespread HIV-prevention programs for sex workers provide an opportunity for community-based interventions against gender-based violence and for mental health services delivery.

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“…1 For instance, depression is the most important risk factor for suicide, which claims around 0.85 million lives annually, and is among the top three causes of death in young people ages 15-35. 2,3 There are two types of depression mainly unipolar in which mood swings in only one direction and bipolar in which depressive episode alternate with mania. The symptoms include persistent sad, anxious, or "empty" feelings, feelings of hopelessness or pessimism, feelings of guilt, worthlessness, or helplessness.…”

Section: Depressionmentioning

confidence: 99%