Youth Suicide in India: A Critical Review and Implication for the National Suicide Prevention Policy

Gupta, Shakti; Basera, Devendra

doi:10.1177/00302228211045169

Cited by 8 publications

(8 citation statements)

References 90 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this regard, India has high rate of youth suicide. In Indian society, it was a distinct phenomenon with various bio-psycho-social determinants ( 33 ).The World Health Organization (WHO) also identified suicide as the second leading cause of death in the age group of 15–29 years ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

Exploring the epidemiology of suicide attempts: Risk modeling in Kermanshah—Iran

Khademi

Zangeneh

Ziapour

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundSuicide attempt is a serious global public health issue. The patterns of suicide may vary depending on the individual characteristics, methods, causes, and the geographical area-also socio-cultural context that determine it. This study identifies the spatial patterns of suicide attempts in Kermanshah province, Iran.MethodThe sample size of this cross-sectional study is 18,331 people (7234 males and 11097 females) who attempted suicide in Kermanshah province between 2006 and 2014. Data was collected from the records of patients referred to the emergency department of hospitals in Kermanshah and analyzed using tests of Mean Center, Standard Distance, and Average Nearest Neighbor.ResultsThe results of the mean center and standard distance tests show that drug overdose, poisoning with toxins and pesticides, and chemicals mostly were used in the central areas of Kermanshah province. The mean center of suicide attempts by self-immolation, hanging and firearms was in the western parts of the province, while the suicide attempts with narcotic drug were concentrated in the eastern regions of the province. Out of the 18,331 cases, 74% attempted suicide with drug overdose, 13% with toxins and pesticides, 0.59% with chemicals, 4% with fire, 1% by self-immolation, 1% by hanging, 0.16% with firearms and 0.7% with cold weapons. The spatial pattern of all suicide attempts in Kermanshah was clustered (Z-score < −2.58).ConclusionThe results of this study show that the methods of suicide attempt vary with geographical areas in the province. Therefore, it is suggested that planning tailored to the geographical location can reduce suicide attempts in Kermanshah.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring the epidemiology of suicide attempts: Risk modeling in Kermanshah—Iran

Khademi

Zangeneh

Ziapour

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…For those who have experienced trauma, supporting resources and timely follow-ups are necessary. Selective prevention strategies, such as family based risk prevention and resilience program, could be provided ( 62 ). When those victims present PD traits, some trauma-focused treatment techniques and interventions might be helpful.…”

Section: Discussionmentioning

confidence: 99%

Specific type of childhood trauma and borderline personality disorder in Chinese patients

Zheng

Wang

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundChildhood maltreatment (CM) is a known risk factor for the development of mental disorders. An extensive body of literature about CM and mental health has been developed in wealthy countries, but information about this connection is lacking in developing countries including China.AimsTo explore the possible relationship between specific types of CM and borderline personality disorder (BPD) in patients with mental disorders in China.MethodsA survey was conducted in 2006, involving over 3,402 Chinese individuals aged 18–60 years who were randomly selected from the outpatients in the Shanghai Mental Health Center. The patients were screened with the Personality Diagnostic Questionnaire and CM was assessed using the Childhood Trauma Questionnaire. The final sample comprised 178 patients with BPD, 178 patients with other personality disorders (PDs), and 178 patients without PDs.ResultsIn Chinese patients, compared to other PDs, patients with BPDs are more likely to have experienced CM. Emotional maltreatment (emotional abuse and neglect) was the strongest predictor of BPD. Female gender and sexual abuse are significant predictors of the self-harm/suicidal risk of BPD patients.ConclusionThis is a pioneering study conducted on a large set of Chinese clinical samples with paired controls to establish and compare the associations between specific CM and BPD. Further studies in this field are necessary to elucidate the mechanism of how various types of childhood trauma have influenced PDs.

show abstract

“…Despite our efforts to distinguish between suicidal ideation, plans and attempts, all STBs were sometimes combined in our statistical analyses, as in the longitudinal model, potentially hindering our ability to identify the influence of certain factors on specific STB types. Given that socio-cultural and politico-economic factors would be as or more important than individual factors in understanding suicide in LMICs (Gupta & Basera, 2023), future studies should consider such factors, including family relationships, religious beliefs, rights. Since our study was conducted with only one cohort in Montreal and in Chennai, our findings cannot be overly generalized to other regions.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, Canada

Sicotte,

Abdel-Baki,

Mohan

et al. 2024

Int J Soc Psychiatry

View full text Add to dashboard Cite

Background: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). Aims: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated in two similarly structured early intervention services in Chennai, India and Montreal, Canada. Method: To ensure fit to the data that included persons without STBs and with varying STBs’ severity, a hurdle model was conducted by site, including known predictors of STBs. The 2-year evolution of STBs was compared by site with mixed-effects ordered logistic regression. Results: The study included 333 FEP patients (168 in Chennai, 165 in Montreal). A significant decrease in STBs was observed at both sites (OR = 0.87; 95% CI [0.84, 0.90]), with the greatest decline in the first 2 months of follow-up. Although three Chennai women died by suicide in the first 4 months (none in Montreal), Chennai patients had a lower risk of STBs over follow-up (OR = 0.44; 95% CI [0.23, 0.81]). Some factors (depression, history of suicide attempts) were consistently associated with STBs across contexts, while others (gender, history of suicidal ideation, relationship status) were associated at only one of the two sites. Conclusions: This is the first study to compare STBs in FEP between two distinct geo-sociocultural contexts (an HIC and an LMIC). At both sites, STBs reduced after treatment initiation, suggesting that early intervention reduces STBs across contexts. At both sites, for some patients, STBs persisted or first appeared during follow-up, indicating need for suicide prevention throughout follow-up. Our study demonstrates contextual variations in rates and factors associated with STBs. This has implications for tailoring suicide prevention and makes the case for more research on STBs in FEP in diverse contexts.

show abstract

Youth Suicide in India: A Critical Review and Implication for the National Suicide Prevention Policy

Cited by 8 publications

References 90 publications

Exploring the epidemiology of suicide attempts: Risk modeling in Kermanshah—Iran

Exploring the epidemiology of suicide attempts: Risk modeling in Kermanshah—Iran

Specific type of childhood trauma and borderline personality disorder in Chinese patients

Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, Canada

Contact Info

Product

Resources

About