An epidemiological study into risk factors of suicidal ideation and attempt among young and adult population in rural Pondicherry, India

Authors

  • Shib Sekhar Datta Department of Community Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Agartala, Tripura, India
  • R. Rupesh Kanna Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Surendar Rangaswamy Department of Community Medicine, Sri Venkateshwara Medical College Hospital and Research Centre, Pondicherry, India
  • Rajkumar S. Department of Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170762

Keywords:

Attempt, Ideation, Suicide

Abstract

Background: Suicide is one of the major public health problems in low and middle income countries. However, information about causes and risk factors are insufficient. Objectives of the study were to find out prevalence of suicidal ideation and attempt among young and adult population in rural Pondicherry and to analyse the risk factors qualitatively.

Methods: Community based cross-sectional study was conducted among 18-44 years’ population in rural Pondicherry during January to June 2012. Total 200 subjects were interviewed by house to house visit. Information on socio-demographic characteristics, concurrent illness, family and personal history were obtained. Factors contributing to suicidal ideation and attempt were collected through FGDs, free listing and pile sorting exercise. Quantitative data was analyzed using SPSS version 17.0. Qualitative data analyzed using Anthropac 4.98.1/X software.

Results: 8% subjects had ever attempted and 7.5% had ideas of suicide. Suicidal ideation/ attempt were more among males and 36-45 years group. Physical disability, infertility/sterility and chronic illness were significantly associated with suicidal ideation or attempt. Family dispute, history of beaten by spouse and family history of suicide/attempt was significantly associated with ideation. Alcoholism, failed relationship, physical abuses were strongly associated with ideas of suicide or attempt. Risk factors for males include failed relationships, more than one wife, family dispute, alcoholism etc. Risk factors for females include failed relationship, poor performance in exam, quarrel with friends, unemployment, alcoholic husband, pressure for dowry, extramarital relationship by husband etc.

Conclusions: Suicidal attempt and ideation rates were high in study area and demand population based mental health interventions to reduce population suicide rates.

Author Biographies

Shib Sekhar Datta, Department of Community Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Agartala, Tripura, India

Professor

Department of Community Mediicne

R. Rupesh Kanna, Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

MBBS student

Surendar Rangaswamy, Department of Community Medicine, Sri Venkateshwara Medical College Hospital and Research Centre, Pondicherry, India

Assistant Professor, Department of Community Medicine

Rajkumar S., Department of Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India

Assistant Professor, Department of Community Medicine

References

Pillai A, Andrews T, Patel V. Violence, psychological distress and the risk of suicidal behaviour in young people in India. Int. J. of Epidemiol. 2009;38:459-69.

Joseph A, Abraham S, Muliyil JP, George K, Prasad J, Minz S, et al. Evaluation of suicide rates in rural India using verbal autopsies, 1994-9. BMJ. 2003;326(7399):1121-2.

Prasad J, Abraham VJ, Minz S, Abraham S, Joseph A, Muliyil JP, et al. Rates and factors associated with suicide in Kaniyambadi Block, Tamil Nadu, South India, 2000-2002. Int J Soc Psychiatry. 2006;52(1):65-71.

Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159(6):909-16.

Rihmer J, Belso N, Kiss K. Strategies for Suicide Prevention. Curr Opin Psychiatry. 2002;15:83-7.

WHO. Mental Health and Suicide prevention. (Online). 2011; Available from: URL: http:// www.int/ menta_health/ prevention/ suicide/ suideprevent/ en/. (Accessed on 12 Jan 2012);

Hudelson PM. Qualitative Research for Health Programmes. Geneva: World Health Organization; 1994.

Dawson S, Manderson L, VL Tallo. The focus group manual: methods for social research in disease. boston: international nutrition foundation for developing countries (INFDC); 2008.

Borgatii SP. ANTHROPAC [computer program]: Version 4.98.1/X Natik MA: Analytic Technologies; 1992.

Vijayakumar L. Suicide in India in suicide in Asia. In: Yip PS, ed. Hong Kong Univ Press; 2008:121-31.

Soman CR, Safraj S, Raman Kutty V, Vijayakumar K, Ajayan K. Suicide in South India: A community-based study in Kerala. Indian J Psychiatry. 2009;51(4): 261-4.

Patel V, Ramasundarahettige C, Vijayakumar L, Thakur JS, Gajalakshmi V, Gururaj G, et al. Million death study collaborators.. suicide mortality in India: a nationally representative survey. Lancet. 2012;379:2343-51.

Narang RL, Mishra BP, Mohan, Nitesh M. Attempted suicide in Ludhiana. Indian J Psychiatry. 2000;42(1):83-7.

Srivastava MK, Sahoo RN, Ghotekar LH, Dutta S, Danabalan M, Dutta TK, et al. Risk factors associated with attempted suicide. Indian J Psychiatry. 2004;46(1):33-8.

Khan FA, Anand B, Devi GM, Murthy KK. Psychological autopsy of suicide: A cross sectional study. Indian J Psychiatry. 2005;47(2):73-8.

Manoranjitham SD, Rajkumar AP, Thangadurai P, Prasad J, Jayakaran R, Jacob KS. Risk factors for suicide in rural south India. Br J Psychiatry. 2010;196(1):26-30.

Behere PB, Behere AP. Farmers’ suicide in Vidarbha region in Maharashtra state: A myth or reality? Indian J Psychiatry. 2008;50(2):124-7.

Conner KR, Li Y, Meldrum S, Duberstein PR, Conwell Y. The role of drinking in suicidal ideation: analyses of project MATCH data. J Stud Alcohol. 2003;64:402-8.

Jacob KS. The prevention of suicide in India and the developing world: the need for population-based strategies. Crisis. 2008;29:102-6.

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Published

2017-02-22

How to Cite

Datta, S. S., Kanna, R. R., Rangaswamy, S., & S., R. (2017). An epidemiological study into risk factors of suicidal ideation and attempt among young and adult population in rural Pondicherry, India. International Journal Of Community Medicine And Public Health, 4(3), 803–808. https://doi.org/10.18203/2394-6040.ijcmph20170762

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Original Research Articles