Association of Menstrual cycle with Suicide in Female of Reproductive Age Group: A Hospital based Prospective Study using Histological Technique

Abstract

Suicide attempt and suicidal death among women of reproductive age group are very common in INDIA. Different socio-economic factors along with psychological ups and downs are leading cause. Aims of the study is to find out relation between female suicide and various demographic factors like age, marital status, time of attempt and also to find out association between female suicide and phases of menstrual cycle by histological study of uterus. Hormonal changes throughout menstrual cycle leading to premenstrual syndrome can be a precipitating factor. A prospective cross sectional observational study conducted on 91 women who committed suicide between 15 to 45 years age group. Tissue from uterus collected, processed, sectioned, stained and examined under microscope to identify phase of menstrual cycle. Data is expressed in frequency distribution table and chi-square test done to detect statistical significance. Most of the women were between 18 to 30 years age group, married, committed suicide between 6 am to 6 pm and adopted burn for the purpose. 63.8% (approximately 2/3rd) women committed suicide during secretory phase. Association between phase of menstrual cycle and age of victim, marital status was statistically significant (P value < 0.05). Suicidal rate can be minimized by proper education, counselling, psychiatric evaluation, psychosocial group therapy and also by reducing domestic violence and substance abuse.