Suicide In India Research Articles

Student Suicide in India: An Analysis of Newspaper Articles(2019-2023).

Student suicide is one significant public health concern across the world, including India. In recent years, the surge in suicide cases has further worried mental health professionals and policymakers. The current study analysed the reported student suicide cases published in four leading Indian newspapers. Based on the analysis of newspaper reports published between 2019 and 2023, the study detected a total of 491 suicidal deaths of students. The result revealed that academic reasons (academic dissatisfaction, academic stress and academic failure), institutional reasons (bullying, caste discrimination, ragging, harassment and toxic institutional culture), mental health issues (depression, psychological stress and anxiety), financial crisis and online gaming are the most commonly reported reasons behind student suicides. The majority of suicide victims were within the age range of 16-21 years. The highest number of suicide cases are reported from Kota, a city often referred to as the coaching capital of India. The study highlights considering changes in the academic curriculum to make academic programs less stressful for students. More importantly, policies should ensure that the academic campuses are free from harassment, bullying or similar aggressive experiences. Furthermore, emphasising students' mental health should be the education system's biggest priority.

Cytokine gene polymorphisms and suicide risk in an Indian ancestral population: A case-control study

Background India currently accounts for a majority of global suicide deaths. Research in European ancestry has established that suicide mortality has a significant genetic component, and suggests that inflammation may play a crucial role in the pathophysiology of suicide. Inflammation is also highly relevant in regions of increased pollution exposure, such as the megacities of India. To address the existing gaps in genetic research on suicide and possible association with inflammatory biomarkers, we examined genetic polymorphism and clinical risk phenotypes in a population-based suicide-death cohort, India. Material and methods Genotyping of IL-1β(rs16944) & (rs1143627), IL-4(rs2070874), IL-6(rs1800795) and IL-10(rs1800896) was done in 234 post-mortem suicide-death cases and 256 post-mortem controls (N = 490) using PCR RFLP method. Results Our analyses identified three significant (p < 0.001) associations of cytokine variants with suicide death, including IL-1β(rs16944), OR = 0.627; IL-4(rs2070874), OR = 0.524; and IL-6(rs1800795), OR = 2.509. Cases were more likely female and were more likely to have a history of psychiatric illness, though rate of psychiatric illness was low in suicide cases(9%). Conclusion Our genetic results are generally consistent with previous research on risk for depression and suicidal behaviour, and both genetic and phenotypic results provide new insights into risk factors that may contribute to suicide in India.

Trajectory of suicide among Indian children and adolescents: a pooled analysis of national data from 1995 to 2021

BackgroundSuicide is a major public health concern in India especially among children and adolescents. The yearly national statistics show a concerning trend of rising suicide deaths in these age groups.MethodsThe present study, taking 26 years of national data from the National Crime Record Bureau during 1995–2021, examined the trend, patterns, means, and modes of children/adolescent suicides in India. We also undertook a time series analysis by using ARIMA (0,2,1) model to forecast the expected suicide rate for the next one decade.ResultsA rising trend of suicide rate among children and adolescents was observed in India over the last 26 years. The forecast indicates a continuance of rising suicide cases for the upcoming decade in India. A substantially different trend of suicide rate was observed among early and late adolescents indicating significantly high vulnerability of late adolescents. Among children /adolescents, the most common causes of suicide were family problems, academic failure, illness, and unemployment. Illness has emerged as one of the leading causes of suicide, with a significant rise over time. Poverty and unemployment were also found as the important contributors with a steadily increasing trend of suicide among children and adolescents facing these problems in recent years.ConclusionThe study provides important analysis and information on suicide among children/adolescents in India, by providing useful insights for parents, teachers, policymakers, healthcare practitioners, and stakeholders aiming to prevent and control children and adolescent suicide and boost mental health. The study also provides important leads on risk factors with a forecast of suicide trends for the next 10 years.

Economic burden of suicide deaths in India (2019): a retrospective, cross-sectional study

India has the highest number of suicide deaths in the world. Suicide prevention requires policy attention and resource allocation. Evidence of economic losses due to disease burden can influence such allocations. We assessed the economic burden and its distribution across states and demographic groups in India. We used the human capital approach in this retrospective cross-sectional analysis to assess the economic burden of suicide in India for the year 2019 for 28 Indian states and 3 union territories (UTs). We calculated the monetary value for the years of life lost disaggregated by states, age groups, and sexes. For sensitivity, we present a library of estimates using different discount rates, life expectancy thresholds, and estimates specific to the populations that can participate in the workforce. The national economic burden of suicide was US$ 16,749,079,455 (95% Uncertainty Interval: 11,913,034,910-22,404,233,468). The top three states, Karnataka, Tamil Nadu, and Maharashtra, contributed to 44.82% of the total burden in India. The age group 20-34 years had the largest suicide burden and contributed to 53.05% of the overall national economic burden (US$ 8,885,436,385 [6,493,912,818-11,694,138,884]). Twenty states and UTs had a greater economic burden for females than males. The current analysis ascertains a high economic burden of suicide among the Indian youth and females, necessitating concerted multisectoral efforts and immediate investments. None.

Farmers’ suicide in India: “Sociological disaster or unrecognized psychopathology”

Farmers’ suicide in India: “Sociological disaster or unrecognized psychopathology”

Farmers' Suicides in India: A Qualitative Study of Andhra Pradesh (AP) and Telangana States of India.

Suicides by the farmers' is increasing in India. From 2005 to 2020, 319,598 famers committed suicide and in states of AP and Telangana this number was 319,598 which is 28% of the total. It implies that more than one quarter of the total number of farmers' who committed suicide in the ountry were from Telangana and AP. Worldwide farming is considered as a high risk occupation for mental diseases. May be because of the nature of farming and the risk of natural calamities. The study aims to identify the factors that contribute to farmer suicides in Telangana andAndhra Pradesh (AP) and to propose preventive solutions for the problem. In this research in-depth interviews were done with the close relatives ofthe person who committed suicide and qualitative methodology is used. We find that the main causes of farmers suicides are economic and not themental health of the farmers.

Examining the Etiology of Asian American Suicide in the United States.

Research highlights racial and ethnic disparities in suicide, but Asian American suicide receives very little attention in the literature. This is the first comprehensive, large-scale, nationally representative study of completed suicide among Asian Americans in the United States. Descriptive and multilevel regression techniques compared the risk factors for completed suicide across 227,786 Asian American, White, African American, Hispanic, and American Indian suicide decedents from 2003 to 2019. Results indicated that Asian American suicide decedents were significantly less likely than their counterparts to have several risk factors for suicide. Asian Americans were less likely to be male, uneducated, and unmarried. Asian Americans were less likely to use alcohol and drugs, to have mental health problems, and to die by firearm, relative to other suicide methods. Asian Americans were less likely to have a history of prior suicide attempts, to have intimate partner problems, and to have criminal legal problems. Conversely, Asian Americans were more likely to reside in places with higher levels of concentrated disadvantage, residential instability, racial and ethnic heterogeneity, and population density. The results underscore the need for race-specific suicide prevention strategies that, for Asian Americans in particular, take into account cultural values and barriers to help-seeking behavior.

Economic factors mediate the impact of drought on farmer suicides in India

The occurrence of farmer suicides has come to symbolize what is likely widespread and deep, but often hidden, agrarian distress. While this tragic phenomena has attracted tremendous attention in public discourse, its primary drivers remain poorly understood. In particular, climatic stress is often considered to be one such driver, but the mechanisms through which it triggers suicide remain disputed. Here, we provide evidence that factors related to agricultural income mediate the impact of climatic variability on farmer suicides in India. An analysis of temporal variation in suicide occurrence reveals that droughts, which impact farmers’ incomes, increase male farmer suicides by 19%, but have much smaller and insignificant impacts on other occupational or demographic groups. Moreover, whereas suicides by non-farmers are evenly distributed throughout the year, farmer suicides are concentrated during the agricultural season. These results help shed light on the mechanisms driving some of the most extreme and drastic social impacts of climatic variability and change.

15-Year Suicide Trends Using Media Reporting Methodology from the Tricity Region of Chandigarh: A Brief Analysis

Introduction: Suicide has become a societal crisis owing to the recent increasing trends globally. Of the total suicide deaths globally, two-thirds occur in the developing countries including India. The available data on suicide in India reflect a rate of 11% (according to the National Crime Records Bureau 2013) with the highest rates in older adult males and an increasing trend of suicide deaths in younger age groups. Much of the literature is from the southern part of India with a relatively sparse data from North India. Aim and Methodology: The aim was to examine the 15-year (2004-2019) trend of suicide (age and gender distribution, methods used, and reasons) in an urban city in North India. Information was collected from the leading newspapers (English, Hindi, and Punjabi) of the area. Duplication of information was avoided, and statistical analysis was done using SPSS version 20. Results: Fluctuations in the total number of suicide cases over the 15-year period were observed with nearly 63% of people committing suicide being younger than 30 years of age, of whom 53% were male. More females in the younger age group and more males in the older age group were suicide victims. Of all the methods used, hanging was the most common (70%), followed by consuming poisonous substance, jumping from height, shooting self, and stabbing in the descending order. A ceiling fan was used for hanging by 32% of victims who hanged themselves, of whom 65% were male. Among the cited reasons, stress/depression was experienced by 19% of victims. Discussion and Conclusion: The trends with respect to age distribution, gender, and method used that is reported in the current study are in line with the trends reported globally. The preventive measures, especially using technological advances in designing fans not suitable for tying noose around it, can be explored.

Exploring cause-specific strategies for suicide prevention in India: A multivariate VARMA approach

Efficiently predicting suicide rates aids resource allocation and response preparedness. This study investigates time-series data with multiple variables to model and forecast suicide events in India. Utilizing official suicide statistics (2001–2021), results highlight the superiority of the multivariate VARMA model over VAR and univariate ARIMA models. This approach uncovers overlooked patterns and a concerning upward trend in future Indian suicide incidents. The research provides insights that aid public health professionals in targeting high-need areas and enhancing readiness and suggests cause-specific preventive strategies to counter this trend.

Suicide prevention in India

India accounts for nearly 18 % of the global population but approximately 28 % of global suicides. Similar to many countries around the world, suicide in India is known to result from a complex interplay of social, economic, and personal factors. To address this important issue, India released its first national suicide prevention strategy in 2022. The strategy follows the WHO-recommended model of a multisectoral approach to suicide prevention, incorporating a mix of primary prevention interventions (focusing on whole populations), secondary prevention interventions (targeting 'high-risk' individuals), and tertiary prevention interventions (aimed at individuals affected by suicide). This paper delves into the details of these primary, secondary, and tertiary prevention interventions and explores how they apply to the Indian context, while arguing for the need to prioritize primary prevention interventions, at least in the short term, to reduce suicides.

Impact of Globalization and Multinational Corporations on Farmer Suicides in India: An Overview, Effects, Strategies and Policies

ABSTRACT The tragic rise of farmer suicides in India brought to light some of the high social and ecological costs associated with globalization and unsustainable agriculture. The study analyzes the impact of globalization and MNCs on farmer suicides and suggests strategies and policies. The crucial findings show regressive agricultural policies, output declines, insufficient credit support, private parties’ intervention, land fragmentation, and the high cost of cultivation due to the privatization of the seed sector that led to worst debt traps among other factors as major contributors to this turmoil. This research underlines the ongoing efforts in understanding and tackling these issues.

Quality of online media reports of suicide and attempted suicide in India.

News media reporting of suicide may influence the masses toward or against suicidal behavior. So, responsible reporting by news media is important to protect vulnerable people from the deleterious effects of media reporting. World Health Organization has issued guidelines for media reporting of suicide in this regard. We planned this research to evaluate the quality of online news media reports of suicide and attempted suicides in India. We assessed a total of 210 news reports about suicide and attempted suicides (70 English, 70 Malayalam, and 70 Hindi) to evaluate the reporting of harmful and protective characteristics in news according to the World Health Organization guidelines for reporting suicide in media. We found all three language media reported almost all potentially harmful characteristics with gender (100%), location/site of suicide in the headline (97.61%), precipitating life events (95.24%), mentioning term 'Suicide' in the headline (98.10%), monocausal explanation for suicidality (90.95%), suicide method in the headline (90.95%), an accompanying photo (92.38%), and suicide method (93.81%) being reported with highest frequency. Potentially protective characteristics were not included in most news reports with poor focus on awareness information. Vernacular language media were poor as compared to English news media about the quality of reporting suicide. We found poor adherence to reporting guidelines by online news media for reporting of suicide with poor coverage of educative and awareness information for the general public. It underlines the need for improving awareness among media professionals about responsible reporting of suicide.

Suicides in India

Introduction: Suicide is a mortality contributor to a major extent among young and economically productive populations. Current study aims to analyze the trend, causes, and modalities of suicides in India over the last decade. Methods: Retrospective observational study based on analysis of secondary data compiled from the National Crime Records Bureau, which is a national database maintained by the Ministry of Home Affairs, Government of India. Results: The study included data related to suicides in India from 2012-2021. An increase in the number of suicides was noted from 135445 in 2012 to 164033 in 2021. The most common approach to committing suicide was found to be hanging over the years, increasing from 37% in 2012 to 57.05% in 2021. Persons resorting to poisoning, self-immolation, drowning, and coming under running vehicles have decreased from 2012-2021. The majority of suicide victims contributed to 65.31% and 72.53% of suicides in 2012and 2021, respectively. The highest percentage of suicide victims over the years was found to be the age group of 18-30 years (34%) which is closely followed by the 30-45 years age group. Family problems have been the most common cause of suicide from 2012 (25.6%) to 2021 (33.2%), with a very slight decrease from 20.8% in 2012 to 18.6% in 2021. Conclusion: The burden of suicide has not shown any decline in last decade. There is a need for multisectoral intervention to reduce the burden of suicides, involving all the stakeholders, including government, family, community, educational institutions, and health care providers. Keywords: Suicide, Suicide Rate, Public Health, National Crime Records Bureau (NCRB), Secondary Data.

Analysis of Socio-Demographic Profiles of Suicidal Hanging Cases to Formulate a Preventive Strategy: An Autopsy-Based Study Conducted at a Tertiary Care Hospital in the North-East Region of India.

Introduction Hanging is a common method of suicide in India and worldwide. Analyzing the socio-demographic characteristics to formulate a preventive strategy to reduce the incidence of suicide by hanging is often considered a low-cost but effective intervention for developing countries like India. The present study reports on preventive measures based on socio-demographic data of suicidal hanging cases brought for autopsy in a city in Northeast India. There is no scientific literature originating from the Northeast region of India that stresses on the preventive aspect of suicidal hanging cases to date. Methods This is an observational study based on retrospective data. Data related to socio-demographic characteristics were collected from all the suicidal hanging cases reported for medicolegal autopsy at a tertiary care hospital in Dibrugarh, a city in Northeast India, from June 2012 to June 2013. Results A total of 1241 cases were brought for autopsy, out of which 70 (5.64%) cases were determined to be death due to suicidal hanging. Male victims accounted for the majority of the cases, and most victims were in their third decade of life. Additionally, various other factors, such as marital status, occupational status, place of occurrence, psychiatric history, pregnancy status, and selection of suspension point, were studied. Conclusion Socio-demographic data generated from various research studies can play a crucial role in the early identification of vulnerable individuals and enable the prompt delivery of mental health services and other measures of interventions. Implementing policy-based strategies, such as restricting access to means and materials used in hanging, can have a positive impact on overall outcomes. Additionally, involving electronic or print media to de-popularize hanging as a clean and painless method proves to be another effective intervention.

Long-Term Changes in the Quality of Media Reporting of Suicide Following a Celebrity Suicide in India.

Online portals of selected English and local language newspapers and television channels were searched to identify suicide news reports published one year after the celebrity suicide (ACS). These reports (n = 1952) were compared with the corresponding period of the previous year, immediately following the celebrity suicide (ICS) (n = 2486), and a three-month period before the celebrity suicide (BCS) (n = 1381) to assess longitudinal changes in quality of media reporting. There was a decline in reporting of several potentially harmful characteristics over time such as mentioning the deceased's age and gender (p < .001 for both), and location of suicide (p < .001). The quality of media reporting of suicide was significantly better at one year compared to the period immediately following celebrity suicide. This change was mainly driven by an improvement in the reporting quality of English news reports while local language reports continued to remain poorly adherent to reporting guidelines.

Empty stomach together with menstrual bleeding as predictors of committed suicides among women of reproductive age: What a primary physician must know.

Women of reproductive age group (WoRAG) are among the most vulnerable groups to suicide in India. The present study intended to develop a mathematical model to differentiate suicides from homicides among WoRAG. It was a cross-sectional study based on a record review of autopsy at Patna, India, from 2016 to 2021. The cause of deaths was ascertained by autopsies and other records independently by two investigators to reduce the interobserver bias. Independent variables were tested with confirmed suicides to calculate statistically significant association. These variables were further used for developing prediction models for the suicides by multivariate logistic regression analysis. Out of total of 520 autopsies of WoRAG performed by investigators, the cause of death has been confirmed for 62. Of them, 30 were confirmed as suicides. In univariate analysis, suicides were associated with the menstrual bleed (OR 35 CI 6.9,179), gastric emptying (OR 3.9 CI 1.2,12.8), hanging, poisoning, and drowning as mode of death (OR 435 CI 37.4,5061.9). By logistic regression, three prediction models were built to predict suicide; Model I: gastric emptying, Model II: menstrual bleed, and Model III: including both. The area under the curve (AUC) for Models I, II, and III was 0.67 (95%CI 0.34,0.99), 0.92 (95%CI 0.75,1.00), and 0.94 (95%CI 0.82,1.00), respectively. The AUC of Model III differs significantly from that of Model I (P value 0.03) but not with Model II (P value 0.11). Menstrual bleed, gastric emptying, and mode of death may be used as a supplement tool in ascertaining the cause of death among WoRAG in medical and legal proceedings.

Forecasting road accidental deaths in India: an explicit comparison between ARIMA and exponential smoothing method

The number of deaths due to road accident is increasing day by day and has become an alarming global problem over the decades. India, with her rising motorization is no stranger to this global catastrophe. In this paper two relatively simple yet powerful and versatile techniques for forecasting time series data, autoregressive integrated moving average method (ARIMA) and exponential smoothing method are used to forecast the number of deaths due to road accidents in India from the year 2022–2031. The results based on the two methods are compared and it is found that they are in sync with each other and pre-existing literature. Furthermore, this is a unique attempt to use two time series analysis techniques on the same data and carry out a comparative analysis. The data was collected from the annual report of Ministry of Road Transport and Highways, India (2020) and Accidental Deaths & Suicides in India (ADSI) Report of National Crime Record Bureau (2021). After examining all the probable models, it is observed that ARIMA (2, 2, 2) model and exponential smoothing (M, A, N) model are suitable for the given data. Amongst the two, ARIMA (2, 2, 2) model has a lower AIC and BIC value. Thus, this comes out to be the best model as per our model selection criterion. Further, the study also reveals an upward trend of number of road accidental deaths for the upcoming 10 years in India.

Clinical Profile, Corticosteroid Usage and Predictors of Mortality in Near-hanging Patients: A Five-year, Single-center Retrospective Study.

Hanging is the most common method of suicide in India. When near-hanging patients reach the hospital for treatment, their neurological outcome ranges from full recovery to severe neurological impairment or death. This study looked at the clinical profile, usage of corticosteroids and predictors of mortality in near-hanging patients. This retrospective study was conducted from May 2017 to April 2022. Demographic, clinical, and treatment details were collected from case records. Neurological outcome at discharge was assessed using the Glasgow Outcome Scale (GOS). The study involved 323 patients, 60% of men with a median (interquartile range) age of 30 (20-39). At the time of admission, the Glasgow Coma Scale (GCS) ≤8 in 110 (34%) patients, hypotension was present in 43 (13.3%) of patients, and 21 (6.5%) had hanging-induced cardiac arrest. About 101 patients required intensive care unit care. Corticosteroid therapy was given to 219 patients (67.8%) as part of anti-cerebral edema measures. Good neurological recovery was found (GOS-5) in 84.2% of patients, and the death rate (GOS-1) was 9.3%. Univariate logistic regression showed that usage of corticosteroids is significantly associated with poor survival (p < 0.02, odds ratio 4.7). In the multivariable logistic regression analysis, GCS ≤8, hypotension, need for intensive care, hanging-induced cardiac arrest, aspiration pneumonia, and severe cerebral edema were found to be significantly associated with mortality. The majority of near-hanging patients had a good neurological recovery. Corticosteroids were used in two-thirds of the study population. There were multiple variables associated with mortality. Ramadoss R, Sekar D, Rameesh M, Saibaba J, Raman D. Clinical Profile, Corticosteroid Usage and Predictors of Mortality in Near-hanging Patients: A Five-year, Single-center Retrospective Study. Indian J Crit Care Med 2023;27(6):403-410.

Why young people attempt suicide in India: A qualitative study of vulnerability to action

Suicidal behaviours among young people in India are a major public health problem. An understanding of the reasons for suicide attempts from survivor perspectives is essential to developing suicide prevention programs for this population, as these can provide valuable insights into concerns that are unique to young people, and direct the focus of such programs towards these specific concerns. Qualitative studies are best suited for eliciting such perspectives, but such studies in India are lacking. We conducted semi-structured interviews with 47 persons between the ages of 15 and 29 who had been admitted to a public hospital in Pune, India, following a suicide attempt. Participants were asked to describe in their own words, what they believed was the reason for the attempt. Data was analysed using inductive thematic analysis and summative content analysis. There were three broad factors that interacted to lead to suicide attempts – background factors (individual and environmental factors that increased vulnerability); psychological distress (emotional and cognitive states that led to suicidal ideation); and intervening factors (factors that facilitated transition from distress to the attempt). The most common pattern was the occurrence of an interpersonal stressor shortly before the attempt, which produced distorted cognitions, and overwhelming emotions – usually of anxiety or anger - with ready access to means and/or impulsivity being the final catalysts. This stressor was generally a trigger associated with long-standing problems involving partners or family members, which had already produced intolerable distress over time. Female participants appeared particularly vulnerable to these stressors, partly due to prevailing socio-cultural norms. Our findings suggest the need for suicide prevention programs in India to foster life skills for young people, engage with high-risk groups (for example, women), and restrict access to harmful substances. Family stakeholders need to be involved in the implementation.