Abstract
Suicide is both a public and mental health problem, and is a leading cause of deaths, especially among adolescents. Two factors that contribute to the decision of adolescents to commit suicide are having a primary mood disorder and/or substance use. In the Indian culture, the family unit has both a positive and negative impact on suicide. The family serves as a protective factor that provides a strong support for the individual, but alternately creates an inseparable individual when seeking mental health care, which often complicates the situation. Due to the stigma, Indians typically perceive having a mental illness as shameful. Religion is integral to the Indian culture so much so that individuals often use herbal remedies, seek help from religious leaders, and attend religious establishments prior to obtaining a mental health evaluation in those that are subsequently deemed as mentally ill. Despite the fact that suicides are underreported and misdiagnosed in India, it is known that the highest rates are among those <30 years old. The methods most commonly used to commit suicide in India include the ingestion of poison (often pesticides), hanging, burning, and drowning. When immigrating, Indians tend to switch the methods they use to commit suicide from ingestion of poison to hanging, which may reflect a lack of available poisonous substances or the influence of the host culture. Considering the high suicide rates in adolescents, the importance of providing psychoeducation, restricting access to lethal means, and promoting social integration in immigrants are various ways by which suicides in Indian adolescents can be avoided.
References
1. Kar N. Profile of risk factors associated with suicide attempts: a study from Orissa, India. Indian J Psychiatry 2010;52:48–56.10.4103/0019-5545.58895Suche in Google Scholar
2. Anderson RN, Smith BL. Deaths: leading causes from 2001. Natl Vital Stat Rep 2003;52:1–85.Suche in Google Scholar
3. Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, et al. U.S. Department of Health and Human Services Center for Disease Control and Prevention. Youth risk behavior surveillance- United States, 2011. MMWR Surveill Summ 2012;61:1–163.Suche in Google Scholar
4. Marttunen M, Pelkonen M. Psychiatric risk factors for adolescent suicide: a review. Psychiatr Fenn 2000;31:110–25.Suche in Google Scholar
5. Shafii M, Steltz-Lenarsky J, Derrick AM, Beckner C, Whittinghill JR. Comorbidity of mental disorders in the post-mortem diagnosis of completed suicide in children and adolescents. J Affect Disord 1988;15:277–83.10.1016/0165-0327(88)90020-1Suche in Google Scholar
6. Marttunen M, Aro H, Henriksson M, Lönnqvist JK. Mental disorders in adolescent suicide: DSM-III-R axes I and II among 13 to 19 year olds in Finland. Arch Gen Psychiatry 1991;48:834–9.10.1001/archpsyc.1991.01810330058009Suche in Google Scholar PubMed
7. Avasthi, A. Indianizing psychiatry – is there a case enough? Indian J Psychiatry 2011;53:111–20.10.4103/0019-5545.82534Suche in Google Scholar PubMed PubMed Central
8. Sharaf AY, Thompson EA, Walsh E. Protective effects of self-esteem and family support on suicide risk behaviors among at-risk adolescents. J Child Adolesc Psychiatr Nurs 2009;22:160–8.10.1111/j.1744-6171.2009.00194.xSuche in Google Scholar PubMed
9. Cheng ST, Chan AC. Multiple pathways from stress to suicidality and the protective effect of social support in Hong Kong adolescents. Suicide life threat behav 2007;37:187–96.10.1521/suli.2007.37.2.187Suche in Google Scholar PubMed
10. Campion J, Bhugra D. Experiences of religious healing in psychiatric patients in south India. Soc Psychiatry Psychiatr Epidemiol 1997;32:215–21.10.1007/BF00788241Suche in Google Scholar PubMed
11. Kakar DN. Primary health care and traditional medicine practitioner. New Delhi: Sterling, 1988.Suche in Google Scholar
12. Mohan B. Social psychiatry in India. Calcutta: Minerva Press, 1972.Suche in Google Scholar
13. Khan MM. Suicide on the Indian subcontinent. Crisis 2002;23:104–7.10.1027//0227-5910.23.3.104Suche in Google Scholar PubMed
14. Khan MM. Suicide and attempted suicide in Pakistan. Crisis 1998;19:172–6.10.1027/0227-5910.19.4.172Suche in Google Scholar PubMed
15. Latha KS, Geetha N. Criminalizing suicide attempts: can it be a deterrent? Med Sci Law 2004;44:343–7.10.1258/rsmmsl.44.4.343Suche in Google Scholar PubMed
16. Rao AV, Mahendran N, Gopalakrishnan G, Reddy TK, Prabhakar ER, et al. One hundred female burn cases: a study in suicidology. Indian J Psychiatry 1989;31:43–50.Suche in Google Scholar
17. National Crime Records Bureau. Accidental deaths and suicide in India 2008. Ministry of Home Affairs, Government of India 2008; 168–89. http://ncrb.nic.in/ADSI2008/suicides-08.pdf. Accessed: July 23, 2012.Suche in Google Scholar
18. Vijaykumar L. Suicide and its prevention: the urgent need in India. Indian J Psychiatry 2007;49:81–4.10.4103/0019-5545.33252Suche in Google Scholar PubMed PubMed Central
19. Reddy MS. Suicide incidence and epidemiology. Indian J Psychol Med 2010;32:77–82.10.4103/0253-7176.78501Suche in Google Scholar PubMed PubMed Central
20. World Health Organization. Mental health. Suicide rates (per 100,000), by gender, USA, 1955–2005. http://www.who.int/mental_health/media/unitstates.pdf. Accessed: July 24, 2012.Suche in Google Scholar
21. World Health Organization. Mental health. Suicide rates (per 100,000), by gender, India, 1980–2009. http://www.who.int/mental_health/media/indi.pdf. Accessed: July 24, 2012.Suche in Google Scholar
22. Mayer P, Ziaian T. Suicide, gender and age variations in India. Are women in Indian society protected from suicide? Crisis 2002;23:98–103.10.1027//0227-5910.23.3.98Suche in Google Scholar PubMed
23. Government of India. Accidental deaths and suicide in India. National Crime Records Bureau. Ministry of Home Affairs, 2010.Suche in Google Scholar
24. Vijayakumar L, Nagaraj K, Pirkis J, Whiteford H. Suicide in developing countries (1): frequency, distribution and association with socioeconomic indicators. Crisis 2005;26:104–11.10.1027/0227-5910.26.3.104Suche in Google Scholar PubMed
25. Soni Raleigh V, Bulusu L, Balarajan R. Suicides among immigrants from the Indian subcontinent. Br J Psychiatry 1990;156:46–50.10.1192/bjp.156.1.46Suche in Google Scholar PubMed
26. Shaffer D. Suicide in childhood and early adolescence. J Child Psychol Psychiatry 1974;15:275–91.10.1111/j.1469-7610.1974.tb01252.xSuche in Google Scholar PubMed
27. Kar N, Pany M, Mishra BN, Sengupta J, Das I. Risk factors of adolescent suicide attempt. J East Zonal Branch Indian Psychiatr Soc 1996;1:17–22.Suche in Google Scholar
28. Mukherji A. Around 6,000 students committed suicide in 2006. The Times of India. http://timesofindia.indiatimes.com/Around_6000_students_committed_suicide_in_2006/articleshow/2872298.cms. Accessed: November 25, 2011.Suche in Google Scholar
29. Greenfield B, Daniel L, Harnden B. Immigration and suicide: an overview. In: Sher L, Vilens A, editors. Immigration and mental health: stress, psychiatric disorders and suicidal behavior among immigrants and refugees. New York: Nova Science Publishers, 2010.Suche in Google Scholar
30. Sainsbury P, Barraclough B. Differences between suicide rates. Nature 1968;220:1252.10.1038/2201252a0Suche in Google Scholar PubMed
31. Pena JB, Wyman PA, Brown CH, Matthieu MM, Olivares TE, et al. Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among Latino adolescents in the USA. Prev Sci 2008;9: 299–310.10.1007/s11121-008-0105-xSuche in Google Scholar PubMed PubMed Central
32. Sher L. A model of suicidal behavior among immigrants with psychiatric disorders. In: Sher L, Vilens A, editors. Immigration and mental health: stress, psychiatric disorders and suicidal behavior among immigrants and refugees. New York: Nova Science Publishers, 2010.Suche in Google Scholar
33. Lester D. Suicide in emigrants from the Indian subcontinent. Transcult Psychiatry 2000;37:243–54.10.1177/136346150003700206Suche in Google Scholar
34. Kasen S, Cohen P, Chen H. Developmental course of impulsivity and capability from age 10 to age 25 as related to trajectory of suicide attempt in a community cohort. Suicide Life Threat Behav 2011;41:180–92.10.1111/j.1943-278X.2011.00017.xSuche in Google Scholar PubMed PubMed Central
35. Patel V, Ramasundarahettige C, Vijayakumar L, Thakur JS, Gajalakshmi V, et al. Suicide mortality in India: a nationally representative survey. Lancet 2012;379:2343–51.10.1016/S0140-6736(12)60606-0Suche in Google Scholar
36. World Health Organization. Suicide huge but preventable public health problem, says WHO. Indian J Med Sci 2004;58:409–11.Suche in Google Scholar
37. Pelkonen M, Marttunen M. Child and adolescent suicide epidemiology, risk factors, and approaches to prevention. Paediatr Drugs 2003;5:243–65.10.2165/00128072-200305040-00004Suche in Google Scholar PubMed
38. Durkheim E. Suicide: a study in sociology. Spalding JA, Simpson G, translators. London: Routledge and Kegan Paul, 1952.Suche in Google Scholar
©2013 by Walter de Gruyter Berlin Boston
Artikel in diesem Heft
- Masthead
- Masthead
- Editorial
- Education of health professionals about adolescent psychiatry
- Review Articles
- Educating medical professionals about suicide prevention among military veterans
- Ecstasy use and serotonin syndrome: a neglected danger to adolescents and young adults prescribed selective serotonin reuptake inhibitors
- Child sexual abuse and the pathophysiology of suicide in adolescents and adults
- Suicidal behavior in Indian adolescents
- Use of antidepressants for major depressive disorder in children and adolescents: clinical considerations
- Educating health care trainees and professionals about suicide prevention in depressed adolescents
- Attention deficit hyperactivity disorder and dual disorders. Educational needs for an underdiagnosed condition
- Brain structural and functional changes in adolescents with psychiatric disorders
- Dating violence and suicidal behavior in adolescents
- Low testosterone levels may be associated with suicidal behavior in older men while high testosterone levels may be related to suicidal behavior in adolescents and young adults: a hypothesis
- Military sexual trauma as a determinant in the development of mental and physical illness in male and female veterans
- American juvenile justice system: history in the making
- The underexamined association between posttraumatic stress disorder, medical illness and suicidal behavior
- Prevention of suicidal behavior in adolescents with post-traumatic stress disorder
- Bullying, psychiatric pathology and suicidal behavior
- Original Articles
- Educating medical students about adolescent maltreatment
- Cannabis use, addiction risk and functional impairment in youth seeking treatment for primary mood or anxiety concerns
- Does the physician density affect suicide rates among adolescents and young adults?
- Case Report
- Buprenorphine in the treatment of non-suicidal self-injury: a case series and discussion of the literature
Artikel in diesem Heft
- Masthead
- Masthead
- Editorial
- Education of health professionals about adolescent psychiatry
- Review Articles
- Educating medical professionals about suicide prevention among military veterans
- Ecstasy use and serotonin syndrome: a neglected danger to adolescents and young adults prescribed selective serotonin reuptake inhibitors
- Child sexual abuse and the pathophysiology of suicide in adolescents and adults
- Suicidal behavior in Indian adolescents
- Use of antidepressants for major depressive disorder in children and adolescents: clinical considerations
- Educating health care trainees and professionals about suicide prevention in depressed adolescents
- Attention deficit hyperactivity disorder and dual disorders. Educational needs for an underdiagnosed condition
- Brain structural and functional changes in adolescents with psychiatric disorders
- Dating violence and suicidal behavior in adolescents
- Low testosterone levels may be associated with suicidal behavior in older men while high testosterone levels may be related to suicidal behavior in adolescents and young adults: a hypothesis
- Military sexual trauma as a determinant in the development of mental and physical illness in male and female veterans
- American juvenile justice system: history in the making
- The underexamined association between posttraumatic stress disorder, medical illness and suicidal behavior
- Prevention of suicidal behavior in adolescents with post-traumatic stress disorder
- Bullying, psychiatric pathology and suicidal behavior
- Original Articles
- Educating medical students about adolescent maltreatment
- Cannabis use, addiction risk and functional impairment in youth seeking treatment for primary mood or anxiety concerns
- Does the physician density affect suicide rates among adolescents and young adults?
- Case Report
- Buprenorphine in the treatment of non-suicidal self-injury: a case series and discussion of the literature