The Prevention of Suicide in India and the Developing World
The Need for Population-Based Strategies
Abstract
Very high rates of suicide have been reported from India and the developing world. However, much of the debate on suicide prevention focuses on individuals, methods, site-specific solutions, or particular suicide prevention strategies. This article argues for population based approaches that focus on improving the general health of populations (e.g., macroeconomic policies that aim for social justice, schemes to meet basic human needs, organizing local support groups within vulnerable sections of society, developing and implementing an essential pesticide list, addressing gender issues, and increasing public awareness through the mass media) rather than medical, psychiatric, and other strategies that target individuals (e.g., treatment of mental illness, counseling, etc.) in order to reduce high suicide rates in India and developing countries. Individual approaches will help people in distress and prevent individuals from committing suicide, but will not reduce population suicide rates.
References
2004). Suicides in young people in rural southern India. Lancet, 363,1117–1118.
(2005). Suicide in the elderly in Kaniyambadi block, Tamil Nadu, South India. International Journal of Geriatric Psychiatry, 20, 953–955.
(2007). Might the decrease in the suicide rates in France be due to regional prevention programmes?. Social Science and Medicine, 65, 431–441.
(2006). Deaths from pesticide poisoning: A global response. British Journal of Psychiatry, 189, 201–203.
(2003). Unemployment and suicide. Evidence for a causal association?. Journal of Epidemiology and Community Health, 57, 594–600.
(2006). Harvest of death. Frontline, 23(17). Retrieved on March 26, 2008, from www.hinduonnet.com/fline/ fl2317/stories/20060908004201200.htm
(1999). Increasing rates of suicide in young men in England during the 1980s: The importance of social context. Social Science & Medicine, 49, 1419–23.
(2002). National suicide prevention strategy for England. Retrieved November 14, 2007, from www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH@@4009474.
(1996). India: Economic development and social opportunity. Oxford, England: Oxford University Press.
(2007). Suicide rates in rural Tamil Nadu, South India: Verbal autopsy of 39 000 deaths in 1997–98. International Journal of Epidemiology, 36, 203–7.
(2004). Risk factors for completed suicides: A case-control study from Bangalore, India. Injury Control and Safety Promotion, 11, 183–91.
(1997). The social and economic environment and human health. In , Oxford textbook of public health (3rd ed., Vol. 1, pp. 95–123). Oxford: Oxford University Press.
(1987). Assessment of suicide risk. British Journal of Psychiatry, 150, 145–153.
(1997). Community based interventions. In , Oxford textbook of public health (3rd ed., Vol. 1, pp. 571–584). Oxford: Oxford University Press.
(2007). Public health in India and the developing world: Beyond medicine and primary health care. Journal of Epidemiology and Community Health, 61, 562–561.
(2003). Evaluation of suicide rates in rural India using verbal autopsies, 1994–9. British Medical Journal, 326, 1121–1122.
(2007) Community uptake of safe storage boxes to reduce self-poisoning from pesticides in rural Sri Lanka. BioMed Central Public Health, 26(7), 13.
(2000). What is the “golden standard” for assessing population-based interventions? Problems of dilution bias. Journal of Epidemiology and. Community Health, 54, 617–622.
(2003). Psychosocial factors and public health: A suitable case for treatment?. Journal of Epidemiology and Community Health, 57, 565–570.
(2007). Perceptions about suicide: A qualitative study from southern India. National Medical Journal of India, 20, 176–179.
(2006). Rates and factors associated with suicide in Kaniyambadi Block, Tamil Nadu, South India, 2000–02. International Journal of Social Psychiatry, 52, 65–71.
(2007). Nearly 1.5 lakh farm suicides from 1997 to 2005. The Hindu. Retrieved November 12, 2007, from www.hindu.com/2007/11/12/stories/2007111257790100.htm
(2003). Psychosocial factors and public health: Another point of view. Journal of Epidemiology and Community Health, 57, 553–554.
(2007). National strategy for suicide prevention: Goals and objectives for action. Retrieved November 14, 2007, from mentalhealth.samhsa.gov/publications/allpubs/SMA01-3517.
(2005). Suicide in developing countries (1): Frequency, distribution and association with socio-economic indicators. Crisis, 26, 104–111.
(2005). Suicide among Russians in Estonia: database study before and after independence. British Medical Journal, 330, 176–177.
(2001). Registration of external causes of death in the Baltic States 1970–1997. European Journal of Public Health, 11, 84–88.
(1999). Are risk factors for suicide universal? A case-control study in India. Acta Psychiatrica Scandinavica, 99, 407–411.
(2005). Understanding the unique characteristics of suicide in China: National psychological autopsy study. Biomedical and Environmental Sciences, 18, 379–89.
(2001). World health report 2001: Mental health: New understanding, new hope. Geneva: Author.
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