Family conflict : The major underlying influence in suicide attempts in Northern Bihar, India.

  • Sangeeta Nair Duncan Hospital, a Unit of Emmanuel Hospital Association
  • Lois Joy Armstrong Duncan Hospital, A unit of Emmanuel Hospital Association
  • Philip Finny Duncan Hospital, A Unit of Emmanuel Hospital Association
Keywords: suicide, Family Conflict, family conflict, Suicide Attempts, depression, underlying influences, India, rural North India, Northern Bijar,

Abstract

Suicide attempts in North India are generally underreported but have been considered to be rising. Over the last five years the number of admissions to our Hospital due to attempted suicide, had risen from 82 in 2007 to 419 in 2011. 

157 suicide attempt survivors completed an interview and the Major (ICD-10) Depression inventory. 36 (23 %) of our patients come from India but 122 (77%) patients come from Nepal. The highest incidence is in the age group 16-20 years. There is little difference in the overall number of males and females but after 35 years of age, the number of males is four times higher than females. 81% of the respondents were below the age of 30 years.

Modes of suicide attempts were: pesticide poisoning 148 (94%), overdose of medication nine (5.7%) and attempted hanging one (0.6%). Using the Major (ICD10) Depression Inventory, 28(18%) of the participants were suffering from depression. 90 people (56.9%) admitted to previous thoughts of suicide and nine (5.7%) people had previous suicide attempts.

126(80%) of the participants stated conflicts with their family members lead to the attempted suicide. 154 (97%) relatives did not expect the person to attempt suicide. 121 (77%) participants were influenced to attempt suicide by having heard about someone in their neighbourhood, friends, or family who had previously attempted suicide.

Work to prevent suicide attempts and deaths needs to be focussed on young people and help them to learn to handle conflict and stress, particularly in family situations.

Author Biographies

Sangeeta Nair, Duncan Hospital, a Unit of Emmanuel Hospital Association
Clinical Psychologist, Department of Medicine
Lois Joy Armstrong, Duncan Hospital, A unit of Emmanuel Hospital Association
Research Co-ordinator, Epidemiology and Research Dept
Philip Finny, Duncan Hospital, A Unit of Emmanuel Hospital Association
Consultant Physician/Endocrinologist,

References

Murray CJL and Lopez AD. The Global Burden of Disease. Harvard School of Public Health on behalf of the World Health Organisation and The World Bank. Havard University Press. 1996.

Soman CR, Safraj V, Kutty R, Vijayakumar K, Ajayan K. Suicide in South India: A com-munity-based study in Kerala. Indian J Psychiatry. 2009; 51(4): 261–264. doi: 10.4103/0019-5545.58290

Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad J, Minz S, Joseph V, Bose A. 2004. Suicides in young people in rural southern India. Lancet 2004; 363(9415): 1117 - 1118.

Das, A. Farmers' Suicide in India: Implications for Public Mental Health. Int J Soc Psy-chiatry. 2009; 57:21. doi: 10.1177/0020764009103645 2011 57: 21 originally published online 12 October.

Vijaykumar, L. Suicide and its prevention: The urgent need in India. Indian J Psychiatry. 2007; 49(2): 81-84. doi:10.4103/0019-5545.33252

WHO. Major (ICD-10) Depression Inventory. Psychiatric Research Unit, WHO Collaborating Centre in Mental Health. Undated. http://www.cure4you.dk/960/MDI%20Major%20Depression%20Inventory%20-%20English.pdf [Last accessed 17 December 2013].

Vassarstats: Website for Statistical Calculation. At http://www.vassarstats.net [Last Accessed 10 Dec 2013]

Patel V, Ramasundarahettige C, Vijayakumar L, Thakur JS, Gajalakshmi V, Gururaj G, Suraweera W, Jha P.. Suicide Mortality in India: A Nationally Representative Survey. Lancet 2012; 379: 2343–51

All India Council of Muslim Economic Upliftment. (Quoting 2001 Census data). http://www.aicmeu.org/Muslim_Population_Distribution_in_India.htm [Last accessed 6 June 2014]

India Census 2011. http://www.census2011.co.in/census/district/56-purbi-champaran.html

Salve H, Kumar R, Sinha S, and Krishnan A. Suicide an emerging health problem: Evi-dence from rural Haryana. Indian Journal of Public Health. 2013; 57(1): 40-42.

Gouda MRN and Rao SM. Factors related to Attempted Suicide in Davangere. Indian Journal of Community Medicine. 2008; 33(1): 15-18. Doi: 10.4103/0970-0218.30237

Khan MM. Suicide on the Indian Subcontinent. Crisis. 2002; 23(3): 104-107.

Annual Health Survey 2010-11, Bihar. 2012. Office of the Registrar General and Census Commissioner, India.

Published
2015-05-28
How to Cite
Nair, S., Armstrong, L. J., & Finny, P. (2015). Family conflict : The major underlying influence in suicide attempts in Northern Bihar, India. Christian Journal for Global Health, 2(1). https://doi.org/10.15566/cjgh.v2i1.52