Department of Anthropology, University of Delhi, Delhi, India 110007.
Department of Anthropology, University of Delhi, Delhi, India 110007.
J Affect Disord. 2013 Nov;151(2):673-678. doi: 10.1016/j.jad.2013.07.018. Epub 2013 Aug 9.
Cases of suicide documented earlier all over the world reflect the presence of suicide behavior in primitive world at a higher rate compared to general urban population. The cause of such behavior is thought to be different among tribes and mental health was rarely presumed to be associated. In India, several ethnographic narratives described instances of suicides among several tribes, but evaluation of psychological traits were lacking. The present study on Idu Mishmi is an attempt to further validate earlier report of high rate of suicides among them and to evaluate psychological traits.
Interview and administration of Patient Health Questionnaire (PHQ) on 218 individuals comprised the data. Bi-variate analyses and linear multiple regression were done to evaluate psychological traits in suicide behavior.
In the Idu Mishmi Population suicide attempt (14.22%) was higher than urban population in general (0.4-4.2%) and females were at higher risk. Depression (8.26%) was comparable with earlier reports, whereas anxiety syndrome (6.42%), alcohol abuse (36.24%) and eating disorder like Binge eating (6.42%), Bulimia nervosa (1.38%) were also recorded in the population.
Absence of psychiatry clinic and mechanism of recording suicide occurrences in remote tribal area is the basic limitation of the study.
Depression and gender turned out to be significant determinants of suicide attempt in the studied population, whereas alcohol abuse was not a significant factor.
世界各地之前记录的自杀案例反映出原始世界的自杀行为发生率高于一般城市人口。这种行为的原因在部落之间被认为是不同的，而且很少有人认为心理健康与之有关。在印度，有几个民族志描述了一些部落的自杀事件，但缺乏对心理特征的评估。本项针对伊都米什米人的研究试图进一步证实之前报告的他们当中自杀率很高的情况，并评估心理特征。
对 218 个人进行访谈和使用患者健康问卷（PHQ）进行评估，构成了数据。采用双变量分析和线性多元回归来评估自杀行为中的心理特征。
在伊都米什米人中，自杀未遂（14.22%）的发生率高于一般城市人口（0.4-4.2%），而且女性的风险更高。抑郁症（8.26%）与之前的报告相当，而焦虑症（6.42%）、酗酒（36.24%）和暴食症（6.42%）、神经性贪食症（1.38%）也在该人群中被记录。
在偏远部落地区缺乏精神病诊所和记录自杀事件的机制是该研究的基本局限性。
在研究人群中，抑郁和性别被证明是自杀未遂的重要决定因素，而酗酒不是一个重要因素。
