Vadlamani Laxmi Naresh, Gowda Mahesh
Department of Psychiatry, Columbus Hospital - Institute of Psychiatry and Deaddiction, Hyderabad, Telangana, India.
Department of Psychiatry, Spandana Health Care, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S750-S755. doi: 10.4103/psychiatry.IndianJPsychiatry_116_19.
The prevalence of suicides has been increasing in recent years. The number of persons who attempt to die by suicide is 25 times that of the number of those who die by suicide every year. Indian Government passed the Mental Healthcare Act (MHCA), 2017 in the middle of 2018. Section 115 of the act decriminalized the attempt to die by suicide, thereby reducing further stress on the victim. This has legal implications with regard to abetment laws of Sections 109, 116, 306, and 309 of Indian Penal Code. Regarding mental healthcare delivery, this act enables the person who attempted to die by suicide, to access free healthcare, treatment, and rehabilitation. The cost implications for the government are enormous. Medical professionals, mental health professionals, and general and mental health establishments involved in the care of persons who attempted to die by suicide need to update their knowledge to enhance their assessment and management skills to align with the provisions of the act. Massive public awareness programs need to be conducted to enable persons who attempted to die by suicide, to access mental healthcare as per the provisions of the MHCA 2017.
近年来,自杀率一直在上升。每年试图自杀的人数是自杀死亡人数的25倍。印度政府于2018年年中通过了《2017年精神卫生保健法》(MHCA)。该法案第115条将企图自杀非罪化,从而减轻了受害者的进一步压力。这对《印度刑法典》第109、116、306和309条的教唆法律有法律影响。关于精神卫生保健服务,该法案使企图自杀的人能够获得免费的医疗保健、治疗和康复服务。这对政府来说成本巨大。参与照顾企图自杀者的医学专业人员、精神卫生专业人员以及综合和精神卫生机构需要更新知识,以提高他们的评估和管理技能,使其符合该法案的规定。需要开展大规模的公众宣传项目,以使企图自杀的人能够根据《2017年精神卫生保健法》的规定获得精神卫生保健服务。