Department of Sociology, East West University, Dhaka, Bangladesh.
Institute for Social and Health Sciences, University of South Africa (UNISA), Cape Town, South Africa.
Crisis. 2020 Jul;41(4):304-312. doi: 10.1027/0227-5910/a000631. Epub 2019 Oct 28.
Suicide and attempted suicide are a serious but under-explored public health problem in Bangladesh. Survey estimates suggest that Jhenaidah District, one of the 64 districts that make up Bangladesh, is one of the highest suicide-prone regions in Bangladesh. Relatively little is known about the magnitude of suicide attempts in the district. This article describes the incidence of suicide and suicide attempts for Jhenaidah, Bangladesh for the period 2010-2018. Primary descriptive analysis was performed on routine data collected by a Bangladesh-based nongovernment organization (NGO): Societies for Voluntary Activities (SOVA). A total of 22,675 suicide attempts and 3,152 suicides occurred in the district. The rate of suicide attempts was found to be 136.35/100,000 and the suicide rate was found to be 20.6/100,000 in Jhenaidah. The subdistrict Sadar had the highest incidence of suicide attempt (38.09%) and suicide (33.47%). Poisoning was the most common method of suicide attempt for both males (77.07%) and females (77%). Many cases of suicide attempts and suicide are unreported in Bangladesh owing to stigmatization; only reported cases form part of this investigation. Jhenaidah has very high rates of suicide and suicide attempts that surpass the global and Bangladesh averages. Although females demonstrate higher suicide rates, male suicide rates have gradually increased over the study period. Future studies are called for to better understand the local patterns and dynamics of fatal and nonfatal suicidal behaviors. Developing a sub-district-, district-, and national-level suicide prevention strategy ought to be considered a priority.
自杀和自杀未遂是孟加拉国一个严重但尚未得到充分探索的公共卫生问题。调查估计表明,占孟加拉国 64 个区之一的坚德哈区是孟加拉国自杀率最高的地区之一。相对而言,人们对该地区自杀未遂的严重程度知之甚少。本文描述了 2010 年至 2018 年期间孟加拉国坚德哈区的自杀和自杀未遂事件发生率。对一个总部设在孟加拉国的非政府组织(非政府组织)收集的常规数据进行了主要描述性分析:自愿活动协会(SOVA)。该地区共发生 22675 例自杀未遂和 3152 例自杀。自杀未遂率为 136.35/10 万,自杀率为 20.6/10 万。萨达尔分区的自杀未遂发生率(38.09%)和自杀发生率(33.47%)最高。在男性(77.07%)和女性(77%)中,中毒是最常见的自杀未遂方法。由于耻辱感,孟加拉国许多自杀未遂和自杀案例没有报告;只有报告的案例构成了这项调查的一部分。坚德哈区的自杀和自杀未遂率非常高,超过了全球和孟加拉国的平均水平。尽管女性的自杀率较高,但男性的自杀率在研究期间逐渐上升。需要进一步的研究来更好地了解致命和非致命自杀行为的当地模式和动态。制定一个分区、区和国家一级的预防自杀战略应被视为优先事项。