Department of Psychiatric Social Wok, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Department of Psychiatric Social Wok, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Asian J Psychiatr. 2020 Oct;53:102191. doi: 10.1016/j.ajp.2020.102191. Epub 2020 Jun 13.
Suicide is a global phenomenon and a major public health concern and 'it is possibly preventable if it is well understood'.
The article is an attempt to understand 'suicide in India' with the existing literature and the lacuna for the four decades.
The information is collected from 270 articles on suicide research in India, published in various electronic data bases and different official sites as surprisingly the nation is with highest suicide mortality rate among all regional countries.
The review shows an increase in the number of articles on suicide in India over the period of time. Though the suicide mortality rate in India is significantly high, the number of intervention studies remains very minimal. India's understanding about 'the concept' remains questionable as the data from different sources for the same time period shows a huge disparity. Sex, age, socio-economic status, substance abuse, mental illness, medical illness, psychological and environmental stressors etc make individuals vulnerable to end their lives.
Appropriate official documentation and more qualitative studies would help in understanding the phenomena better. Intervention studies and policy level changes are the need of the hour to save the nation from the dangerous 'iceberg of suicide'.
自杀是一个全球性现象，也是一个主要的公共卫生关注点，“如果对此有充分的了解，自杀是有可能预防的”。
本文试图通过现有文献和过去四十年的空白来理解“印度的自杀现象”。
本文从印度自杀研究的 270 篇文章中收集信息，这些文章发表在各种电子数据库和不同的官方网站上，因为令人惊讶的是，印度在所有地区国家中自杀死亡率最高。
综述显示，随着时间的推移，印度关于自杀的文章数量有所增加。尽管印度的自杀死亡率显著很高，但干预研究的数量仍然非常少。印度对“自杀概念”的理解仍存在疑问，因为同一时期来自不同来源的数据显示出巨大的差异。性别、年龄、社会经济地位、物质滥用、精神疾病、躯体疾病、心理和环境压力等因素使个体容易结束自己的生命。
适当的官方记录和更多的定性研究将有助于更好地理解这一现象。干预研究和政策层面的改变是当前的迫切需要，以避免印度陷入自杀这一“危险的冰山”。
