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影响马哈拉施特拉邦中部农业社区自杀未遂的因素。

Factors influencing suicidal attempt among the agrarian community of central Maharashtra.

作者信息

Mishra Kshirod Kumar, Prabhakar Joge Vivek

机构信息

Department of Psychiatry, MGIMS, Wardha, Maharashtra, India.

出版信息

Ind Psychiatry J. 2020 Jan-Jun;29(1):93-96. doi: 10.4103/ipj.ipj_84_20. Epub 2020 Nov 7.

Abstract

INTRODUCTION

Attempted suicides occur 8-20 times more frequently than completed suicides. Attempted suicides are just the tip of the iceberg of the completed suicides, now a universal phenomenon. Several factors such as financial constraints, altercation among family members, and easy availability of pesticides have been attributed as the common factors for attempted suicide among the rural population.

MATERIALS AND METHODS

On this background, we evaluated all the cases of attempted suicide admitted to our rural medical college during a period of 1 year. Details of sociodemographic profile, mode of attempt, and reason for the attempt were evaluated. All the cases were administered Beck's Depression Inventory. Factors influencing suicidal attempts among farmers and nonfarmers were analyzed using suitable statistical methods.

RESULTS

Out of a total of 117 cases of attempted suicide, only 21% of the cases were farmers. Majority of them were males and were married. The main mode of attempt was poisoning. The common psychiatric diagnosis was adjustment disorder followed by depressive disorder.

CONCLUSION

Although the study was conducted in a rural setup from an agrarian background, the majority of the cases were of nonfarmer. The most common mode of suicidal attempt among farmers as well as nonfarmers was pesticide ingestion owing to its easy availability among the agrarian population. Although the most common reason for attempt among the nonfarmer population was interpersonal problems, indebtedness still remains the most common reason for farmers. Attention of policymakers is drawn toward two important aspects: policy on the sale of usual pesticides and policy for the farmers to overcome loss in farming.

摘要

引言

自杀未遂的发生率比自杀既遂高8至20倍。自杀未遂只是自杀既遂这一普遍现象的冰山一角。经济拮据、家庭成员间争吵以及农药容易获取等几个因素被认为是农村人口自杀未遂的常见因素。

材料与方法

在此背景下,我们评估了一所农村医学院在1年期间收治的所有自杀未遂病例。对社会人口统计学特征、自杀未遂方式及原因等细节进行了评估。所有病例均接受了贝克抑郁量表测试。采用合适的统计方法分析了影响农民和非农民自杀未遂的因素。

结果

在总共117例自杀未遂病例中,仅21%的病例为农民。他们大多为男性且已婚。主要自杀未遂方式为中毒。常见的精神科诊断为适应障碍,其次是抑郁症。

结论

尽管该研究是在农业背景的农村地区进行的,但大多数病例为非农民。由于农药在农业人口中容易获取,农民和非农民最常见的自杀未遂方式均为摄入农药。虽然非农民人群自杀未遂最常见的原因是人际问题,但债务问题仍是农民自杀未遂最常见的原因。政策制定者的注意力被引向两个重要方面:常用农药销售政策以及帮助农民克服农业损失的政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a930/7989469/0cdf0e1ff7a7/IPJ-29-93-g001.jpg

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