Fastenau Anil, Willis Matthew, Penna Srilekha, Yaddanapudi Lahari, Balaji Madhumitha, Shidhaye Rahul, Pilot Eva
Marie Adelaide Leprosy Center, Karachi 74400, Pakistan.
German Leprosy and Tuberculosis Relief Association (DAHW), 97080 Wuerzburg, Germany.
Int J Environ Res Public Health. 2024 Dec 12;21(12):1658. doi: 10.3390/ijerph21121658.
Worldwide, attempted suicide and suicide death are one of the leading causes of morbidity and mortality. Women in South-East Asia are especially vulnerable, as almost 50% of all global female suicides occur in the 11 countries of the WHO South-East Asia Region. This scoping literature analysis aimed to identify and analyze the predictors or risk factors for attempted suicide and suicide death among South-East Asian women. A scoping literature review was conducted. Five databases-PubMed, MEDLINE, EBSCOhost, PsycINFO, and EMBASE-were searched. Forty studies and twelve literature reviews were eligible for inclusion. Women in South-East Asia, particularly those who are young and married, living in poverty, with low or no education, living in rural areas, with no employment outside the home, with lower socioeconomic position, and living within joint families are highly vulnerable to suicidality. This review identified gender disadvantage, infertility, domestic abuse, intimate partner violence, family conflicts, husband's alcohol misuse, child marriage, forced marriages, and dowry disputes as the most significant predictors of attempted suicide and suicide death among South-East Asian women. A better understanding of the phenomenon is essential to develop effective gender-specific and culturally appropriate suicide prevention strategies or interventions.
在全球范围内，自杀未遂和自杀死亡是发病和死亡的主要原因之一。东南亚地区的女性尤其脆弱，因为全球近50%的女性自杀事件发生在世卫组织东南亚区域的11个国家。这项范围界定文献分析旨在识别和分析东南亚女性自杀未遂和自杀死亡的预测因素或风险因素。进行了一项范围界定文献综述。检索了五个数据库——PubMed、MEDLINE、EBSCOhost、PsycINFO和EMBASE。40项研究和12篇文献综述符合纳入标准。东南亚地区的女性，尤其是那些年轻且已婚、生活贫困、受教育程度低或未受过教育、生活在农村地区、没有外出工作、社会经济地位较低且生活在大家庭中的女性，极易产生自杀倾向。该综述确定性别劣势、不孕、家庭虐待、亲密伴侣暴力、家庭冲突、丈夫酗酒、童婚、强迫婚姻和嫁妆纠纷是东南亚女性自杀未遂和自杀死亡的最主要预测因素。更好地理解这一现象对于制定有效的针对性别和文化背景的自杀预防策略或干预措施至关重要。
