Changing profile of suicide methods in India: 2014-2021.

Female Humans Male Suicide Insecticides Sex Distribution Suicide Prevention India / epidemiology
Hanging India Insecticide poisoning Self-immolation Suicide

Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 11 2023
Historique:
received: 27 06 2023
revised: 02 08 2023
accepted: 03 08 2023
medline: 11 9 2023
pubmed: 14 8 2023
entrez: 13 8 2023
Statut: ppublish

Résumé

Restricting access to suicide methods is one of the most effective suicide prevention approaches. Trends in method specific suicide rates (2014-2021) in India were calculated using National Crime Records Bureau data (NCRB) by sex and geographical region. Joinpoint regression analysis was used to empirically identify any changes in suicide trends. Suicide rates by hanging increased from 6.08 to 10.0 per 100,000 population among males and from 2.55 to 3.56 per 100,000 among females over the study period. Insecticide poisoning suicide rates also increased from 1.51 to 2.73 per 100,000 among males and from 0.74 to 1.14 per 100,000 among females. Suicide by self-immolation decreased over the study period among both sexes. In general, these national trends were mirrored among different regions. Joinpoint regression indicated an increase in suicide by hanging (annual percentage change (APC) of 12.3 among males between 2018 and 2021 and 4.9 among females between 2014 and 2021) and an increase in male suicide by insecticide poisoning between 2014 and 2021 (APC of 4.2) while a decrease in self-immolation rates was noted among males (APC of -12.7 between 2014 and 2021) and females (APC of -16.5 between 2016 and 2021). The NCRB data might underestimate true suicide rates. Hanging suicides and insecticides poisoning suicides observed an increasing trend between 2014 and 2021. Self-immolation rates decreased during the study period which might be, in part, associated with the initiative to provide clean cooking fuel to households. Ban on lethal pesticides must be prioritised which might help lower insecticide poisoning suicide rates.

Sections du résumé

BACKGROUND
Restricting access to suicide methods is one of the most effective suicide prevention approaches.
METHODS
Trends in method specific suicide rates (2014-2021) in India were calculated using National Crime Records Bureau data (NCRB) by sex and geographical region. Joinpoint regression analysis was used to empirically identify any changes in suicide trends.
RESULTS
Suicide rates by hanging increased from 6.08 to 10.0 per 100,000 population among males and from 2.55 to 3.56 per 100,000 among females over the study period. Insecticide poisoning suicide rates also increased from 1.51 to 2.73 per 100,000 among males and from 0.74 to 1.14 per 100,000 among females. Suicide by self-immolation decreased over the study period among both sexes. In general, these national trends were mirrored among different regions. Joinpoint regression indicated an increase in suicide by hanging (annual percentage change (APC) of 12.3 among males between 2018 and 2021 and 4.9 among females between 2014 and 2021) and an increase in male suicide by insecticide poisoning between 2014 and 2021 (APC of 4.2) while a decrease in self-immolation rates was noted among males (APC of -12.7 between 2014 and 2021) and females (APC of -16.5 between 2016 and 2021).
LIMITATION
The NCRB data might underestimate true suicide rates.
CONCLUSION
Hanging suicides and insecticides poisoning suicides observed an increasing trend between 2014 and 2021. Self-immolation rates decreased during the study period which might be, in part, associated with the initiative to provide clean cooking fuel to households. Ban on lethal pesticides must be prioritised which might help lower insecticide poisoning suicide rates.

Identifiants

DOI: 10.1016/j.jad.2023.08.010 PMID: 37573889
pubmed: 37573889
pii: S0165-0327(23)00987-4
doi: 10.1016/j.jad.2023.08.010
pii:
doi:

Substances chimiques

Insecticides 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

420-426

Informations de copyright

Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest On behalf of all authors, the corresponding author states that there is no conflict of interest.

Auteurs

Vikas Arya (V)

Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Australia. Electronic address: arya.v@unimelb.edu.au.

Andrew Page (A)

Translational Health Research Institute, Western Sydney University, Australia.

Lakshmi Vijayakumar (L)

Sneha - Suicide Prevention Centre, Voluntary Health Services, India.

Sanderson Onie (S)

Black Dog Institute, UNSW Sydney, Sydney, Australia.

Caley Tapp (C)

School of Public Health, University of Queensland, Brisbane, Queensland, Australia; Queensland Centre for Mental Health Research, Wacol, Queensland, Australia.

Ann John (A)

Swansea University Medical School, UK.

Jane Pirkis (J)

Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Australia.

Gregory Armstrong (G)

Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Changing profile of suicide methods in India:...
questionsmedicales.fr › Sciences sociales › Sociologie › Problèmes sociaux › Suicide › Changing profile of suicide methods in India:...
questionsmedicales.fr › Actions chimiques et utilisations › Actions toxiques › Pesticides › Insecticides › Changing profile of suicide methods in India:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › Répartition par sexe › Changing profile of suicide methods in India:...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Prévention du suicide › Changing profile of suicide methods in India:...
questionsmedicales.fr › Régions géographiques › Asie › Asie de l'Ouest › Asie du Sud › Inde › Changing profile of suicide methods in India:...