Suicide Prevention Is Possible: A Perception after Suicide Attempt

Article excerpt

Byline: Dushad. Ram, M. Darshan, T. S. S. Rao, Abhijit. Honagodu

Background: Suicide is a preventable cause of death, inspite of which its incidence is increasing worldwide. Very few studies are done to know the perception of suicide attempters regarding prevention of their suicide attempt. Such information may be helpful in implementing preventive strategies. This study was done to find out whether those who attempted suicide and recovered perceived that their suicide attempt could have been prevented or not. Materials and Methods: Fifty consecutive subjects were recruited by purposive sampling method. These subjects were admitted for suicide attempt and were stable after medical management. Subjects were assessed using socio-demographic and clinical proforma, Pierce suicide intent scale and structured questionnaire to assess their perception regarding suicide. Group differences for categorical variables were examined with the chi-square test, whereas an independent 't' test was used for continuous variables. Results: Analysis revealed that 80% of suicide attempters felt that their suicide attempt could have been prevented. 64% of the study subjects perceived that family members and near and dear ones could have helped in preventing their attempt while 16% of the study subjects perceived that society could have helped.

Conclusions: Majority of subjects on recovery from the suicide attempt perceived that their suicide attempt could have been prevented by family members, near and dear ones and society.

Introduction

Suicide the most preventable cause of death is among the top 20 leading causes of mortality globally for all ages. In the last 50 years suicide rates have increased by 60% worldwide while in India there is 43% increase in suicide rate in last three decades. Currently suicide rate in India is about 10.3/100,000 general population. [sup][1]

Every individual differs in aetiology of their suicide or suicide attempts due to diverse social and personal circumstances and biological predispositions. [sup][2] Variations in suicide risk factors in different cultures and periods are known. [sup][3],[4] Common psychosocial causes of attempted suicide in Southeast Asia includes problems in interpersonal relationships, family conflicts, domestic violence, academic failure, disappointment in love, recent bereavement and other stressful life events. [sup][5],[6],[7],[8],[9],[10],[12] Research reveals that 98% of those who committed suicide had suffered from some diagnosable mental disorder especially adjustment disorder, depression, substance use disorders and physical illness. [sup][13],[14],[15],[16],[17]

Irrespective of aetiology of suicide or suicide attempt various methods of intervention have been proposed for prevention of suicide at different levels. [sup][18],[19],[20],[21],[22] There have been several recent reviews on interventions that are considered effective in reducing suicide rates. [sup][13],[23],[24],[25],[26],[27] Most interventions for prevention of suicide emphasise the active role of health care provider. Suicide experts have identified the preventive interventions like providing education and awareness programs for the general public and professionals, screening methods for identifying at high-risk individuals, treatment of psychiatric disorders, restricting media reports on suicide and access to lethal means.

This study is attempts out to find out as to whether suicide attempters perceive that their attempt could have been prevented from occurring and the role of family members and society in preventing suicide attempt as perceived by the suicide attempters. This may have implication in developing strategies for future research in this area and strategies for prevention of suicide and suicide attempts.

Study objectives

*To assess as to whether the subject after the index suicide attempt perceives that their suicide attempt could have been prevented. …