@article{ref1,
title="Sociocultural Context of Suicidal Behaviour in the Sundarban Region of India",
journal="Psychiatry journal",
year="2013",
author="Chowdhury, A. N. and Banerjee, S. and Brahma, Arabinda and Hazra, A. and Weiss, M. G.",
volume="2013",
number="",
pages="486081-486081",
abstract="The role of mental illness in nonfatal deliberate self-harm (DSH) is controversial, especially in Asian countries. This prospective study examined the role of psychiatric disorders, underlying social and situational problems, and triggers of DSH in a sample of 89 patients hospitalised in primary care hospitals of the Sundarban Delta, India. Data were collected by using a specially designed DSH register, Explanatory Model Interview Catalogue (EMIC), and clinical interview. Psychiatric diagnosis was made following the DSM-IV guidelines. The majority of subjects were young females (74.2%) and married (65.2%). Most of them (69.7%) were uncertain about their &quot;intention to die,&quot; and pesticide poisoning was the commonest method (95.5%). Significant male-female differences were found with respect to education level, occupation, and venue of the DSH attempt. Typical stressors were conflict with spouse, guardians, or in-laws, extramarital affairs, chronic physical illness, and failed love affairs. The major depressive disorder (14.6%) was the commonest psychiatric diagnosis followed by adjustment disorder (6.7%); however 60.7% of the cases had no psychiatric illness. Stressful life situations coupled with easy access to lethal pesticides stood as the risk factor. The sociocultural dynamics behind suicidal behaviour and community-specific social stressors merit detailed assessment and timely psychosocial intervention. These findings will be helpful to design community-based mental health clinical services and community action in the region.<p /><p>Language: en</p>",
language="en",
issn="2314-4327",
doi="10.1155/2013/486081",
url="http://dx.doi.org/10.1155/2013/486081"
}