TY  - JOUR
PY  - 2013//
TI  - Sociocultural Context of Suicidal Behaviour in the Sundarban Region of India
JO  - Psychiatry journal
A1  - Chowdhury, A. N.
A1  - Banerjee, S.
A1  - Brahma, Arabinda
A1  - Hazra, A.
A1  - Weiss, M. G.
SP  - 486081
EP  - 486081
VL  - 2013
IS  - 
N2  - 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 "intention to die," 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>
LA  - en
SN  - 2314-4327
UR  - http://dx.doi.org/10.1155/2013/486081
ID  - ref1
ER  -