Risk factors for suicide in rural south India
Risk factors for suicide in rural south India
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DOI：
10.1192/bjp.bp.108.063347
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发表时间：
2010-01-01
影响因子：
10.5
通讯作者：
Jacob, K. S.
中科院分区：
文献类型：
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作者：
Manoranjitham, S. D.;Rajkumar, A. P.;Jacob, K. S.
目的确定印度南部农村自杀的主要危险因素。方法采用匹配的病例对照设计和心理尸检对100例连续自杀和100例生活对照进行评估。结果37例(37%)自杀死亡者被诊断为DSM-III-R。酒精依赖(16%)和适应障碍(15%)是最常见的类别。精神分裂症、重度抑郁发作和心境恶劣的患病率分别为2%。持续的压力和慢性疼痛增加了自杀的风险。独居和过去一年内稳定关系的破裂也与自杀显著相关。结论心理社会压力和社会孤立，而不是精神疾病，是印度南部农村自杀的危险因素。
BackgroundThe relative contributions of psychosocial stress and psychiatric morbidity to suicide are a subject of debate.AimsTo determine major risk factors for suicide in rural south India.MethodWe used a matched case-control design and psychological autopsy to assess 100 consecutive suicides and 100 living controls matched for age, gender and neighbourhood.ResultsThirty-seven (37%) of those who died by suicide had a DSM-III-R psychiatric diagnosis. Alcohol dependence (16%) and adjustment disorders (15%) were the most common categories. The prevalence rates for schizophrenia, major depressive episode and dysthymia were 2% each. Ongoing stress and chronic pain heightened the risk of suicide. Living alone and a break in a steady relationship within the past year were also significantly associated with suicide.ConclusionsPsychosocial stress and social isolation, rather than psychiatric morbidity, are risk factors for suicide in rural south India.