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Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India

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Attempted suicides in India: a comprehensive look.

Sahoo Saddichha¹, M N V Prasad, Mukul Kumar Saxena

¹National Institute of Mental Health & Neurosciences, Bangalore, India. saddichha@gmail.com

Archives of Suicide Research : Official Journal of the International Academy for Suicide Research

|January 30, 2010

Summary

Suicide remains a global health crisis, with Andhra Pradesh reporting high rates. This study analyzed 1007 suicide attempts, revealing hanging and insecticide poisoning as common methods, and projecting an epidemic without intervention.

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Area of Science:

Public Health
Epidemiology
Emergency Medicine

Background:

Suicide is a significant global health issue, with India experiencing high and varied rates.
Andhra Pradesh contributes over 11% to India's suicide burden, yet data on attempted suicides is scarce.
Under-reporting of suicides and lack of comprehensive data on suicide attempts necessitate focused research.

Purpose of the Study:

To comprehensively analyze the characteristics of attempted suicides in Andhra Pradesh.
To utilize primary data to project future suicide attempt rates.
To inform public health policy and interventions for suicide prevention.

Main Methods:

Analysis of Patient Care Record (PCR) forms from the 108 emergency service in Andhra Pradesh (January-December 2007).
Inclusion of 1007 confirmed suicide cases identified through emergency records.
Follow-up assessment 48 hours post-emergency to confirm diagnosis and status.

Main Results:

Hanging and insecticide poisoning were the most common methods (72%) among suicide attempts.
Males predominantly used hanging and insecticide poisoning; females preferred self-immolation and hanging.
Self-immolation and insecticide poisoning exhibited the highest mortality rates (41.6%).
Projected mean attempted suicide rates for 2008: 3.2-3.8/1000 males, 3.3-3.7/1000 females, 6.4-7.6/1000 population (combined).

Conclusions:

A significant increase in suicide attempts is projected, indicating a potential epidemic if preventive measures are not implemented.
Policy changes, including restricting access to lethal substances and considering socio-economic factors, are crucial for reduction.
Tele-help services and brief hospital interventions are recommended supplementary strategies for suicide prevention.