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Suicidal Behavior and Flood Effects in Bangladesh: A Two-Site Interview Study.
Mohammed A Mamun1,2, Mariam Binte Safiq1, Ismail Hosen1,2
1Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh.
Suicidal behaviors are prevalent among Bangladeshi flood survivors, increasing with flood severity. Addressing psychological distress and economic hardship is crucial for mitigating these risks.
Area of Science:
- Environmental Health
- Psychiatry
- Sociology
Background:
- Bangladeshi flood survivors exhibit high rates of mental disorders.
- Previous studies have not investigated suicidal behaviors in this population.
- This study is the first to examine suicidal behaviors and their correlates.
Purpose of the Study:
- To investigate suicidal behaviors among Bangladeshi flood survivors.
- To explore the relationship between suicidal behaviors and socio-demographic factors, flood impact, and psychopathology.
Main Methods:
- A cross-sectional interview study was conducted with 348 flood survivors.
- Data were collected 4-5 months post-flood from two affected villages.
- Interviews covered socio-demographics, flood effects, psychological impacts, and suicidal behaviors.
Main Results:
- 57.5% reported suicidal ideation, 5.7% had a suicide plan, and 2.0% attempted suicide.
- Suicidal ideation was significantly higher in Kurigram compared to Manikganj (84.8% vs 33.2%).
- Risk factors included lower socioeconomic status, severe flood impact, depression, anxiety, PTSD, financial threat, and economic hardship.
Conclusions:
- Suicidality increases proportionally with flood effects.
- A multi-sectoral policy is needed to address flood-related psychological burdens.
- Effective implementation of policies is essential for alleviating mental health challenges.
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