Background: Suicides are among the leading cause of death among adolescents and young adults worldwide, including India. Suicide attempts are about 20 times more common than completed suicides. Teenagers and youth who attempt suicide belong to a heterogeneous group. Various biological and psychosocial factors, including family factors, contribute to such behavior. Quality of family functioning and relationships may act as an important contextual factor in deciding suicidal behavior. Hence, this study was done to explore the family factors contributing to suicide attempts. Methods: Qualitative exploratory study design and purposive sampling were used. Data were collected from 22 adolescents and young adults using an in-depth interview method. All audio recordings were transcribed in Malayalam, and then translated to English. Codes were developed using the qualitative data analysis software. Thematic analysis was done. Themes and relationships were identified and synthesized to a framework that represents the summary of the data. Results: Most of the participants perceived the home environment as hostile. Problems within the family included parental conflicts and separation, conflict with a sibling or other members of the family, and marital disharmony. Most of them perceived low family support. Socioeconomic factors such as financial issues, superstitious beliefs, disturbing neighborhoods, interpersonal issues, and the stigma of having a mental illness, in a family member, were also noted. Conclusion: Hostile family environment, faulty interactions between family members, and lack of perceived family support may contribute to suicidal behavior among adolescents and young adults. Hence, it is imperative to consider these factors while treating them or planning any suicide prevention program for them.

Introduction:The State Poverty Eradication Mission of Government of Kerala-'Kudumbasree' launched an innovative programme named Asraya for the destitute individuals. The health conditions and level of living seldom studied among these marginalized individuals. This study aims to assess the morbidity profile and Quality of Life (QOL) of the beneficiaries of the destitute rehabilitation project (Asraya) in Thiruvananthapuram district , Kerala. Methods: This crosssectional study was conducted among 150 beneficiaries of the destitute rehabilitation project in Thiruvananthapuram district, Kerala, India. Sampling technique used was cluster sampling -Probability Proportionate to Size. A pre-tested semi-structured questionnaire was used to collect the baseline information and WHO QOL BREF was used to assess the quality of life.Data was analyzed using SPSS Version 20. Results: Chronic non-communicable diseases topped the list in their morbidity profile. In general, the Quality of Life of these individuals was poor with a mean score of 30 (22.6). Domain wise analysis produced a score of above 40 in two domains namely physical and environmental. Younger age, access to nutrition, free from diseases and supervision by the authorities were important predictors of QoL. Conclusion: This group of individuals suffered from a multitude of diseases. QoL of the destitute was poor in general, with variations with respect to domains. The quality in the physical domain was relatively better than that in psychological domain.