A Psychological Autopsy Study of Suicidal Hanging from Cuttack, India: Focus on Stressful Life Situations

Bastia, Binaya Kumar; Kar, Nilamadhab

doi:10.1080/13811110802572221

Cited by 57 publications

(55 citation statements)

References 11 publications

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“…Recent work (Wang & Stora, 2009) found evidence of psychiatric or drug disorders in 61% of suicides in the Faroe Islands, and work from China found a 'startlingly' low rate of mental disorder among completers (Law & Liu, 2008). Research in India also found a low rate of mental disorder, but a high rate of 'stresses stemming from social practices and perceptions' among completers (Vijayakumar et al, 2005;Jacob, 2008, Bastia & Kar, 2009). Of women from Goa who attempted or completed suicide, Maselko & Patel (2009) found mental disorder in 37% of cases, but significantly higher levels of exposure to violence and recent hunger.…”

Section: Notion: Not All Suicide Is the Results Of Mental Disordermentioning

confidence: 99%

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Suicide, mental disorder and responsibility

Pridmore

Bowen

2009

Journal of Psychiatric Intensive Care

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Suicide is a problem for society. On examination, current medical/legal concepts of suicide and responsibility rely on imprecise definitions and neglect aspects of suicide which are social rather than medical. A non-medical approach to those cases of people at risk who do not suffer a mental disorder is suggested, along with factors to be considered when the actions of mental health professionals are being evaluated.

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Section: Notion: Not All Suicide Is the Results Of Mental Disordermentioning

confidence: 99%

“…Not all suicide is the result of mental disorder, and this can be substantiated by recent population (Wang & Stora, 2009;Law & Liu, 2008;Jacob, 2008, Bastia & Kar, 2009Maselko & Patel, 2009) and individual (Cheah et al, 2008;Pridmore & McArthur 2008, 2009Pridmore 2009) studies.…”

Section: Synthesismentioning

confidence: 99%

Suicide, mental disorder and responsibility

Pridmore

Bowen

2009

Journal of Psychiatric Intensive Care

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“…The results from this study suggest that having children can actually be associated with suicide in those who have high levels of conflict with one or more children or who have stressors related to custody. Much of the previous research on the effect of family conflict on adult suicide has focused on conflict between romantic partners (e.g., Bastia and Kar 2009;Gururaj et al 2004; see Frey and Cerel 2015 for review). Though parents in our sample reported similar findings, their statements also highlight that conflict with children can be a predictor of future suicide attempts among some parents.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have linked several family-related factors, such as stressful or traumatic life events (Bastia and Kar 2009) and domestic violence (Hawton et al 1996) to an increased risk for suicide. In fact, the tasks of parenting have also been suggested as increasing suicide risk.…”

Section: Introductionmentioning

confidence: 99%

Parents with Suicidal Behavior: Parenting is Not Always Protective

et al. 2016

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Deaths by suicide and nonfatal suicide attempts are pervasive problems in the United States, especially among those of child-bearing age. Prior research has indicated that parenthood is a protective factor against suicide. However, no study has examined the reasons for why some parents attempt suicide. Questionnaires (n = 87) and follow-up interviews (n = 75) were completed with parents who recently attempted suicide and were recruited in the Emergency Department. Respondents reported family or relationship problems, depression, and child-related issues as the most common reasons for their attempt. Those who identified parenting as an impetus endorsed significantly more symptoms of depression and higher levels of stress related to dysfunctional parent-child interactions. Over a third of parents reported their child had been informed of their suicide attempt, and nearly a fourth of parents reported their child had been present at the time of the suicide attempt. These findings indicate that parenthood can be a risk factor for suicide among parents with high parenting stress or those experiencing custody issues.

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“…Suicide surveillance data currently are too frequently limited by a focus on rates, demographic features (Milner, McClure & De Leo, 2010) and diagnostics. They do not adequately consider the context and motivation of underlying problems and perceived causes or critically evaluate the impact of help seeking (Bastia & Kar, 2009). Influential accounts of suicide illustrate the point.…”

Section: Practical Implications For Preventionmentioning

confidence: 99%

Explaining suicide: Identifying common themes and diverse perspectives in an urban Mumbai slum

Parkar

Nagarsekar

Weiss

2012

Social Science & Medicine

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Rates, demographics and diagnostics, which are the focus of many studies of suicide, may provide an insufficient account without adequate consideration of psychological, social and cultural contexts and motives. Furthermore, reported explanations of suicide are shaped not only by events but also the relationship of survivor respondents explaining the suicide. An explanatory model interview for sociocultural autopsy has been used to assess underlying problems and perceived causes. This study in a low-income community of Mumbai in 2003Mumbai in -2004 compared accounts of the closest family survivors and more distant relationships. Our study design distinguished series-level agreement (i.e., consistency of accounts within a group) and case-level agreement for particular cases. Serious mental illness was the perceived cause reported by a respondent in either group for 22.0% of index suicides, but case-level agreement was only 6.0%. Regarding financial stressors, more closely related family respondents focused on acute stressors instead of enduring effects of poverty. Caselevel agreement was high for marital problems, but low for other sources of family conflict.Tension was a feature of suicide reported in both groups, but case-level agreement on tension as a perceived cause was low (kappa = .14). The role of alcohol as a perceived cause of suicide had high series level agreement (46.0% in both groups) and case-level agreement (kappa = .60), suggesting comparable community and professional views of its significance. The study shows that it is relevant and feasible to consider general community patterns and particular survivor interests. Findings from this study recommend an approach to sociocultural autopsy to assess reasons for suicide in community studies. Findings clarify diverse views of underlying problems motivating suicide that should be considered to make mental health care more effective in assessing risk and preventing suicide.-3 - Keywords:India; psychological autopsy; sociocultural autopsy; survivor accounts; urban mental health; cultural epidemiology -4 - BackgroundIt is important to understand the reasons for suicide, so that efforts to prevent it are well-grounded and guided by locally relevant motivations, and so that an appreciation of community-reported reasons for suicide may contribute to the broader interests of mental health in services and community action. Although rarely considered, It is also important to recognize that explanations of suicide are likely to be influenced by the perspective of whoever is explaining it, and preferred explanations may reflect professional values, personal relationships to the deceased, and the level of available details concerning a behaviour with complex determinants (Jacob, 2008;Phillips, 2004). Mental health professionals concerned with suicide prevention typically focus on the role of high-risk psychiatric disorders (Goldsmith, Pellmar, Kleinman & Bunney, 2002; Harris & Barraclough, 1997), because their training and professional priorities sugges...

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A Psychological Autopsy Study of Suicidal Hanging from Cuttack, India: Focus on Stressful Life Situations

Cited by 57 publications

References 11 publications

Suicide, mental disorder and responsibility

Suicide, mental disorder and responsibility

Parents with Suicidal Behavior: Parenting is Not Always Protective

Explaining suicide: Identifying common themes and diverse perspectives in an urban Mumbai slum

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