Indian research on suicide

INTRODUCTIONMany adolescents face physical, psychological and social challenges of various kinds. They usually start experimenting with risky health behaviours on certain occasions before intensifying and consolidating it.1 These high-risk behaviours include those which contribute to unintentional injuries, violence, alcohol and other drug use, and tobacco use, sexual behaviours related to unintended pregnancy and sexually transmitted infections, Unhealthy dietary behaviours and inadequate physical activity. Such behaviours often continue in adulthood and can lead to increased morbidity and mortality.Unintentional injuries are the largest source of premature morbidity and mortality and the leading cause of death among adolescents 10-19 years of age.2 Adolescents tend to be impulsive; vulnerable to peer influences and prone to indulge in health risk behaviours of various kinds. Dissatisfaction with life and bullying by fellow friends ABSTRACT Background: Adolescence is a transition period of rapid growth and development which makes this age group more vulnerable. These vulnerabilities manifest in risk behaviours that predispose them to injuries, violence, suicidal tendencies and sexual abuse in adolescence and in later stages of life. The objective of present study was to assess the health risk behaviour of rural and urban male adolescents concerning injuries, violence and sexuality. Methods: This cross sectional study was conducted among 848 school going adolescents (15-19 years) over a period of one year (2014)(2015). Schools were randomly selected using multistage simple random sampling. The youth risk behaviour survey (YRBS) questionnaire was used for data collection. Behaviours regarding driving, carrying weapons, violence, suicidal thoughts and sexual activities were explored. Descriptive statistics was used in form of percentages and proportions. Chi square test was used as a test of significance. Results: Less than half of adolescents surveyed used helmet and seatbelt while 22%reported using mobile phone while driving. Out of total adolescents, 13.7% carried weapons to school while 23.8% damaged or stole other students' property. Adolescents in the urban area were more often threatened or injured with a weapon by someone on school premises as compared to rural counterparts. Nearly half of (47%) urban and 33% of rural ever felt so sad leading to stoppage of usual activities. Only 10.7% adolescents reported having first sexual intercourse out of which nearly one third (38.4%) had not used any method to prevent pregnancy. Conclusions: Adolescents frequently reported high risk behaviour regardless of place of residence and type of school.

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“…9,10 Suicidal tendencies and depression are giving way to the newer phenomena of Injuries and violence. 11 It is indeed a worrisome situation.…”

Section: Discussionmentioning

confidence: 99%

Injury and violence related behaviour among school-going adolescents in Jammu region

Kumar

Dewan

Kumar

2017

Int J Community Med Public Health

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“…According to the World Health Organization, every 40 seconds, a person commits suicide being the second leading cause of death among 15-29 year old 1,2 . High suicidality rates are a widespread concern, particularly in Western 3 and Central Europe 4 , the U.S. 5 , Asiatic countries such as Russia and former Socialist Republics 6 , South Korea 6 , China 7 , India 8 , Sri Lanka 9 ; and Latin American countries such as Cuba 10 , Uruguay 11 ; Ecuador 12 , Bolivia 13 , Brazil 14 , Argentina 15 and Colombia 16 . Suicide risk increases in people with mental disorders or impulsive behavior, those facing stressful situations or with easy access to harmful tools such as poisoning, hanging and firearms 17 .…”

Section: Introductionmentioning

confidence: 99%

Psychometric validation of the Columbia-Suicide Severity rating scale in Spanish-speaking adolescents

Azcurra

2017

Colomb Med

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Introduction: Adolescent suicide is a major public health issue, and early and accurate detection is of great concern. There are many reliable instruments for this purpose, such as the Columbia-Suicide severity rating scale (C-SSRS), but no validation exists for Spanish speaking Latin American adolescents.Objetive: To assess psychometric properties and cut-off scores of the C-SSRS in Spanish speaking adolescents. Methods:Exploratory assessment with principal component analysis (PCA) and Varimax rotation, and confirmatory analysis (CFA) were performed on two groups with 782 and 834 participants respectively (N=1,616). Mean age was 24.8 years. A Receiver operator analysis was applied to distinguish between control and suicide-risk subgroups adolescents.Results: Promax rotation yielded two 10-items factors, for suicide ideation and behavior respectively. C-SSRS was positively correlated with other suicide risk scales, such as Beck Depression Inventory-II, Suicidal Behaviors Questionnaire-Revised, or PHQ-9. Confirmatory factor analysis yielded a two-factor solution as the best goodness of fit model. C-SSRS showed adequate ability to detect suicide risk group with positive predictive value of 68.3%. ROC analyses showed cutoff scores of ≥6 and ≥4 for suicide ideation and behavior scales respectively Conclusion: This research offers data supporting psychometric validity and reliability of C-SSRS in nonclinical Spanish-speaking students.Added benefits are flexible scoring and management easiness. This questionnaire yields data on distinct aspects of suicidality, being more parsimonious than separate administration of a bunch of questionnaires. Article history:Received Resumen Introducción: Suicidio adolescente es un problema de salud pública y su detección temprana es de gran interés. Hay numerosos instrumentos confiables para este objetivo, como la escala Columbia para la detección del riesgo de suicidio, pero no ha sido validada para población adolescente de habla hispana en Latinoamérica.Objetivo: Validar psicométricamente y explorar los puntos de corte para la escala Columbia en adolescentes de habla hispana. Métodos Conclusión:Esta investigación ofrece datos que apoyan la validez psicométrica y confiabilidad de la C-SSRS en población de estudiantes adolescentes hispano-hablantes latinoamericanos.Beneficios adicionales son un sistema de puntaje flexible y facilidad de administración. Este cuestionario ofrece datos sobre distintos aspectos de suicidalidad siendo más robusto que la administración separada de varios cuestionarios diferentes.

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“…[1,9] Even studies carried out in India reported similar finding. [5,10] One of the main reason behind this is nature of suicide attempt that was irreversible type of attempt were different for both genders. Females were involved in less violent nature of suicide attempts than males and hence deaths were avoided.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The incidence rate of suicide among adolescents is increasing in India also. [5] For adolescent between the ages of 10 and 24, suicide is the third leading cause of death, significantly superseding the rate for adults aged 35 to 54 years. [6] Males are more likely to die as a result of suicide, whereas in almost all regions of the world, nonlethal suicide attempts are more common in females.…”

Section: Introductionmentioning

confidence: 99%

Age and Gender Disparity of the Risk Factors for Suicide among Adolescent Suicide Attempters

Dass¹

2018

jmscr

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Indian research on suicide

Cited by 109 publications

References 12 publications

Injury and violence related behaviour among school-going adolescents in Jammu region

Injury and violence related behaviour among school-going adolescents in Jammu region

Psychometric validation of the Columbia-Suicide Severity rating scale in Spanish-speaking adolescents

Age and Gender Disparity of the Risk Factors for Suicide among Adolescent Suicide Attempters

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