Suicide prevention strategies: Which one to consider?

Arafat, S. M. Yasir; Kabir, Russell

doi:10.3329/seajph.v7i1.34671

Cited by 26 publications

(22 citation statements)

References 34 publications

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“…Available global evidences revealed numerous prevention strategies that have been tested and trusted as effective in preventing suicide (Zalsman et al 2016;Mann et al 2005). However, no single strategy has been found as universally effective and superior than others (Arafat and Kabir 2017). As a significant portion of risk factors are related with immediate emotionally charged events, Bangladesh should really look for strategies that can support the distressed person immediately.…”

Section: Risk Factors and Preventive Initiativesmentioning

confidence: 99%

Current challenges of suicide and future directions of management in Bangladesh: a systematic review

Arafat

2018

Global Psychiatry

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ObjectivesBangladesh is a densely populated country in south-east Asia with paucity of research in suicide. This systematic review was aimed at critical appraising various aspects of suicide in Bangladesh based on available literature and systematic search.MethodsExtensive literature search was conducted in Scopus, PubMed, PubMed Central, Google, Google Scholar and BanglaJOL with searching key words without any date boundary and without any basis of types of studies, that is, all types of studies were scrutinised. The author focused on sources of suicide data along with epidemiological variables of suicides in Bangladesh such as suicide rate, gender of victims, methods of suicides, risk factors and prevention activities and role of media in suicide.ResultsAfter exclusion of repetitions, screening was performed, and finally, 35 articles were selected for review. Amongst the 35 articles, 16 articles were original contributions, 2 systematic reviews, 6 narrative reviews, 2 scoping reviews, 3 editorials, 3 case reports and rest correspondence article. The review revealed that the actual rate of suicide in Bangladesh is yet to come out and quality data is a real challenge. Women are dying more than the men, and early adulthood is the most vulnerable time of life.DiscussionSuicide is a under attended problem in Bangladesh, as the country yet to reveal the actual rate of suicide along with the challenge of quality data. Prevention activities have been started but yet to be visualised. Decriminalisation of suicide in the legal criteria and establishment of suicide surveillance can be the top priorities in the country.

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Section: Risk Factors and Preventive Initiativesmentioning

confidence: 99%

Current challenges of suicide and future directions of management in Bangladesh: a systematic review

Arafat

2018

Global Psychiatry

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“…Moreover, health literacy in poor in Bangladesh that further complicates to get proper health services [9,10]. Previous study revealed that up to 83% of committed suicides have had contacts with primary care physicians within a year and two third of them within a month [11]. A meta-analysis of studies regarding general practitioners' ability to recognize mild depression showed a detection sensitivity of only 56.5% [12].…”

Section: Introductionmentioning

confidence: 99%

Integrating mental health into primary health care in Bangladesh: problems and prospects

Arafat¹,

Roy²,

Huq³

2018

Ment Health Addict Res

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“…Therefore, WHO focuses on suicide prevention and has called on countries to devise national suicide prevention strategies (1)(2)(3)(4). Means restriction is one of the few promising strategies of suicide prevention, which showed effectiveness in declining the rate of suicide (5)(6)(7)(8). It ranges from complete restriction of lethal methods to the promotion of educational and social interventions to make apart lethal means from risky persons (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…Means restriction is one of the few promising strategies of suicide prevention, which showed effectiveness in declining the rate of suicide (5)(6)(7)(8). It ranges from complete restriction of lethal methods to the promotion of educational and social interventions to make apart lethal means from risky persons (6)(7)(8). The choice of method depends on availability, accessibility, and perceived lethality of the method, intensity of intent to die, and other related socio-cultural factors (1,9,10).…”

Section: Introductionmentioning

confidence: 99%

“…The choice of method depends on availability, accessibility, and perceived lethality of the method, intensity of intent to die, and other related socio-cultural factors (1,9,10). When intention is severe, means substitution can eventually happen (6)(7)(8). Unusual to very unusual means or methods have been used when intention to die is severe (6,10).…”

Section: Introductionmentioning

confidence: 99%

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Suicidal Attempts by Unusual Means and Methods: A Brief Review

Arafat

Chowdhury

Mohit

2018

Jentashapir J Health Res

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Background: When a method is unusual, the intention is very strong and then prevention becomes a big challenge; although, suicide is a preventable public health problem. Objectives: The author aimed to look into unusual methods of suicidal attempts so that they can be considered in the formulation of prevention strategies. Methods: A search was done in PubMed, PubMed Central, Google, Google Scholar, and BanglaJOL with specific searching key words between 2000 and 2017. Eventually, 23 articles were selected purposively for review. Results: Nine suicide cases were reported as unusual poisoning, eight attempts were by violent methods, four by stabbing, and another four by unusual asphyxia. The mean age of the victims was 39.96 years, ranging from 17 to 80 years old, 68% being male. A total of 18 (72%) respondents died by the act, while 28% were saved from fatal attempts. Of the victims, 36% were found to have mental disorders, i.e. 28% had depression, 4% had schizophrenia, and 4% had bipolar 1 disorder. Seven cases had notable risk factors and two had a history of previous attempts. Conclusions: Adult males are more prone to use unusual methods. Males used violent methods more than females, whereas females used more unusual poisoning methods. Asian and south Asians used more poisoning methods than those from other parts of the world.

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Suicide prevention strategies: Which one to consider?

Abstract: not availableSouth East Asia Journal of Public Health Vol.7(1) 2017: 1-5

Cited by 26 publications

References 34 publications

Current challenges of suicide and future directions of management in Bangladesh: a systematic review

Current challenges of suicide and future directions of management in Bangladesh: a systematic review

Integrating mental health into primary health care in Bangladesh: problems and prospects

Suicidal Attempts by Unusual Means and Methods: A Brief Review

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