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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 3/2018

05.12.2017 | Original Paper

Trends and socio-economic determinants of suicide in India: 2001–2013

verfasst von: Vikas Arya, Andrew Page, Jo River, Gregory Armstrong, Peter Mayer

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2018

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Abstract

Purpose

To investigate trends and socio-economic determinants of suicide in India over the period of 2001–2013.

Method

Suicide rates between 2001 and 2013 were calculated using suicide statistics provided by National Crime Records Bureau (NCRB) and census data provided by Census of India, stratified by sex, age group, and geographical region, to investigate trends in suicide over the study period. Multilevel negative binomial regression models were specified to investigate associations between state-level indicators of economic development, education, employment and religious factors and sex-specific suicide rates.

Results

Male suicide rates remained relatively steady (~ 14 per 100,000) while female suicide rates decreased over the study period (9 to 7 per 100,000). The age group of 45–59 years had the highest suicide rate among males while the age group of 15–29 years had the highest suicide rate among females. On average, higher male and female suicide rates were observed in states with: higher levels of development, higher levels of agricultural employment, higher levels of literacy, and higher proportions of people identifying with Hinduism. Higher male suicide rates were also observed in states with higher levels of unemployment.

Conclusion

The process of modernization might be contributing towards higher suicide risk in more developed parts of India. Also, increase in farmer suicides since economic liberalization might be contributing towards higher suicide rates among more agricultural regions. Furthermore, ancient sanctions towards religious suicide are possibly still influencing modern Hindu suicides.
Literatur
1.
Zurück zum Zitat Vijayakumar L (2007) Suicide and its prevention: the urgent need in India. Indian J Psychiatry 49:81–84CrossRef Vijayakumar L (2007) Suicide and its prevention: the urgent need in India. Indian J Psychiatry 49:81–84CrossRef
2.
Zurück zum Zitat Mayer P (2011) Suicide and society in India. Routledge, New York Mayer P (2011) Suicide and society in India. Routledge, New York
5.
Zurück zum Zitat Joseph A, Abraham S, Muliyil P, George K, Prasad J, Minz S, Abraham V, Jacob K (2003) Evaluation of suicide rates in rural India using verbal autopsies, 1994–9. BMJ 326:1121–1122CrossRefPubMedPubMedCentral Joseph A, Abraham S, Muliyil P, George K, Prasad J, Minz S, Abraham V, Jacob K (2003) Evaluation of suicide rates in rural India using verbal autopsies, 1994–9. BMJ 326:1121–1122CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Gajalakshmi V, Peto R (2007) Suicide rates in rural Tamil Nadu, South India: verbal autopsy of 39 000 deaths in 1997–98. Int J Epidemiol 36:203–207CrossRefPubMed Gajalakshmi V, Peto R (2007) Suicide rates in rural Tamil Nadu, South India: verbal autopsy of 39 000 deaths in 1997–98. Int J Epidemiol 36:203–207CrossRefPubMed
7.
Zurück zum Zitat Soman C, Safraj S, Kutty V, Vijayakumar K, Ajayan K (2009) Suicide in South India: a community-based study in Kerala. Int J Psychiatry 51:261–264 Soman C, Safraj S, Kutty V, Vijayakumar K, Ajayan K (2009) Suicide in South India: a community-based study in Kerala. Int J Psychiatry 51:261–264
8.
Zurück zum Zitat Joshi R, Guggilla R, Praveen D, Maulik P (2015) Suicide deaths in rural Andhra Pradesh—a cause for global health action. Trop Med Int Health 20:188–193CrossRefPubMed Joshi R, Guggilla R, Praveen D, Maulik P (2015) Suicide deaths in rural Andhra Pradesh—a cause for global health action. Trop Med Int Health 20:188–193CrossRefPubMed
10.
Zurück zum Zitat Staples J (2012) Introduction: suicide in South Asia: ethnographic perspectives. Contrib Indian Sociol 46:1–28CrossRef Staples J (2012) Introduction: suicide in South Asia: ethnographic perspectives. Contrib Indian Sociol 46:1–28CrossRef
11.
Zurück zum Zitat Patel V, Ramasundarahettige C, Vijayakumar L, Thakur J, Gajalakshmi V, Gururaj G, Suraweera W, Jha P (2012) Suicide mortality in India: a nationally representative survey. Lancet 379:2243–2351CrossRef Patel V, Ramasundarahettige C, Vijayakumar L, Thakur J, Gajalakshmi V, Gururaj G, Suraweera W, Jha P (2012) Suicide mortality in India: a nationally representative survey. Lancet 379:2243–2351CrossRef
12.
Zurück zum Zitat Dandona R, Bertozzi-Villa A, Kumar A, Dandona L (2017) Lessons from a decade of suicide surveillance in India: who, why and how? Int J Epidemiol 1:dyw113 Dandona R, Bertozzi-Villa A, Kumar A, Dandona L (2017) Lessons from a decade of suicide surveillance in India: who, why and how? Int J Epidemiol 1:dyw113
13.
Zurück zum Zitat Stack S (2000) Suicide: a 15-year review of the sociological literature part II: modernization and social integration perspectives. Suicide Life Threat Behav 30:163–176PubMed Stack S (2000) Suicide: a 15-year review of the sociological literature part II: modernization and social integration perspectives. Suicide Life Threat Behav 30:163–176PubMed
14.
Zurück zum Zitat Milner A, Hjelmeland M, Arensman E, De Leo D (2013) Social-environmental factors and suicide mortality: a narrative review of over 200 articles. Sociol Mind 3:137–148CrossRef Milner A, Hjelmeland M, Arensman E, De Leo D (2013) Social-environmental factors and suicide mortality: a narrative review of over 200 articles. Sociol Mind 3:137–148CrossRef
15.
Zurück zum Zitat Vijayakumar L (2009) Suicide prevention in India: considering religion and culture. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 767–769 Vijayakumar L (2009) Suicide prevention in India: considering religion and culture. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 767–769
16.
Zurück zum Zitat Thiel S (2011) Global anomie and India: a conceptual approach. Indian J Asian Aff 24:17–34 Thiel S (2011) Global anomie and India: a conceptual approach. Indian J Asian Aff 24:17–34
17.
Zurück zum Zitat Page A, Liu S, Gunnell D, Astell-Burt T, Feng X, Wang L, Zhou M (2017) Suicide by pesticide poisoning remains a priority for suicide prevention in China: analysis of national mortality trends 2006–2013. J Affect Disord 208:418–423CrossRefPubMed Page A, Liu S, Gunnell D, Astell-Burt T, Feng X, Wang L, Zhou M (2017) Suicide by pesticide poisoning remains a priority for suicide prevention in China: analysis of national mortality trends 2006–2013. J Affect Disord 208:418–423CrossRefPubMed
21.
Zurück zum Zitat Arokiasamy P, Gautam A (2008) Neonatal mortality in the empowered action group states of India: trends and determinants. J Biosoc Sci 40(2):183–201CrossRefPubMed Arokiasamy P, Gautam A (2008) Neonatal mortality in the empowered action group states of India: trends and determinants. J Biosoc Sci 40(2):183–201CrossRefPubMed
22.
Zurück zum Zitat Sadanandan A (2014) Political economy of suicide: financial reforms, credit crunches and farmer suicides in India. J Dev Areas 48:287–307CrossRef Sadanandan A (2014) Political economy of suicide: financial reforms, credit crunches and farmer suicides in India. J Dev Areas 48:287–307CrossRef
23.
Zurück zum Zitat Moller-LiemKuhler A (2003) The gender gap in suicide and premature death or: why are men so vulnerable? Eur Arch Psychiatry Clin Neurosci 253:1–8CrossRef Moller-LiemKuhler A (2003) The gender gap in suicide and premature death or: why are men so vulnerable? Eur Arch Psychiatry Clin Neurosci 253:1–8CrossRef
24.
Zurück zum Zitat Lester D, Gunn J, Quinnett P (2014) Suicide in men: how men differ from women in expressing their distress. Charles C Thomas, Illinois Lester D, Gunn J, Quinnett P (2014) Suicide in men: how men differ from women in expressing their distress. Charles C Thomas, Illinois
25.
Zurück zum Zitat World Health Organization (2011) Suicide rates per 100,000 by country, year, and sex. WHO, Geneva World Health Organization (2011) Suicide rates per 100,000 by country, year, and sex. WHO, Geneva
26.
Zurück zum Zitat Hawton K (2000) Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry 177:484–485CrossRefPubMed Hawton K (2000) Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry 177:484–485CrossRefPubMed
28.
Zurück zum Zitat Nordt C, Warnke I, Seifritz E, Kawohl W (2015) Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000–11. Lancet Psychiatry 2(3):239–245CrossRefPubMed Nordt C, Warnke I, Seifritz E, Kawohl W (2015) Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000–11. Lancet Psychiatry 2(3):239–245CrossRefPubMed
29.
Zurück zum Zitat Sivamurthy M, Wadakannavar A (2001) Care and support for the elderly population in India: results from a survey of the aged in rural North Karnataka (India). IUSSP general population conference, Salvador Sivamurthy M, Wadakannavar A (2001) Care and support for the elderly population in India: results from a survey of the aged in rural North Karnataka (India). IUSSP general population conference, Salvador
30.
Zurück zum Zitat Kumar S (2003) Economic security for the elderly in India: an overview. J Aging Soc Policy 15(2–3):45–65CrossRefPubMed Kumar S (2003) Economic security for the elderly in India: an overview. J Aging Soc Policy 15(2–3):45–65CrossRefPubMed
31.
Zurück zum Zitat Pal S, Palacios R (2011) Understanding poverty among the elderly in India: implications for social pension policy. J Dev Stud 47(7):1017–1037CrossRef Pal S, Palacios R (2011) Understanding poverty among the elderly in India: implications for social pension policy. J Dev Stud 47(7):1017–1037CrossRef
33.
Zurück zum Zitat Rustagi P (2013) Changing patterns of labour force participation and employment of women in India. Indian J Labour Econ 56:215–241 Rustagi P (2013) Changing patterns of labour force participation and employment of women in India. Indian J Labour Econ 56:215–241
34.
Zurück zum Zitat Kimuna S, Djamba Y, Ciciurkaite G, Cherukuri S (2013) Domestic violence in India. J Interpers Violence 28:773–807CrossRefPubMed Kimuna S, Djamba Y, Ciciurkaite G, Cherukuri S (2013) Domestic violence in India. J Interpers Violence 28:773–807CrossRefPubMed
35.
Zurück zum Zitat Paul S, Sridhar K (2013) The Paradox of India’s north–south divide. lessons from the states and the regions. Sage, Chennai Paul S, Sridhar K (2013) The Paradox of India’s north–south divide. lessons from the states and the regions. Sage, Chennai
36.
Zurück zum Zitat Kumar S, Verma A, Bhattacharya S, Rathore S (2013) Trends in rates and methods of suicide in India. Egypt J Forensic Sci 3(3):75–80CrossRef Kumar S, Verma A, Bhattacharya S, Rathore S (2013) Trends in rates and methods of suicide in India. Egypt J Forensic Sci 3(3):75–80CrossRef
37.
Zurück zum Zitat Salve H, Kumar R, Sinha S, Krishnan A (2013) Suicide an emerging public health problem: evidence from rural Haryana, India. Indian J Public Health 57(1):40CrossRefPubMed Salve H, Kumar R, Sinha S, Krishnan A (2013) Suicide an emerging public health problem: evidence from rural Haryana, India. Indian J Public Health 57(1):40CrossRefPubMed
38.
Zurück zum Zitat Retheesh Babu R (2010) Suicide: a disturbing factor in the ‘development model’ of Kerala, India. J Public Health 18(5):483–487CrossRef Retheesh Babu R (2010) Suicide: a disturbing factor in the ‘development model’ of Kerala, India. J Public Health 18(5):483–487CrossRef
39.
Zurück zum Zitat Manoranjitham S, Rajkumar A, Thangadurai P, Prasad J, Jayakaran R, Jacob K (2010) Risk factors for suicide in rural south India. Br J Psychiatry 196:26–30CrossRefPubMed Manoranjitham S, Rajkumar A, Thangadurai P, Prasad J, Jayakaran R, Jacob K (2010) Risk factors for suicide in rural south India. Br J Psychiatry 196:26–30CrossRefPubMed
40.
Zurück zum Zitat Vijayakumar L, Rajkumar S (1999) Are risk factors for suicide universal? A case-control study from India. Acta Psychiatr Scand 99:407–411CrossRefPubMed Vijayakumar L, Rajkumar S (1999) Are risk factors for suicide universal? A case-control study from India. Acta Psychiatr Scand 99:407–411CrossRefPubMed
41.
Zurück zum Zitat Manoranjitham S, Charles H, Saravanan B, Jayakaran R, Abraham S, Jacob K (2007) Perceptions about suicide: a qualitative study from southern India. Natl Med J India 20:176–179PubMed Manoranjitham S, Charles H, Saravanan B, Jayakaran R, Abraham S, Jacob K (2007) Perceptions about suicide: a qualitative study from southern India. Natl Med J India 20:176–179PubMed
42.
Zurück zum Zitat Mohanakumar S, Sharma R (2006) Analysis of farmer suicides in Kerala. Econ Polit Wkly 41:1553–1558 Mohanakumar S, Sharma R (2006) Analysis of farmer suicides in Kerala. Econ Polit Wkly 41:1553–1558
43.
Zurück zum Zitat Sridhar V (2006) Why do farmers commit suicide? The case of Andhra Pradesh. Econ Polit Wkly 41:1559–1565 Sridhar V (2006) Why do farmers commit suicide? The case of Andhra Pradesh. Econ Polit Wkly 41:1559–1565
44.
Zurück zum Zitat Jeromi P (2007) Farmers’ indebtedness and suicides impact of agricultural trade liberalization in Kerala. Econ Polit Wkly 42:3241–3247 Jeromi P (2007) Farmers’ indebtedness and suicides impact of agricultural trade liberalization in Kerala. Econ Polit Wkly 42:3241–3247
45.
Zurück zum Zitat Mitra S, Shroff S (2007) Farmers’ suicides in Maharashtra. Econ Polit Wkly 42:73–77 Mitra S, Shroff S (2007) Farmers’ suicides in Maharashtra. Econ Polit Wkly 42:73–77
47.
Zurück zum Zitat Bhalla G, Singh G (2009) Economic liberalization and Indian agriculture: a statewise analysis. Econ Polit Wkly 44:34–44 Bhalla G, Singh G (2009) Economic liberalization and Indian agriculture: a statewise analysis. Econ Polit Wkly 44:34–44
48.
Zurück zum Zitat Thakur B (2012). Declining share of agriculture sector in Gdp: a serious concern. Int J Eng Res Technol 1(8) Thakur B (2012). Declining share of agriculture sector in Gdp: a serious concern. Int J Eng Res Technol 1(8)
50.
Zurück zum Zitat Venkatesh P (2013) Recent trends in rural employment and wages in India: has the growth benefitted the agricultural labours?. Agric Econ Res Rev 26:13–20 Venkatesh P (2013) Recent trends in rural employment and wages in India: has the growth benefitted the agricultural labours?. Agric Econ Res Rev 26:13–20
53.
Zurück zum Zitat Goli S, Maikho Apollo Pou L (2014) “Landholding-patriarchy hypothesis” and women’s autonomy in rural India: an exploration of linkage. Int J Soc Econ 41(3):213–232CrossRef Goli S, Maikho Apollo Pou L (2014) “Landholding-patriarchy hypothesis” and women’s autonomy in rural India: an exploration of linkage. Int J Soc Econ 41(3):213–232CrossRef
54.
Zurück zum Zitat Vijayakumar L (2009) Hindu religion and suicide in India. Oxford textbook of suicidology and suicide prevention:a global perspective. Oxford University Press, Oxford, pp 19–25 Vijayakumar L (2009) Hindu religion and suicide in India. Oxford textbook of suicidology and suicide prevention:a global perspective. Oxford University Press, Oxford, pp 19–25
55.
Zurück zum Zitat Fei W (2009) Cultural and religious traditions in China: the influence of Confucianism on suicide prevention. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 13–18 Fei W (2009) Cultural and religious traditions in China: the influence of Confucianism on suicide prevention. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 13–18
56.
Zurück zum Zitat Kaneko Y, Yamasaki A, Arai K (2009) The Shinto religion and suicide in Japan. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 37–42 Kaneko Y, Yamasaki A, Arai K (2009) The Shinto religion and suicide in Japan. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 37–42
57.
Zurück zum Zitat Baquedano G (2009) Maya religion and traditions: influencing suicide prevention in contemporary Mexico.Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 77–84 Baquedano G (2009) Maya religion and traditions: influencing suicide prevention in contemporary Mexico.Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 77–84
58.
Zurück zum Zitat Okasha A, Okasha T (2009) Suicide and Islam. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 49–55 Okasha A, Okasha T (2009) Suicide and Islam. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 49–55
59.
Zurück zum Zitat Chen Y, Chien-Chang Wu K, Yousuf S, Yip P (2011) Suicide in Asia: opportunities and challenges. Epidemiol Rev 34(1):129–144CrossRefPubMed Chen Y, Chien-Chang Wu K, Yousuf S, Yip P (2011) Suicide in Asia: opportunities and challenges. Epidemiol Rev 34(1):129–144CrossRefPubMed
60.
Zurück zum Zitat Norris P, Inglehart R (2004) Sacred and secular. Cambridge University Press, New York, p 221CrossRef Norris P, Inglehart R (2004) Sacred and secular. Cambridge University Press, New York, p 221CrossRef
61.
Zurück zum Zitat Morgenstern H (1995) Ecologic studies in epidemiology: concepts, principles, and methods. Annu Rev Public Health 16(1):61–81CrossRefPubMed Morgenstern H (1995) Ecologic studies in epidemiology: concepts, principles, and methods. Annu Rev Public Health 16(1):61–81CrossRefPubMed
62.
Zurück zum Zitat Van Poppel F, Day L (1996) A test of Durkheim’s theory of suicide—without committing the “Ecological fallacy”. Am Sociol Rev 61(3):500–507CrossRef Van Poppel F, Day L (1996) A test of Durkheim’s theory of suicide—without committing the “Ecological fallacy”. Am Sociol Rev 61(3):500–507CrossRef
63.
Zurück zum Zitat Durkheim E (1897) On suicide. Translated by Robin Buss. Penguin Classics, London Durkheim E (1897) On suicide. Translated by Robin Buss. Penguin Classics, London
64.
Zurück zum Zitat Badami S (2014) Suicide as a counter-narrative in Wayanad, Southern India: the invisible death. South Asia Res 34(2):91–112CrossRef Badami S (2014) Suicide as a counter-narrative in Wayanad, Southern India: the invisible death. South Asia Res 34(2):91–112CrossRef
65.
Zurück zum Zitat Kumar S (2004) An analysis of suicide attempters versus completers in Kerala. Indian J Psychiatry 46:144–149 Kumar S (2004) An analysis of suicide attempters versus completers in Kerala. Indian J Psychiatry 46:144–149
67.
Zurück zum Zitat Sauvaget C, Ramadas K, Fayette J, Thomas G, Thara S, Sankaranarayanan R (2009) Completed suicide in adults of rural Kerala: rates and determinants. Natl Med J India 22:228–233PubMed Sauvaget C, Ramadas K, Fayette J, Thomas G, Thara S, Sankaranarayanan R (2009) Completed suicide in adults of rural Kerala: rates and determinants. Natl Med J India 22:228–233PubMed
Metadaten
Titel
Trends and socio-economic determinants of suicide in India: 2001–2013
verfasst von
Vikas Arya
Andrew Page
Jo River
Gregory Armstrong
Peter Mayer
Publikationsdatum
05.12.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2018
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-017-1466-x

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