Youth suicide in India

Last updated

Youth suicide in India is when young Indian people deliberately end their own life. People aged 15 to 24 years have the highest suicide rate in India, which is consistent with international trends in youth suicide. [1] 35% of recorded suicides in India occur in this age group. [1] Risk factors and methods of youth suicide differ from those in other age groups. [1] [2]

Contents

Statistics

Recorded annual youth suicide rates in India are 80 per 100,000 in females and 34 per 100,000 in males (compared to 10.4 per 100,000 in the general Indian population). [1] These reported figures are estimated to be six- to eight-fold under-estimates of the true incidence. [1]

Surveys of high school students in India estimate prevalence of suicidal ideation at 6–22%, and of suicide attempts at 0.39–8%. [3] A survey conducted in 2009 found that 3.9% of young people have exhibited some suicidal behavior. [4]

Risk factors

Biological risk factors

Young age is itself a risk factor for suicide. [1] Developmental changes during youth lead to psychological changes and greater impulsivity. [5]

The risk of suicide for young female adults is higher than that of males. This may be mediated by social factors in addition to biology. [6]

Psychological factors

Negative affect, such as low self-esteem and hopelessness, tends to increase the risk of suicide in young adults. [7] Strategies such as active problem solving and distraction help to protect against suicide, but maladaptive coping strategies increase the risk. [8]

Impulsivity is a psychological factor seen to increase the risk of suicidality in young adults. It has been seen that impulsivity when combined with aggression tends to cause suicide ideation in male youth. [1]

Socio-environmental factors

Trauma and discrimination are strong risk factors for suicide in youth. Sexual, physical and emotional abuse are all associated with increased risk of suicide, [9] as are experience of bullying [9] and loneliness. [1]

Experience of discrimination increases incidence of suicide compared to the general population. [10] This is reflected in greater rates of suicide among members of certain castes and religious minorities. [10] Discrimination based on gender orientation and sexuality is also a risk factor for suicide in youth in India. [1]

Social and environmental factors contribute to the observed sex difference in prevalence. Abuse and intimate partner violence are associated with suicide. [6] In 2019, 1400 deaths by suicide were reported as related to a dowry. [2] Young women may also experience more economic instability and greater stigma associated with mental ill-health. [6]

Interventions

Evidence for interventions to prevent youth suicide in India suggests that a combination of individual therapy, family therapy and peer support system is needed. [1] Broader public awareness interventions are advocated, rather than a focus on mental health and counselling. [6]

Related Research Articles

<span class="mw-page-title-main">Copycat suicide</span> Emulation of another suicide

A copycat suicide is defined as an emulation of another suicide that the person attempting suicide knows about either from local knowledge or due to accounts or depictions of the original suicide on television and in other media. The publicized suicide serves as a trigger, in the absence of protective factors, for the next suicide by a susceptible or suggestible person. This is referred to as suicide contagion.

<span class="mw-page-title-main">Suicide prevention</span> Collective efforts to reduce the incidence of suicide

Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change.

Irritability is the excitatory ability that living organisms have to respond to changes in their environment. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessive sensitivity to stimuli.

<span class="mw-page-title-main">Suicidal ideation</span> Thoughts, ideas, or ruminations about the possibility of ending ones life

Suicidal ideation, or suicidal thoughts, is the thought process of having ideas, or ruminations about the possibility of ending one's own life. It is not a diagnosis but is a symptom of some mental disorders and can also occur in response to adverse events without the presence of a mental disorder.

Suicide risk assessment is a process of estimating the likelihood for a person to attempt or die by suicide. The goal of a thorough risk assessment is to learn about the circumstances of an individual person with regard to suicide, including warning signs, risk factors, and protective factors. Risk for suicide is re-evaluated throughout the course of care to assess the patient's response to personal situational changes and clinical interventions. Accurate and defensible risk assessment requires a clinician to integrate a clinical judgment with the latest evidence-based practice, although accurate prediction of low base rate events, such as suicide, is inherently difficult and prone to false positives.

Youth suicide is when a young person, generally categorized as someone below the legal age of majority, deliberately ends their own life. Rates of youth suicide and attempted youth suicide in Western societies and other countries are high. Youth suicide attempts are more common among girls, but adolescent males are the ones who usually carry out suicide. Suicide rates in youths have nearly tripled between the 1960s and 1980s. For example, in Australia suicide is second only to motor vehicle accidents as its leading cause of death for people aged 15–25, and according to the National Institute for Mental Health, suicide is the third leading cause of death among teens in the United States.

<span class="mw-page-title-main">Suicide</span> Intentional act of causing ones own death

Suicide is the act of intentionally causing one's own death. Mental disorders, physical disorders, and substance abuse are risk factors. Some suicides are impulsive acts due to stress, relationship problems, or harassment and bullying. Those who have previously attempted suicide are at a higher risk for future attempts. Effective suicide prevention efforts include limiting access to methods of suicide such as firearms, drugs, and poisons; treating mental disorders and substance abuse; careful media reporting about suicide; and improving economic conditions. Although crisis hotlines are common resources, their effectiveness has not been well studied.

Self-embedding is the insertion of foreign objects either into soft tissues under the skin or into muscle. Self-embedding is typically considered deliberate self-harm, also known as nonsuicidal self-injury, which is defined as "deliberate, direct destruction of tissues without suicidal intent."

<span class="mw-page-title-main">Depression in childhood and adolescence</span> Pediatric depressive disorders

Depression is a mental disorder characterized by prolonged unhappiness or irritability, accompanied by a constellation of somatic and cognitive signs and symptoms such as fatigue, apathy, sleep problems, loss of appetite, loss of engagement; low self-regard or worthlessness; difficulty concentrating or indecisiveness; or recurrent thoughts of death or suicide. Depression in childhood and adolescence is similar to adult major depressive disorder, although young sufferers may exhibit increased irritability or behavioral dyscontrol instead of the more common sad, empty, or hopeless feelings seen with adults. Children who are under stress, experiencing loss, or have other underlying disorders are at a higher risk for depression. Childhood depression is often comorbid with mental disorders outside of other mood disorders; most commonly anxiety disorder and conduct disorder. Depression also tends to run in families. In a 2016 Cochrane review cognitive behavior therapy (CBT), third wave CBT and interpersonal therapy demonstrated small positive benefits in the prevention of depression. Psychologists have developed different treatments to assist children and adolescents suffering from depression, though the legitimacy of the diagnosis of childhood depression as a psychiatric disorder, as well as the efficacy of various methods of assessment and treatment, remains controversial.

<span class="mw-page-title-main">American Association of Suicidology</span> American nonprofit organization

The American Association of Suicidology (AAS) is a 501(c)(3) nonprofit organization which advocates for suicide prevention. It was established in 1968 by Edwin S. Shneidman, who has been called "a pioneer in suicide prevention." Its official journal is Suicide and Life-Threatening Behavior, published six times a year by Wiley-Blackwell.

A suicide attempt is an attempt to die by suicide that results in survival. It may be referred to as a "failed" or "unsuccessful" suicide attempt, though these terms are discouraged by mental health professionals for implying that a suicide resulting in death is a successful and positive outcome.

<span class="mw-page-title-main">Social media and suicide</span>

Social media and suicide is a phenomenon concerning social media's influence on suicide behavior. Suicide is one of the top leading causes of death worldwide, and as of 2020, the third leading cause of death in those aged 15–24. According to the Center for disease control, suicide accounts for 21.5 percent of deaths, and is the second leading cause of death among adolecents. Suicide is a leading cause of death in the United States accounting for 45,979 deaths in 2020. Suicide rates increased by 30 percent from 2000-2018 and declined in 2019 and 2020. Despite suicide prevention programs, therapy, and pharmacological treatments, the suicide rate is constantly growing worldwide. Suicide has been identified not only as an individual phenomenon, but also as being influenced by social and environmental factors. There is growing evidence that online activity have influenced suicide-related behavior. The use of social media throughout the 21st century has grown exponentially. There are a variety of sources that are accessible to the public in various forms. Sites include Facebook, Instagram, Twitter, YouTube, Snapchat, TikTok and more. These platforms were intended to allow people to connect in a virtual way, but can lead to cyberbullying, insecurity, emotional distress, and ultimately suicide.

Suicide and the Internet have increasingly important relationships as Internet use becomes more ubiquitous.

Prolonged grief disorder (PGD), also known as complicated grief (CG), traumatic grief (TG) and persistent complex bereavement disorder (PCBD) in the DSM-5, is a mental disorder consisting of a distinct set of symptoms following the death of a family member or close friend. People with PGD are preoccupied by grief and feelings of loss to the point of clinically significant distress and impairment, which can manifest in a variety of symptoms including depression, emotional pain, emotional numbness, loneliness, identity disturbance and difficulty in managing interpersonal relationships. Difficulty accepting the loss is also common, which can present as rumination about the death, a strong desire for reunion with the departed, or disbelief that the death occurred. PGD is estimated to be experienced by about 10 percent of bereaved survivors, although rates vary substantially depending on populations sampled and definitions used.

The relationship between antidepressant use and suicide risk is a subject of medical research and has faced varying levels of debate. This problem was thought to be serious enough to warrant intervention by the U.S. Food and Drug Administration to label greater likelihood of suicide as a risk of using antidepressants. Some studies have shown that the use of certain antidepressants correlate with an increased risk of suicide in some patients relative to other antidepressants. However, these conclusions have faced considerable scrutiny and disagreement: A multinational European study indicated that antidepressants decrease risk of suicide at the population level, and other reviews of antidepressant use claim that there is not enough data to indicate antidepressant use increases risk of suicide.

The interpersonal theory of suicide attempts to explain why individuals engage in suicidal behavior and to identify individuals who are at risk. It was developed by Thomas Joiner and is outlined in Why People Die By Suicide. The theory consists of three components that together lead to suicide attempts. According to the theory, the simultaneous presence of thwarted belongingness and perceived burdensomeness produce the desire for suicide. While the desire for suicide is necessary, it alone will not result in death by suicide. Rather, Joiner asserts that one must also have acquired capability to overcome one's natural fear of death.

In colleges and universities in the United States, suicide is one of the most common causes of death among students. Each year, approximately 24,000 college students attempt suicide while 1,100 students succeed in their attempt, making suicide the second-leading cause of death among U.S. college students. Roughly 12% of college students report the occurrence of suicide ideation during their first four years in college, with 2.6% percent reporting persistent suicide ideation. 65% of college students reported that they knew someone who has either attempted or died by suicide, showing that the majority of students on college campuses are exposed to suicide or suicidal attempts.

Alan Lee Berman also known as Lanny Berman, is an American psychologist, psychotherapist, and suicidologist. He is an adjunct professor of Psychiatry and Behavioral Sciences at Johns Hopkins School of Medicine. Berman was formerly the executive director of the American Association of Suicidology. He is a fellow of the American Psychological Association and the International Association for Suicide Research. Berman has a private practice in psychological and forensic consultation.

"Suicidal ideation" or suicidal thoughts are the precursors of suicide, which is the leading cause of death among youth. Ideation or suicidal thoughts are categorized as: considering, seriously considering, planning, or attempting suicide and youth is typically categorized as individuals below the age of 25. Various research studies show an increased likelihood of suicide ideation in youth in the LGBT community. Factors involved in this propensity are peer victimization, parental disapproval, and bullying, as well as overall sentiments of undesirability due to LGBT identity. South Korea has the 10th highest rate of suicide in the world and the second in the OECD. Within these rates, suicide is the primary cause of death for South Korean youth, ages 10–19. While these rates are elevated, suicide ideation additionally increases with the introduction of LGBT identity.

Suicide and trauma is the increased risk of suicide that is caused by psychological trauma.

References

  1. 1 2 3 4 5 6 7 8 9 10 Gupta, Snehil; Basera, Devendra (2021-09-10). "Youth Suicide in India: A Critical Review and Implication for the National Suicide Prevention Policy". OMEGA - Journal of Death and Dying: 003022282110451. doi:10.1177/00302228211045169. ISSN   0030-2228. PMID   34505537. S2CID   237472389.
  2. 1 2 Accidental deaths & suicides in India 2019. New Delhi: National Crime Records Bureau. 20 January 2022. Retrieved 7 September 2022.
  3. Sharma, Rahul; Grover, VijayL; Chaturvedi, Sanjay (2008). "Suicidal behavior amongst adolescent students in south Delhi". Indian Journal of Psychiatry. 50 (1): 30–33. doi:10.4103/0019-5545.39756. ISSN   0019-5545. PMC   2745855 . PMID   19771304.
  4. Pillai, A.; Andrews, T.; Patel, V. (2008-08-24). "Violence, psychological distress and the risk of suicidal behaviour in young people in India". International Journal of Epidemiology. 38 (2): 459–469. doi:10.1093/ije/dyn166. ISSN   0300-5771. PMID   18725364.
  5. Bridge, Jeff (October 2020). "2.1 Recent National Trends in Youth Suicide and Suicidal Behavior". Journal of the American Academy of Child & Adolescent Psychiatry. 59 (10): S268. doi:10.1016/j.jaac.2020.07.554. ISSN   0890-8567. S2CID   241542299.
  6. 1 2 3 4 Vijayakumar, Lakshmi; John, Sujit; Pirkis, Jane; Whiteford, Harvey (May 2005). "Suicide in Developing Countries (2)". Crisis. 26 (3): 112–119. doi:10.1027/0227-5910.26.3.112. ISSN   0227-5910. PMID   16276753.
  7. Czyz, Ewa K.; Berona, Johnny; King, Cheryl A. (2014-09-29). "A Prospective Examination of the Interpersonal-Psychological Theory of Suicidal Behavior Among Psychiatric Adolescent Inpatients". Suicide and Life-Threatening Behavior. 45 (2): 243–259. doi:10.1111/sltb.12125. hdl:2027.42/111102. ISSN   0363-0234. PMC   5036446 . PMID   25263410.
  8. Pisani, Anthony R.; Wyman, Peter A.; Petrova, Mariya; Schmeelk-Cone, Karen; Goldston, David B.; Xia, Yinglin; Gould, Madelyn S. (2012-12-18). "Emotion Regulation Difficulties, Youth–Adult Relationships, and Suicide Attempts Among High School Students in Underserved Communities". Journal of Youth and Adolescence. 42 (6): 807–820. doi:10.1007/s10964-012-9884-2. ISSN   0047-2891. PMC   3654393 . PMID   23666604.
  9. 1 2 Gibb, Brandon E.; Alloy, Lauren B.; Abramson, Lyn Y.; Rose, Donna T.; Whitehouse, Wayne G.; Hogan, Michael E. (December 2001). "Childhood Maltreatment and College Students' Current Suicidal Ideation: A Test of the Hopelessness Theory". Suicide and Life-Threatening Behavior. 31 (4): 405–415. doi:10.1521/suli.31.4.405.22042. ISSN   0363-0234. PMID   11775716.
  10. 1 2 Nath, Yogini; Paris, Joel; Thombs, Brett; Kirmayer, Laurence (2011-06-01). "Prevalence and social determinants of suicidal behaviours among college youth in India". International Journal of Social Psychiatry. 58 (4): 393–399. doi:10.1177/0020764011401164. ISSN   0020-7640. PMID   21632571. S2CID   25414662.