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Risk factors for suicide in rural south India
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Background: The relative contributions of psychosocial stress and psychiatric morbidity to suicide are a subject of debate. Aims: To determine major risk factors for suicide in rural south India. Method: We used a matched case–control design and psychological autopsy to assess 100 consecutive suicides and 100 living controls matched for age, gender and neighbourhood. Results: Thirty-seven (37%) of those who died by suicide had a DSM–III–R psychiatric diagnosis. Alcohol dependence (16%) and adjustment disorders (15%) were the most common categories. The prevalence rates for schizophrenia, major depressive episode and dysthymia were 2% each. Ongoing stress and chronic pain heightened the risk of suicide. Living alone and a break in a steady relationship within the past year were also significantly associated with suicide. Conclusions: Psychosocial stress and social isolation, rather than psychiatric morbidity, are risk factors for suicide in rural south India.
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“A similar problem also arose in the ODIN study, which also found an unexpectedly low prevalence ranging from 1 to 1.9% in the general population. 7”
From Adjustment disorder: Implications for ICD-11 and DSM-5 (2012) · cites this paper as [7]
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Dávila-Cervantes, C. A., & Montaño, A. M. P. (2020) · Revista Brasileira de Epidemiologia · doi:10.1590/1980-549720200069 · Cited by 19
Ortiz, S. N., Aggarwal, P., Jain, A. T., Singh, N. P., George, T. S., Smith, A. R., & Raval, V. V. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2022.2110026 · Cited by 18
Lee, A. Y. S., & PRIDMORE, S. A. (2013) · Australasian Psychiatry · doi:10.1177/1039856213510577 · Cited by 14
Risk and protective factors for suicide among Guyanese youth: Youth and stakeholder perspectives
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Varghese, S., Prasad, J. H., & Jacob, K. S. (2013) · PubMed · Cited by 14
Self-citationBenjamin, R. N., David, T., Iyadurai, R., & Jacob, K. (2018) · Indian Journal of Psychological Medicine · doi:10.4103/ijpsym.ijpsym_223_17 · Cited by 14
Self-citationSuicide and the publicly exposed pedophile.
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Metadata
- Authors
- Manoranjitham, S. D., Rajkumar, A. P., Thangadurai, P., Prasad, J., Jayakaran, R., & Jacob, K. S.
- Affiliations
- Christian Medical College, Vellore (IN)
- Corresponding author
- Jacob, K. S.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-01
- Volume
- 196
- Issue
- 1
- Pages
- 26-30
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2147762875
- Cited by
- 200
- References
- 38
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 11 · 2023: 6 · 2022: 9 · 2021: 16 · 2020: 9 · 2019: 14 · 2018: 15 · 2017: 13 · 2016: 11 · 2015: 16 · 2014: 17 · 2013: 16 · 2012: 22
- FWCI
- 12.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion)
- Funders
- Christian Medical College, Vellore
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- suicide risk factors, rural suicide, psychosocial stress, social isolation, psychiatric morbidity, alcoholism, adjustment disorder, schizophrenia, major depressive episode, dysthymia, chronic pain, living alone, breakup, South India
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Alcoholism, Mental Disorders, Chronic Disease, Female, Humans, India, Male, Middle Aged, Pain, Risk Factors, Rural Health, Social Isolation, Socioeconomic Factors, Stress, Psychological, Suicide, Case-Control Studies, Young Adult
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