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Risk factors for suicide in rural south India
Open accessAbstract
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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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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