Suicide in India

India's suicide rate per 100,000 people compared to other countries, according to the World Health Organization, Geneva. Peeter Värnik[1] claims China, India, Russia, United States, Japan, and South Korea are the biggest contributors to the absolute number of suicides in the world. Värnik claims India's adjusted annual suicide rate is 10.5 per 100,000, while the suicide rate for the world as a whole is 11.6 per 100,000.

About 800000 people commit suicide worldwide every year,[2] of these 135,000 (17%) are residents of India,[3] a nation with 17.5% of world population. Between 1987 and 2007, the suicide rate increased from 7.9 to 10.3 per 100,000,[4] with higher suicide rates in southern and eastern states of India.[5] In 2012, Tamil Nadu (12.5% of all suicides), Maharashtra (11.9%) and West Bengal (11.0%) had the highest proportion of suicides.[3] Among large population states, Tamil Nadu and Kerala had the highest suicide rates per 100,000 people in 2012. The male to female suicide ratio has been about 2:1.[3]

Estimates for number of suicides in India vary. For example, one study projected 187,000 suicides in India in 2010,[6] while official data by the Government of India claims 134,600 suicides in 2010.[3]

According to WHO data, the age standardized suicide rate in India is 16.4 per 100,000 for women (6th highest in the world) and 25.8 for men (ranking 22nd).[7]

Definition

The Government of India classifies a death as suicide if it meets the following three criteria:[8]

If one of these criterion is not met, the death may be classified as death because of illness, murder or in another statistical .

Statistics

State-wise distribution in 2014
Causes for suicide in India In 2014[9]
Causes No of people
Bankruptcy or indebtedness
2,308
Marriage Related Issues
6,773
Non Settlement of Marriage
1,096
Dowry Related Issues
2,261
Extra Marital affairs
476
Divorce
333
Others
2,607
Failure in Examination
2,403
Impotency/Infertility
332
Other Family problems
28,602
Illness
23,746
AIDS/STD
233
Cancer
582
Paralysis
408
Insanity/Mental illness
7,104
Other prolonged illness
15,419
Death of dear person
981
Drug abuse/addiction
3,647
Fall in social reputation
490
Ideological causes/Hero worshipping
56
Love affairs
4,168
Poverty
1,699
Unemployment
2,207
Property dispute
1,067
Suspected/Illicit relation
458

The southern states of Kerala, Karnataka, Andhra Pradesh and Tamil Nadu along with eastern state of West Bengal, Tripura and Mizoram have a suicide rate of greater than 16 while in the states of Punjab, India, Uttar Pradesh and Bihar, the suicide rate is less than 4.[3] Puducherry reported the highest suicide rate at 36.8 per 100,000 people, followed by Sikkim, Tamil Nadu and Kerala. The lowest suicide rates were reported in Bihar (0.8 per 100,000), followed by Nagaland, then Manipur.[8]

Age and suicide in India

In India, about 46,000 suicides occurred each in 15–29 and 30–44 age groups in 2012 – or about 34% each of all suicides.[3]

Method of suicide in India

Poisoning (33%), hanging (38%) and self-immolation (9%) were the primary methods used to commit suicide in 2012.[3]

Literacy

80% of the suicide victims were literate, higher than the national average literacy rate of 74%.[8]

Suicide in cities

There were 19,120 suicides in India's largest 53 cities. In the year 2012, Chennai reported the highest total number of suicides at 2,183, followed by Bengaluru (1,989), Delhi (1,397) and Mumbai (1,296). Jabalpur (Madhya Pradesh) followed by Kollam (Kerala) reported the highest rate of suicides 45.1 and 40.5 per 100,000 people respectively, about 4 times higher than national average rate.[8] There is a wide variation in suicide rates, year to year, among Indian cities.

Gender

On average, males suicide rate is twice that of females in India.[10] However, there is a wide variation in this ratio at the regional level. West Bengal reported 6,277 female suicides, the highest amongst all states of India, and a ratio of male to female suicides at 4:3.[8]

Dynamics

Domestic violence

Domestic violence is a major risk factor for suicide in a study in Bangalore.[11][12] However, as a fraction of total suicides, violence against women – such as domestic violence, rape, incest and dowry – accounted for less than 4% of total suicides.[3]

Suicide motivated by politics

Suicides motivated by ideology doubled between 2006 and 2008.[5]

Suicide motivated by mental illness

The Indian government has been criticized by the media for its mental health care system, which is linked to the high suicide rate.[13][14]

Farmer's suicide in India

India's economy vastly depends on agriculture with around 60% of its people directly or indirectly depend upon it. Different reasons like droughts, lack of better prices, exploitation by Middlemen, inability to pay loans etc. lead Indian farmers to suicide.

Legislation

In India, suicide was illegal and the survivor would face jail term of up to one year and fine under Section 309 of the Indian Penal Code. However, the government of India decided to repeal the law in 2014.[15]

Prevention policies

Four pronged attack for suicide prevention

A four pronged attack to combat suicide suggested in a 2003 monograph was (1) reducing social isolation, (2) preventing social disintegration, and (3) treating mental disorders.[16] (4) Banning of pesticides & ropes [16]

Additionally, a set of state led policies are being enforced to decrease the high suicide rate among farmers of Karnataka[17]

See also

References

  1. ↑ Värnik, Peeter (2012). "Suicide in the World". Int. J. Environ. Res. Public Health. 9: 760–771. PMC 3367275 Freely accessible. PMID 22690161. doi:10.3390/ijerph9030760.
  2. ↑ Suicide prevention (SUPRE) World Health Organization (2012)
  3. 1 2 3 4 5 6 7 8 Suicides in India The Registrar General of India, Government of India (2012)
  4. ↑ Vijaykumar L. (2007), Suicide and its prevention: The urgent need in India, Indian J Psychiatry;49:81–84,
  5. 1 2 Polgreen, Lydia (March 30, 2010). "Suicides, Some for Separatist Cause, Jolt India". The New York Times.
  6. ↑ Patel, V.; Ramasundarahettige, C.; Vijayakumar, L.; Thakur, J. S.; Gajalakshmi, V.; Gururaj, G.; Suraweera, W.; Jha, P. (2012). "Suicide mortality in India: A nationally representative survey". The Lancet. 379 (9834): 2343–51. PMC 4247159 Freely accessible. PMID 22726517. doi:10.1016/S0140-6736(12)60606-0.
  7. ↑ Suicide Rates – Data by country. World Health Organization 2012. Retrieved 30 November 2015.
  8. 1 2 3 4 5 ADSI 2012 Annual Report Glossary, Government of India
  9. ↑
  10. ↑ http://ncrb.nic.in/CD-ADSI-2012/suicides-11.pdf
  11. ↑ Gururaj, G; Isaac, M; Subhakrishna, DK; Ranjani, R (2004). "Risk factors for completed suicides: A case-control study from Bangalore, India". Inj Control Saf Promot. 11: 183–91. doi:10.1080/156609704/233/289706.
  12. ↑ Deshpande, R S (2009), Agrarian Transition and Farmers’ Distress in Karnataka. In D. Narasimha Reddy and Srijit Mishra (eds.) ‘Agrarian Crisis in India’. New Delhi: Oxford University Press, New Delhi.
  13. ↑ "India's Mental Health Crisis". The New York Times. 2014-12-30.
  14. ↑ Bray, Carrick (2016-11-04). "Mental Daily Slams India’s Mental Health System — Calls It ‘Crippling’, ‘Misogynistic’". The Huffington Post.
  15. ↑ "Govt decides to repeal Section 309 from IPC; attempt to suicide no longer a crime". Zee News. December 10, 2014. Retrieved December 10, 2014.
  16. 1 2 Singh A.R., Singh S.A. (2003), Towards a suicide free society: identify suicide prevention as public health policy, Mens Sana Monographs, II:2, p3-16. [cited 2011 Mar 7]
  17. ↑ Deshpande, R S (2002), Suicide by Farmers in Karnataka: Agrarian Distress and Possible Alleviatory Steps, Economic and Political Weekly, Vol 37 No 25, pp2601-10
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