scholarly journals Psychological autopsy study and risk factors for suicide in Muslim countries

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
S. M. Yasir Arafat ◽  
Murad M. Khan ◽  
Vikas Menon ◽  
Syeda Ayat‐e‐Zainab Ali ◽  
Mohsen Rezaeian ◽  
...  

The Lancet ◽  
2002 ◽  
Vol 360 (9347) ◽  
pp. 1728-1736 ◽  
Author(s):  
Michael R Phillips ◽  
Gonghuan Yang ◽  
Yanping Zhang ◽  
Lijun Wang ◽  
Huiyu Ji ◽  
...  


2017 ◽  
Vol 47 (15) ◽  
pp. 2663-2674 ◽  
Author(s):  
M. K. Nock ◽  
C. L. Dempsey ◽  
P. A. Aliaga ◽  
D. A. Brent ◽  
S. G. Heeringa ◽  
...  

BackgroundThe suicide rate has increased significantly among US Army soldiers over the past decade. Here we report the first results from a large psychological autopsy study using two control groups designed to reveal risk factors for suicide death among soldiers beyond known sociodemographic factors and the presence of suicide ideation.MethodsInformants were next-of-kin and Army supervisors for: 135 suicide cases, 137 control soldiers propensity-score-matched on known sociodemographic risk factors for suicide and Army history variables, and 118 control soldiers who reported suicide ideation in the past year.ResultsResults revealed that most (79.3%) soldiers who died by suicide have a prior mental disorder; mental disorders in the prior 30-days were especially strong risk factors for suicide death. Approximately half of suicide decedents tell someone that they are considering suicide. Virtually all of the risk factors identified in this study differed between suicide cases and propensity-score-matched controls, but did not significantly differ between suicide cases and suicide ideators. The most striking difference between suicides and ideators was the presence in the former of an internalizing disorder (especially depression) and multi-morbidity (i.e. 3+ disorders) in the past 30 days.ConclusionsMost soldiers who die by suicide have identifiable mental disorders shortly before their death and tell others about their suicidal thinking, suggesting that there are opportunities for prevention and intervention. However, few risk factors distinguish between suicide ideators and decedents, pointing to an important direction for future research.



2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Toshiyuki Kurihara ◽  
Motoichiro Kato ◽  
Robert Reverger ◽  
I Gusti Rai Tirta


1999 ◽  
Vol 175 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Tom Foster ◽  
Kate Gillespie ◽  
Roy McLelland ◽  
Chris Patterson

BackgroundThe vast majority of suicides suffer from at least one mental disorder at the time of death.AimsTo identify risk factors for suicide, particularly those independent of current DSM–III–R Axis I disorder(s)MethodA case–control psychological autopsy study comparing suicides with matched community controls.ResultsIndependent risk factors for suicide included: Axis II (personality) disorder (particularly antisocial, avoidant and dependent); at least one of 12 life events (from the List of Threatening Experiences) during the previous 52 or 4 weeks (in particular, a ‘serious problem with close friend, neighbour or relative’); current unemployment; previous history of deliberate self-harm; and contact with a GP within 26 weeks. Relative to individuals with no current mental disorder, the estimated risk of suicide in those with Axis I–Axis II comorbidity (OR 346.0) was significantly greater than that in those with Axis I disorder(s) only (OR 52.4)ConclusionsSuicide risk assessment may be enhanced by enquiry about the aforementioned independent risk factors, and attention to Axis I–Axis II comorbidity.



BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
S. M. Yasir Arafat ◽  
M. A. Mohit ◽  
Mohammad S. I. Mullick ◽  
Russell Kabir ◽  
Murad M. Khan

Background Suicide is an important, understudied public health problem in Bangladesh, where risk factors for suicide have not been investigated by case–control psychological autopsy study. Aims To identify the major risk factors for suicide in Dhaka, Bangladesh. Methods We designed a matched case–control psychological autopsy study. We conducted a semi-structured interview with the next-of-kin of 100 individuals who died by suicide and 100 living controls, matched for age, gender and area of residence. The study was conducted from July 2019 to July 2020. Results The odds ratios for the risk factors were 15.33 (95% CI, 4.76–49.30) for the presence of a psychiatric disorder, 17.75 (95% CI, 6.48–48.59) for life events, 65.28 (95% CI, 0.75–5644.48) for previous attempts and 12 (95% CI, 1.56–92.29) for sexual abuse. Conclusions The presence of a psychiatric disorder, immediate life events, previous suicidal attempts and sexual abuse were found as significant risk factors for suicide in Dhaka, Bangladesh.





Author(s):  
Jane Pirkis ◽  
Angela Nicholas ◽  
David Gunnell

Abstract Much of our knowledge about the risk factors for suicide comes from case–control studies that either use a psychological autopsy approach or are nested within large register-based cohort studies. We would argue that case–control studies are appropriate in the context of a rare outcome like suicide, but there are issues with using this design. Some of these issues are common in psychological autopsy studies and relate to the selection of controls (e.g. selection bias caused by the use of controls who have died by other causes, rather than live controls) and the reliance on interviewing informants (e.g. recall bias caused by the loved ones of cases having thought about the events leading up to the suicide in considerable detail). Register-based studies can overcome some of these problems because they draw upon contain information that is routinely collected for administrative purposes and gathered in the same way for cases and controls. However, they face issues that mean that psychological autopsy studies will still sometimes be the study design of choice for investigating risk factors for suicide. Some countries, particularly low and middle income countries, don't have sophisticated population-based registers. Even where they do exist, there will be variable of interest that are not captured by them (e.g. acute stressful life events that may immediately precede a suicide death), or not captured in a comprehensive way (e.g. suicide attempts and mental illness that do not result in hospital admissions). Future studies of risk factors should be designed to progress knowledge in the field and overcome the problems with the existing studies, particularly those using a case–control design. The priority should be pinning down the risk factors that are amenable to modification or mitigation through interventions that can successfully be rolled out at scale.



2017 ◽  
Vol 27 ◽  
pp. 123-126 ◽  
Author(s):  
Manami Kodaka ◽  
Toshihiko Matsumoto ◽  
Michiko Takai ◽  
Takashi Yamauchi ◽  
Shizuka Kawamoto ◽  
...  


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