Abstract
Purpose
To investigate trends and socio-economic determinants of suicide in India over the period of 2001–2013.
Method
Suicide rates between 2001 and 2013 were calculated using suicide statistics provided by National Crime Records Bureau (NCRB) and census data provided by Census of India, stratified by sex, age group, and geographical region, to investigate trends in suicide over the study period. Multilevel negative binomial regression models were specified to investigate associations between state-level indicators of economic development, education, employment and religious factors and sex-specific suicide rates.
Results
Male suicide rates remained relatively steady (~ 14 per 100,000) while female suicide rates decreased over the study period (9 to 7 per 100,000). The age group of 45–59 years had the highest suicide rate among males while the age group of 15–29 years had the highest suicide rate among females. On average, higher male and female suicide rates were observed in states with: higher levels of development, higher levels of agricultural employment, higher levels of literacy, and higher proportions of people identifying with Hinduism. Higher male suicide rates were also observed in states with higher levels of unemployment.
Conclusion
The process of modernization might be contributing towards higher suicide risk in more developed parts of India. Also, increase in farmer suicides since economic liberalization might be contributing towards higher suicide rates among more agricultural regions. Furthermore, ancient sanctions towards religious suicide are possibly still influencing modern Hindu suicides.
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References
Vijayakumar L (2007) Suicide and its prevention: the urgent need in India. Indian J Psychiatry 49:81–84
Mayer P (2011) Suicide and society in India. Routledge, New York
Swanhuyser E (2016) Suicide deaths in India increasing at alarming rate. http://www.Humanosphere.org, http://www.humanosphere.org/global-health/2016/08/suicide-deaths-india-increasing-alarming-rate/. Accessed 10 Mar 2017
National Crime Records Bureau (1967–2013) Accidental deaths and suicides in India. Government of India, New Delhi. http://ncrb.nic.in/StatPublications/ADSI/PrevPublications.htm/. Accessed 15 Jan 2017
Joseph A, Abraham S, Muliyil P, George K, Prasad J, Minz S, Abraham V, Jacob K (2003) Evaluation of suicide rates in rural India using verbal autopsies, 1994–9. BMJ 326:1121–1122
Gajalakshmi V, Peto R (2007) Suicide rates in rural Tamil Nadu, South India: verbal autopsy of 39 000 deaths in 1997–98. Int J Epidemiol 36:203–207
Soman C, Safraj S, Kutty V, Vijayakumar K, Ajayan K (2009) Suicide in South India: a community-based study in Kerala. Int J Psychiatry 51:261–264
Joshi R, Guggilla R, Praveen D, Maulik P (2015) Suicide deaths in rural Andhra Pradesh—a cause for global health action. Trop Med Int Health 20:188–193
Rane A, Nadkarni A (2014) Suicide in India: a systematic review. Shanghai Arch Psychiatry 26:69–80
Staples J (2012) Introduction: suicide in South Asia: ethnographic perspectives. Contrib Indian Sociol 46:1–28
Patel V, Ramasundarahettige C, Vijayakumar L, Thakur J, Gajalakshmi V, Gururaj G, Suraweera W, Jha P (2012) Suicide mortality in India: a nationally representative survey. Lancet 379:2243–2351
Dandona R, Bertozzi-Villa A, Kumar A, Dandona L (2017) Lessons from a decade of suicide surveillance in India: who, why and how? Int J Epidemiol 1:dyw113
Stack S (2000) Suicide: a 15-year review of the sociological literature part II: modernization and social integration perspectives. Suicide Life Threat Behav 30:163–176
Milner A, Hjelmeland M, Arensman E, De Leo D (2013) Social-environmental factors and suicide mortality: a narrative review of over 200 articles. Sociol Mind 3:137–148
Vijayakumar L (2009) Suicide prevention in India: considering religion and culture. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 767–769
Thiel S (2011) Global anomie and India: a conceptual approach. Indian J Asian Aff 24:17–34
Page A, Liu S, Gunnell D, Astell-Burt T, Feng X, Wang L, Zhou M (2017) Suicide by pesticide poisoning remains a priority for suicide prevention in China: analysis of national mortality trends 2006–2013. J Affect Disord 208:418–423
State of Literacy. Census of India (2011) http://censusindia.gov.in/2011-prov-results/data_files/india/Final_PPT_2011_chapter6.pdf. Accessed 10 Apr 2017
Employment and Unemployment Situation in India, Ministry of Statistics and Programme Implementation (2011–12) http://mospi.nic.in/sites/default/files/publication_reports/nss_report_554_31jan14.pdf. Accessed 2 Apr 2017
Religion Census 2011. Census of India (2011) http://www.census2011.co.in/religion.php. Accessed 5 Apr 2017
Arokiasamy P, Gautam A (2008) Neonatal mortality in the empowered action group states of India: trends and determinants. J Biosoc Sci 40(2):183–201
Sadanandan A (2014) Political economy of suicide: financial reforms, credit crunches and farmer suicides in India. J Dev Areas 48:287–307
Moller-LiemKuhler A (2003) The gender gap in suicide and premature death or: why are men so vulnerable? Eur Arch Psychiatry Clin Neurosci 253:1–8
Lester D, Gunn J, Quinnett P (2014) Suicide in men: how men differ from women in expressing their distress. Charles C Thomas, Illinois
World Health Organization (2011) Suicide rates per 100,000 by country, year, and sex. WHO, Geneva
Hawton K (2000) Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry 177:484–485
Khan M (2002) Suicide on the Indian subcontinent. CRISIS-TORONTO 23:104–107
Nordt C, Warnke I, Seifritz E, Kawohl W (2015) Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000–11. Lancet Psychiatry 2(3):239–245
Sivamurthy M, Wadakannavar A (2001) Care and support for the elderly population in India: results from a survey of the aged in rural North Karnataka (India). IUSSP general population conference, Salvador
Kumar S (2003) Economic security for the elderly in India: an overview. J Aging Soc Policy 15(2–3):45–65
Pal S, Palacios R (2011) Understanding poverty among the elderly in India: implications for social pension policy. J Dev Stud 47(7):1017–1037
Mukunth V (2014) Four charts show why India’s youth suicide rate is among the world’s highest. http://scroll.in/article/694364/four-charts-show-why-indias-youth-suicide-rate-is-among-the-worlds-highest. Accessed 20 May 2017
Rustagi P (2013) Changing patterns of labour force participation and employment of women in India. Indian J Labour Econ 56:215–241
Kimuna S, Djamba Y, Ciciurkaite G, Cherukuri S (2013) Domestic violence in India. J Interpers Violence 28:773–807
Paul S, Sridhar K (2013) The Paradox of India’s north–south divide. lessons from the states and the regions. Sage, Chennai
Kumar S, Verma A, Bhattacharya S, Rathore S (2013) Trends in rates and methods of suicide in India. Egypt J Forensic Sci 3(3):75–80
Salve H, Kumar R, Sinha S, Krishnan A (2013) Suicide an emerging public health problem: evidence from rural Haryana, India. Indian J Public Health 57(1):40
Retheesh Babu R (2010) Suicide: a disturbing factor in the ‘development model’ of Kerala, India. J Public Health 18(5):483–487
Manoranjitham S, Rajkumar A, Thangadurai P, Prasad J, Jayakaran R, Jacob K (2010) Risk factors for suicide in rural south India. Br J Psychiatry 196:26–30
Vijayakumar L, Rajkumar S (1999) Are risk factors for suicide universal? A case-control study from India. Acta Psychiatr Scand 99:407–411
Manoranjitham S, Charles H, Saravanan B, Jayakaran R, Abraham S, Jacob K (2007) Perceptions about suicide: a qualitative study from southern India. Natl Med J India 20:176–179
Mohanakumar S, Sharma R (2006) Analysis of farmer suicides in Kerala. Econ Polit Wkly 41:1553–1558
Sridhar V (2006) Why do farmers commit suicide? The case of Andhra Pradesh. Econ Polit Wkly 41:1559–1565
Jeromi P (2007) Farmers’ indebtedness and suicides impact of agricultural trade liberalization in Kerala. Econ Polit Wkly 42:3241–3247
Mitra S, Shroff S (2007) Farmers’ suicides in Maharashtra. Econ Polit Wkly 42:73–77
Mukherjee S (2009). Examining farmer suicides in India: a study of literature. MPRA, 2009 paper no. 35675. https://mpra.ub.uni-muenchen.de/35675/. Accessed 20 May 2017
Bhalla G, Singh G (2009) Economic liberalization and Indian agriculture: a statewise analysis. Econ Polit Wkly 44:34–44
Thakur B (2012). Declining share of agriculture sector in Gdp: a serious concern. Int J Eng Res Technol 1(8)
FICCI (2015) Labour in Indian agriculture: a growing challenge. http://ficci.in/spdocument/20550/FICCI-agri-Report%2009-03-2015.pdf. Accessed 25 Oct 2017
Venkatesh P (2013) Recent trends in rural employment and wages in India: has the growth benefitted the agricultural labours?. Agric Econ Res Rev 26:13–20
Behere P, Bhise M (2009) Farmers’ suicide: across culture. Indian J Psychiatry 51:242–243
Kishor S, Gupta K (2009). Gender equality and womens empowerment in India. National family health survey (NFHS-3) India 2005–06. https://dhsprogram.com/pubs/pdf/OD57/OD57.pdf. Accessed 30 Oct 2017
Goli S, Maikho Apollo Pou L (2014) “Landholding-patriarchy hypothesis” and women’s autonomy in rural India: an exploration of linkage. Int J Soc Econ 41(3):213–232
Vijayakumar L (2009) Hindu religion and suicide in India. Oxford textbook of suicidology and suicide prevention:a global perspective. Oxford University Press, Oxford, pp 19–25
Fei W (2009) Cultural and religious traditions in China: the influence of Confucianism on suicide prevention. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 13–18
Kaneko Y, Yamasaki A, Arai K (2009) The Shinto religion and suicide in Japan. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 37–42
Baquedano G (2009) Maya religion and traditions: influencing suicide prevention in contemporary Mexico.Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 77–84
Okasha A, Okasha T (2009) Suicide and Islam. Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 49–55
Chen Y, Chien-Chang Wu K, Yousuf S, Yip P (2011) Suicide in Asia: opportunities and challenges. Epidemiol Rev 34(1):129–144
Norris P, Inglehart R (2004) Sacred and secular. Cambridge University Press, New York, p 221
Morgenstern H (1995) Ecologic studies in epidemiology: concepts, principles, and methods. Annu Rev Public Health 16(1):61–81
Van Poppel F, Day L (1996) A test of Durkheim’s theory of suicide—without committing the “Ecological fallacy”. Am Sociol Rev 61(3):500–507
Durkheim E (1897) On suicide. Translated by Robin Buss. Penguin Classics, London
Badami S (2014) Suicide as a counter-narrative in Wayanad, Southern India: the invisible death. South Asia Res 34(2):91–112
Kumar S (2004) An analysis of suicide attempters versus completers in Kerala. Indian J Psychiatry 46:144–149
Dhar A (2013) Births and deaths registration still low in India. The Hindu. http://www.thehindu.com/news/national/births-and-deaths-registration-still-low-in-india/article4630425.ece. Accessed 21 Apr 2017
Sauvaget C, Ramadas K, Fayette J, Thomas G, Thara S, Sankaranarayanan R (2009) Completed suicide in adults of rural Kerala: rates and determinants. Natl Med J India 22:228–233
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Arya, V., Page, A., River, J. et al. Trends and socio-economic determinants of suicide in India: 2001–2013. Soc Psychiatry Psychiatr Epidemiol 53, 269–278 (2018). https://doi.org/10.1007/s00127-017-1466-x
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DOI: https://doi.org/10.1007/s00127-017-1466-x