Objective. Suicidal ideation and suicide attempt are generally considered as non-fatal suicidal behaviors (NFSB) by most researchers. Across different cultures, the prevalence of NFSB has been found to be alarmingly high among adolescents. As there is no published study estimating prevalence rates in India, we conducted a study on adolescents in Delhi to find prevalence of NFSB and other related behaviors and to identify risk factors for NFSB.Methods: We collected data from 1205 adolescents in the age group from 12 to 19 years from 2 schools through semi-structured questionnaire on demographic variables, NFSB, death wish, deliberate self harm (DSH), Adjustment Inventory for School Students (AISS) by Sinha et al. & BDI.Results: Prevalence of suicidal ideation (lifetime), suicidal ideation (last year), suicide attempt (lifetime), suicide attempt (last year) were 21.7%, 11.7%, 8% and 3.5%, respectively. All the significant variables were entered into a logistic regression analysis model, and the adjusted odds ratios, with 95% confidence intervals, were obtained for them. Hindu religion, female sex, older adolescent, physical abuse by parents, feeling neglected by parents, history of running away from school, history of suicide by a friend, death wish and DSH were found to be significant risk factors for NFSB.Conclusions: There is high prevalence of suicidal ideation, suicide attempt, death wish and deliberate self-harm in adolescent population of two schools in Delhi. Clinical implications of these findings are discussed.
Key wordsSuicidal ideation Suicide attempt Adolescents
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- 5.Kar NM, Choudhury P. Characteristics of suicidal behaviour by adolescents. Paper presented at the 49th Annual National Conference of the Indian Psychiatric Society 1997.Google Scholar
- 6.Jayaramiah C, Gunde R, Reddy V. Attempted suicide among young. Paper presented at the 49th Annual National Conference of the Indian Psychiatric Society 1999.Google Scholar
- 7.Kar NM, Swain AK, Naik, M.S, Dash PS. Suicide and attempted suicide in children and adolescents-some observations. Paper presented at the 52nd Annual National Conference of the Indian Psychiatric Society 2000.Google Scholar
- 8.Kar NM, Pursty GS, Mohapatra BN, Swain AK, Pattnaik P. Suicide attempts in adolescents-affective and cognitive predictors of precipitation. Paper presented at the 54th Annual National Conference of the Indian Psychiatric Society 20002.Google Scholar
- 9.Sinha AKP, Singh RP. The Adjustment Inventory for School Students (AISS). Agra. National Psychological Corporation 1993.Google Scholar
- 10.Brenner ND, Collins J, Kann L. Reliability of the YRBS.Am J Epidemiol 1995; 141: 575–580.Google Scholar
- 13.Centre for Disease Control and Prevention. YRBSS: Youth Online: comprehensive results. [online] 2003. Available: http:/ /apps.nccd.cdc.gov/yrbss/index.asp.Google Scholar
- 19.Kumar CTS, Chandrasekaran R. A study of psychosocial and clinical factors associated with adolescent suicide attempts.Indian J Psychiatry 2000; 42(3): 237–242.Google Scholar
- 20.Singh K, Jain NR, Khullar BMR. A study of suicide in Delhi state.Indian J Psychiatry 1971; 57(11): 412–419.Google Scholar
- 21.Guptal SC, Singh H. Psychiatric illness in suicide attempters.Indian J Psychiatry 1981; 23(1): 69–74.Google Scholar
- 22.Dubow EF, Kausch DF, Blum MC, Reed J. Correlates of suicidal ideation and attempts in a community sample of junior high school students.J Consult Clin Psychol 1989; 18: 158–166.Google Scholar