Volume 08 Issue 04 April 2025
1Prajeesh B Pious, 2Prof. R Nalini, Professor, 3Vijayalakshmi
1PhD Scholar Department of Social Work, Pondicherry University, Puducherry
2Department of Social Work, Pondicherry University, Puducherry
3Sanvi educational and charitable trust, Tavala kuppam, Puducherry
DOI : https://doi.org/10.47191/ijsshr/v8-i4-02Google Scholar Download Pdf
ABSTRACT
Suicide has many underlying causes. This research sought to investigate the experiences of suicide and gain understanding of suicide methods through secondary data of a specific village.
Methods: This qualitative study explores the experiences of suicide in a specific village between December 2011 and October 2021. After obtaining consent, the in-depth interview explored participants' experiences, needs, and concerns. Purposive sampling method was used for selecting respondents (n=5). The secondary data collected from Sanvi NGO, Puducherry, from December 2011 to October 2021, suicide deaths in a village in Puducherry.
Results: Identified three themes: reaction to a suicide attempt (sub-theme: shock), mental changes after Suicide (sub-themes: Internal conflict, guilt, and suicidal ideation), and social changes after Suicide (sub-themes: social support services, stigma, and financial problems). Secondary data information on 146 suicide deaths was available, 105 were male, and 41 were female. Hanging cases are more prevalent in the village, followed by consumption of poison and self-immolation.
Conclusion: The maladaptive behaviour as a result of substance abuse leads to significant social impairment or persistent interpersonal problems, domestic violence, and arguments with spouse. In rural settings, fostering a supportive family environment, capacity building training as part of the Gram panchayat development plan, and involving the community through trained volunteers, such as ASHA workers, can be adopted.
Suicide prevention, Stigma, Community mental health, Substance abuse
REFERENCES1) Amiri, S., & Behnezhad, S. (2020). Alcohol use and risk of suicide: A systematic review and Meta-analysis. Journal of Addictive Diseases, 38(2), 200–213. https://doi.org/10.1080/10550887.2020.1736757
2) Arikrishnan, K., Krishnamoorthy, Y., Sarveswaran, G., Majella, M. G., L, D., Swapna, B., & Chinnakali, P. (2021). Prevalence and predictors of positive mental health among adolescents in rural Puducherry, South India. International Journal of Adolescent Medicine and Health, 33(3), 151–156. https://doi.org/10.1515/ijamh-2018-0205
3) Caldwell, T. M., Jorm, A. F., & Dear, K. B. G. (2004). Suicide and mental health in rural, remote and metropolitan areas in Australia. Medical Journal of Australia, 181(S7), 10–14. https://doi.org/10.5694/j.1326-5377.2004.tb06348.x
4) Campbell, E., & Guiao, I. (2004). MUSLIM CULTURE AND FEMALE SELF-IMMOLATION: IMPLICATIONS FOR GLOBAL WOMEN’S HEALTH RESEARCH AND PRACTICE. Health Care for Women International, 25(9), 782–793. https://doi.org/10.1080/07399330490503159
5) Cerel, J., Maple, M., Van De Venne, J., Moore, M., Flaherty, C., & Brown, M. (2016). Exposure to Suicide in the Community: Prevalence and Correlates in One U.S. State. Public Health Reports®, 131(1), 100–107. https://doi.org/10.1177/003335491613100116
6) Chen, J., Lui, I. D., Hsu, Y. C., & Yip, P. S. F. (2024). Patterns in suicide by marital status in Hong Kong, 2002–2020: Is marriage still a protective factor against suicide? Journal of Affective Disorders, 346, 31–39. https://doi.org/10.1016/j.jad.2023.10.100
7) Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for Adolescent Mental Health: An Overview of Systematic Reviews. Journal of Adolescent Health, 59(4), S49–S60. https://doi.org/10.1016/j.jadohealth.2016.06.020
8) Datta, S. S., Kanna, R. R., Rangaswamy, S., & S., R. (2017). An epidemiological study into risk factors of suicidal ideation and attempt among young and adult population in rural Pondicherry, India. International Journal Of Community Medicine And Public Health, 4(3), 803. https://doi.org/10.18203/2394-6040.ijcmph20170762
9) Kamalja, K. K., & Khangar, N. V. (2017). A statistical study of suicidal behavior of Indians. Egyptian Journal of Forensic Sciences, 7(1), 12. https://doi.org/10.1186/s41935-017-0007-9
10) Mathiyazhagan, S., Kulandai Raj, F., Fitrianingsih, K., Raja, V., & Mayom, D. (2023). Addressing Socioeconomic Determinants of Youth Suicidal Ideation: Lessons from a Youth Development Approach in India. Community Mental Health Journal. https://doi.org/10.1007/s10597-023-01177-z
11) Ministry of Health and Family Welfare. (2021). National Family Health Survey (NFHS)-5. Government of India. https://mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf
12) Raj, S., Ghosh, D., & Verma, S. K. (2024). Exploring community perceptions on underreporting of suicide in Indian rural settings from psychosocial and cultural perspective. Mental Health & Prevention, 34, 200343. https://doi.org/10.1016/j.mhp.2024.200343
13) Rajan, V., Saya, G. K., Menon, V., & Raghavan, B. (2024). Prevalence of Depressive Symptoms and Its Association with Religiosity and Spiritual Intelligence Among Adults in Rural Puducherry, India: A Community-Based Study. Journal of Religion and Health. https://doi.org/10.1007/s10943-024-02063-y
14) Ramanan, Vv., & Singh, S. (2016). A study on alcohol use and its related health and social problems in rural Puducherry, India. Journal of Family Medicine and Primary Care, 5(4), 804. https://doi.org/10.4103/2249-4863.201175
15) Sheehan, L., Corrigan, P. W., Al-Khouja, M. A., Lewy, S. A., Major, D. R., Mead, J., Redmon, M., Rubey, C. T., & Weber, S. (2018). Behind Closed Doors: The Stigma of Suicide Loss Survivors. OMEGA - Journal of Death and Dying, 77(4), 330–349. https://doi.org/10.1177/0030222816674215
16) Shidhaye, R. (2021). Parenting and adolescent suicidal behavior. EClinicalMedicine, 32, 100728. https://doi.org/10.1016/j.eclinm.2021.100728
17) Siriwardhana, P., Dawson, A. H., & Abeyasinge, R. (2013). Acceptability and Effect of a Community-Based Alcohol Education Program in Rural Sri Lanka. Alcohol and Alcoholism, 48(2), 250–256. https://doi.org/10.1093/alcalc/ags116
18) Sujiv, A., Chinnakali, P., Balajee, K., Lakshminarayanan, S., Kumar, Sg., & Roy, G. (2015). Alcohol use and alcohol use disorder among male outpatients in a primary care setting in rural Puducherry. Industrial Psychiatry Journal, 24(2), 135. https://doi.org/10.4103/0972-6748.181711
19) Tal Young, I., Iglewicz, A., Glorioso, D., Lanouette, N., Seay, K., Ilapakurti, M., & Zisook, S. (2012). Suicide bereavement and complicated grief. Dialogues in Clinical Neuroscience, 14(2), 177–186. https://doi.org/10.31887/DCNS.2012.14.2/iyoung
20) Wan, G. W. Y., & Leung, P. W. L. (2010). Factors accounting for youth suicide attempt in Hong Kong: A model building. Journal of Adolescence, 33(5), 575–582. https://doi.org/10.1016/j.adolescence.2009.12.007
21) Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020). Adaptation of evidence‐based suicide prevention strategies during and after the COVID ‐19 pandemic. World Psychiatry, 19(3), 294–306. https://doi.org/10.1002/wps.20801
22) Wasserman, D., & Värnik, A. (1998). Suicide‐preventive effects of perestroika in the former USSR: The role of alcohol restriction. Acta Psychiatrica Scandinavica, 98(S394), 1–4. https://doi.org/10.1111/j.1600-0447.1998.tb10758.x
23) Weiss, M. G., & Parkar, S. R. (2020). Facets of clinical stigma after attempted suicide in Mumbai, India. Anthropology & Medicine, 27(2), 212–233. https://doi.org/10.1080/13648470.2019.1640025
24) Xuan, Z., Naimi, T. S., Kaplan, M. S., Bagge, C. L., Few, L. R., Maisto, S., Saitz, R., & Freeman, R. (2016). Alcohol Policies and Suicide: A Review of the Literature. Alcoholism: Clinical and Experimental Research, 40(10), 2043–2055. https://doi.org/10.1111/acer.13203
25) Yadav, S., K K, A., Cunningham, S. A., Bhandari, P., Mishra, U. S., Aditi, A., & Yadav, R. (2023). Changing pattern of suicide deaths in India. The Lancet Regional Health - Southeast Asia, 16, 100265. https://doi.org/10.1016/j.lansea.2023.100265