Risk factors for suicide in Bali: a psychological autopsy study

The suicide rate in Bali has significantly increased in recent years. However, to date, there have been no case-control studies investigating risk factors for suicide. A psychological autopsy study was conducted comparing 60 suicide cases and 120 living controls matched in age, sex, and area of resi...

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Bibliographic Details
Published in:BMC public health 2009-09, Vol.9 (1), p.327-327, Article 327
Main Authors: Kurihara, Toshiyuki, Kato, Motoichiro, Reverger, Robert, Tirta, I Gusti Rai
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Distribution
Aged
Aged, 80 and over
Autopsy
Autopsy - statistics & numerical data
Bias
Community
Diagnosis
Female
Health Status Indicators
Hospitals
Humans
India - epidemiology
Interviews
Life Change Events
Logistic Models
Male
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - therapy
Mental illness
Middle Aged
Mortality
Older people
Prevention
Prevention programs
Psychology
Religion
Residence Characteristics
Risk
Risk factors
Sex Distribution
Statistical analysis
Studies
Suicide
Suicide - psychology
Suicide - statistics & numerical data
Suicides & suicide attempts
Young Adult
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Summary:The suicide rate in Bali has significantly increased in recent years. However, to date, there have been no case-control studies investigating risk factors for suicide. A psychological autopsy study was conducted comparing 60 suicide cases and 120 living controls matched in age, sex, and area of residence. Multiple logistic regression analysis identified the following risk factors for suicide: at least one diagnosis of axis-I mental disorder (OR: 14.84 CI: 6.12 - 35.94); low level of religious involvement (OR: 7.24 CI: 2.28 - 22.95); and severe interpersonal problems (OR: 3.86 CI: 1.36 - 11.01). Forty-eight (80.0%) of the suicide cases were diagnosed with mental disorders; however, only 16.7% visited a primary care health professional and none received psychiatric treatment during the 1 month prior to death. Clinical, religious, and psychosocial factors were associated with suicide. These results highlight the significance of early recognition and treatment of mental disorders, religious activities, and interpersonal problem-solving strategies for suicide prevention in Bali.
ISSN:1471-2458
1471-2458
DOI:10.1186/1471-2458-9-327