Abstract
Abstract.Background: Suicide and attempted suicide are a serious but under-explored public health problem in Bangladesh. Survey estimates suggest that Jhenaidah District, one of the 64 districts that make up Bangladesh, is one of the highest suicide-prone regions in Bangladesh. Relatively little is known about the magnitude of suicide attempts in the district. Aims: This article describes the incidence of suicide and suicide attempts for Jhenaidah, Bangladesh for the period 2010–2018. Method: Primary descriptive analysis was performed on routine data collected by a Bangladesh-based nongovernment organization (NGO): Societies for Voluntary Activities (SOVA). Results: A total of 22,675 suicide attempts and 3,152 suicides occurred in the district. The rate of suicide attempts was found to be 136.35/100,000 and the suicide rate was found to be 20.6/100,000 in Jhenaidah. The subdistrict Sadar had the highest incidence of suicide attempt (38.09%) and suicide (33.47%). Poisoning was the most common method of suicide attempt for both males (77.07%) and females (77%). Limitations: Many cases of suicide attempts and suicide are unreported in Bangladesh owing to stigmatization; only reported cases form part of this investigation. Conclusion: Jhenaidah has very high rates of suicide and suicide attempts that surpass the global and Bangladesh averages. Although females demonstrate higher suicide rates, male suicide rates have gradually increased over the study period. Future studies are called for to better understand the local patterns and dynamics of fatal and nonfatal suicidal behaviors. Developing a sub-district-, district-, and national-level suicide prevention strategy ought to be considered a priority.
References
(2004). Violent deaths among women of reproductive age in rural Bangladesh. Social Science and Medicine, 59(2), 311–319. 10.1016/j.socscimed.2004.01.020
(2008). Methods of suicide: International suicide patterns derived from the WHO mortality database, 043489 (June). Retrieved from 10.2471/BLT.07.043489
(2017). Fatal and non-fatal injury outcomes: Results from a purposively sampled census of seven rural subdistricts in Bangladesh. The Lancet Global Health, 5(8), e818–e827. 10.1016/S2214-109X(17)30244-9
(2019a). Females are dying more than males by suicide in Bangladesh. Asian Journal of Psychiatry, 40, 124–125. 10.1016/j.ajp.2018.10.014
(2019b). Current challenges of suicide and future directions of management in Bangladesh: A systematic review. Global Psychiatry, 2(1), 1–12. 10.2478/gp-2019-0001
(2018). Demography and risk factors of suicidal behavior in Bangladesh: A retrospective online news content analysis. Asian Journal of Psychiatry, 36(July), 96–99. 10.1016/j.ajp.2018.07.008
(2018). Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health, 15(7), 1425. 10.3390/ijerph15071425
(2017). High rates of suicide and violence in the lives of girls and young women in Bangladesh: Issues for feminist intervention. Social Sciences, 6(4), 140. 10.3390/socsci6040140
. (2015). Population and housing census 2011: Community Report Jhenaidah. Retrieved from http://203.112.218.65:8008/WebTestApplication/userfiles/Image/PopCenZilz2011/Zila_JENAIDAH.pdf
. (2016). Report on violence against women (VAW) survey 2015. Dhaka, Bangladesh: Author.
(2017). Suicidal death due to hanging. Delta Medical College Journal, 5(2), 89–93. 10.3329/dmcj.v5i2.33347
(2018). Bans of WHO class I pesticides in Bangladesh-suicide prevention without hampering agricultural output. International Journal of Epidemiology, 47(1), 175–184. 10.1093/ije/dyx157
(2012). A community survey on the prevalence of suicidal attempts and deaths in a selected rural area of Bangladesh. Journal of Medicine, 13(1), 3–9. 10.3329/jom.v13i1.10042
(2005). Women's productive role and marital violence in Bangladesh. Journal of Family Violence, 20(3), 181–189. 10.1177/088626000015008001
(2009). Suicide. Lancet, 373(9672), 1372–1381. 10.1016/S0140-6736(09)60372-X
(2014). Suicide in South Asia: A scooping review. BMC Psychiatry, 14, 358. 10.1186/s12888-014-0358-9
(2017). Preventing deaths from pesticide self-poisoning – learning from Sri Lanka's remarkable success. The Lancet Global Health, e651–52. 10.1016/S2214-109X(17)30208-5
(2014). Suicidal behaviour across the African continent: A review of the literature. BMC Public Health, 14(1), 1–14. 10.1186/1471-2458-14-606
(2013). Suicide kills more than 10,000 people every year in Bangladesh. Archives of Suicide Research, 17, 387–396. 10alam.1080/13811118.2013.801809
(2015). ASSIP — Attempted suicide short intervention program: A manual for clinicians. Boston, MA: Hogrefe Publishing. 10.1027/00476-000
(2008). Spousal violence against women and suicidal ideation in Bangladesh. Women's Health Issues, 18(4), 442–452. 10.1016/j.whi.2008.07.003
(2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133–154. 10.1093/epirev/mxn002
(2015). Fight against suicide. Journal of Enam Medical College, 5(1), 4–5. 10.3329/jemc.v5i1.21490
(2013). Risk factors of suicide and para suicide in rural Bangladesh. Journal of Medicine, 14, 123–129. 10.3329/jom.v14i2.19653
(2017). The burden of suicide in rural Bangladesh: Magnitude and risk factors. International Journal of Environmental Research and Public Health, 14(9), 1032. 10.3390/ijerph14091032
(2017). Demography and risk factors of suicide in Bangladesh: A six-month paper content analysis. Psychiatry Journal, 1–5. 10.1155/2017/3047025
(2017). Suicidal behaviour in Bangladesh: A scoping literature review and a proposed public health prevention model. Open Journal of Social Sciences, 5, 254–282. 10.4236/jss.2017.57016
(in press). Pesticide exposures towards health and environmental hazard in Bangladesh: A case study on farmers' perception. Journal of the Saudi Society of Agricultural Sciences. 10.1016/j.jssas.2018.08.0
(2019). Use of facebook for developing suicide database in Bangladesh. Asian Journal of Psychiatry, 39, 110–111. 10.1016/j.ajp.2018.12.017
(2011). Gender differentiation in methods of suicide attempts. Medical Science Monitor, 17(8), 65–70. 10.12659%2FMSM.881887
. (2014). Preventing suicide: A global imperative. Retrieved from http://apps.who.int/iris/bitstream/10665/131056/8/9789241564878_eng.pdf?ua=1&ua=1
. (2018a). World health statistics 2018: Monitoring health for the SDGs. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1
. (2018b). Global health estimates. Retrieved from http://www.who.int/healthinfo/global_burden_disease/en/
. (2019). Suicide mortality rate (per 100,000 population). Retrieved from https://data.worldbank.org/indicator/SH.STA.SUIC.P5
(2012). Suicide methods in Asia: Implications in suicide prevention. International Journal of Environmental Research and Public Health, 9(4), 1135–1158. 10.3390/ijerph9041135
