The Burden of Suicide in Rural Bangladesh: Magnitude and Risk Factors

Article


Salam, Shumona Sharmin, Alonge, Olakunle, Islam, Md Irteja, Hoque, Dewan Md Emdadul, Wadhwaniya, Shirin, Baset, Md Kamran Ul, Mashreky, Saidur Rahman and El-Arifeen, Shams. 2017. "The Burden of Suicide in Rural Bangladesh: Magnitude and Risk Factors ." International Journal of Environmental Research and Public Health. 14 (9). https://doi.org/10.3390/ijerph14091032
Article Title

The Burden of Suicide in Rural Bangladesh: Magnitude and Risk Factors

ERA Journal ID44293
Article CategoryArticle
AuthorsSalam, Shumona Sharmin, Alonge, Olakunle, Islam, Md Irteja, Hoque, Dewan Md Emdadul, Wadhwaniya, Shirin, Baset, Md Kamran Ul, Mashreky, Saidur Rahman and El-Arifeen, Shams
Journal TitleInternational Journal of Environmental Research and Public Health
Journal Citation14 (9)
Article Number1032
Number of Pages16
Year2017
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN1660-4601
1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph14091032
Web Address (URL)https://www.mdpi.com/1660-4601/14/9/1032
Abstract

The aim of the paper is to quantify the burden and risk factors of fatal and non-fatal suicidal behaviors in rural Bangladesh. A census was carried out in seven sub-districts encompassing 1.16 million people. Face-to-face interviews were conducted at the household level. Descriptive analyses were done to quantify the burden and Poisson regression was run to determine on risk factors. The estimated rates of fatal and non-fatal suicide were 3.29 and 9.86 per 100,000 person years (PY) observed, respectively. The risk of suicide was significantly higher by 6.31 times among 15-17 and 4.04 times among 18-24 olds compared to 25-64 years old. Married adolescents were 22 times more likely to commit suicide compared to never-married people. Compared to Chandpur/Comilla district, the risk of suicide was significantly higher in Narshingdi. Students had significantly lower risk of non-fatal suicidal behavior compared to skilled laborers. The risk of non-fatal suicidal behavior was lower in Sherpur compared to Chandpur/Comilla. Among adolescents, unskilled laborers were 16 times more likely to attempt suicide than students. The common methods for fatal and non-fatal suicidal behaviors were hanging and poisoning. Suicide is a major public health problem in Bangladesh that needs to be addressed with targeted interventions.

KeywordsAttempted suicide; Bangladesh; Burden; Injury; Risk factors; Rural; Suicide; Violence
ANZSRC Field of Research 20204206. Public health
PubMed ID28891939
Byline AffiliationsInternational Centre for Diarrhoeal Disease Research (ICDDR), Bangladesh
Johns Hopkins Bloomberg School of Public Health, United States
Center for Injury Prevention and Research (CIPRB), Bangladesh
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