Prevalence of suicide ideation and its pattern among college students of the tribal region of Central India

Background: Globally, suicide is the second leading cause of death among adolescents. Suicide evolves from suicide ideation (SI) to planning of suicide and finally attempting suicide. Understanding the pattern of suicidal ideation is crucial for preventing suicidal acts. Objective: The objective of the study was to study the prevalence of SI and its pattern among college students of Gondia city in tribal region of central India. Materials and Methods: A descriptive cross-sectional study was conducted after approval from the Institutional Ethics Committee. Respondents were students of colleges in Gondia city in tribal areas of Maharashtra. A total of 214 students responded. The questionnaire was developed by contextual modification of SI scale. All categorical variables were expressed in percentage with 95% confidence interval. Quantitative variables were expressed in mean and standard deviation. Results: The majority of participants were undergraduate with mean age of 18.6 (±2) years, female and Hindu. The prevalence of SI was ranging from 3.74% to 13.08%. “I feel life is not just worth living” was the most common thought reported. Among those who had SIs, 13 (46.43%) had SI at least once a year and 15 (53.57%) had expressed that they do not have control over their suicidal ideations. There were 5 (17.86%) out of the study participants having SI who have made attempt to suicide. None of the participants had approached for any professional help for SI. Conclusion: SI is significantly prevalent among college students. They have varied frequencies of thought with no control over them. Self-perceived depression being the most common cause of SI reported by participants.

The Association between Low Back Pain and Mental Health in Korean Adults Over the Age of 50: Korean National Health and Nutrition Examination Survey, 2013

BACKGROUND: Lower back pain (LBP) is the most common musculoskeletal disease in adults over the age of 50. LBP is associated with physical activity and mental health such as depression or suicidal thoughts. We aimed to analyze the association between LBP and mental health and that between physical activity and depressive mood in LBP patients among Korean adults over the age of 50.METHODS: We included 2,681 adults in the analysis, who participated in the 2013 Korean National Health and Nutrition Examination Survey, and used a t-test, logistic regression analysis, and chi-squared test via complex sampling. We analyzed the association between LBP and mental health, various kinds of physical activity, and depressive mood after adjusting for confounding factors.RESULTS: Poor mental health (perception of stress, diagnosis of depression, depressive mood, suicidal thoughts, and suicide attempts) were significantly associated with LBP. The LBP group was 2.077 times more likely to be diagnosed with depression and was 4.666 times more likely to have suicidal thoughts than the control group. Exercise, such as walking, was associated with a reduced risk of depressive mood in subjects with LBP.CONCLUSION: LBP patients were at high risk of being diagnosed with depression, experiencing suicidal thoughts and depressive mood, and attempting suicide. In LBP patients, walking was associated with a reduced depressive mood.

A comparative study on protective factors, mental health and violence among male adolescents students of urban and rural school of Udaipur (Rajasthan), India.

Background: Objective of this study is to compare the prevalence of protective factors, mental health issues, and violence among the urban and rural adolescents. Methods: A cross-sectional, descriptive study of two months duration was conducted among 280 male students of classes 9th and 10th of one urban and one rural school of Udaipur district of Rajasthan after taking prior permission and consent using a self-administered questionnaire. Results: Significant observation was identified (p value < 0.0001) for missed classes among urban students than rural student (91.88% v/s 41.67%). Parents of urban students are more concerned for their homework (66.25% v/s 59.17%), problems and worries (63.75% v/s 58.33%), and activities in free time (53.75% v/s 49.17%). Mental health issues like loneliness (13.13% v/s 10.00%), worry (13.75% v/s 10.83%), and suicidal thoughts (9.30% v/s 6.60%) were higher among urban students but not significant. Issues on violence and bullying like physical fight (53.75% v/s 24.17%), bullying (43.15% v/s 15.0%), physical attack by family members (43.13% v/s 15.83%), and by teachers (51.25% v/s 11.67%) were significantly higher in urban adolescents (p value < 0.0001). Conclusions: Mental health and violence-related issues were prevalent more among urban students than those among rural students in spite of having more protective factors and parents concern suggesting the need of frequent supervision, counselling, monitoring and support of adolescents.

A Study on the Patients with Hansen's Disease who Experienced Suicidal Urge and Overcame Suicide / 나학회지

This research analyzed the structural dynamics about neglected and isolated patients with Hansen's disease who experienced suicidal urge and overcame suicide. The research found the way to prevent them from killing themselves by searching what triggered the suicidal urge and how they got over the temptation. The participants were 6 members who lived in the group home. They had been excluded from the community and their family. They were trafficked for forced labor from their group home. This experience had caused suicidal urge before they came to the group home. To know how they overcame suicidal urge, they were interviewed by using semi-structured opened ended questions. According to the interview, there are four reasons that stopped the suicidal urge. The participants said that the first reason to stop thinking about death is the belief. This is a reliance on almighty God. Because the place where they live together is run by the Catholic Foundation, the community spirit and their belief are thought as the particular reason. Second, they got an economical and emotional support from their group home. Their group home provided food, clothing, and shelter, which were never provided from their family and society. By living together with other patients, they strengthened their emotional relationship and made a new social community. Next, they were getting generous when they belonged here. They accepted social prejudice without confronting unreasonable issues. Last, they changed their aim of life. They decided to live happily for good. They thought it could be the only way to take revenge to people who ignored and excluded them from the society. That is, they found the certain goal of their life by making new social relationship from the group home which could be called their real home. Also, they were helping one another in their community in various ways. As a result, this facility provided emotional and financial support and cooperating systems to people who were living together. From the investigation going along, social relationship is thought as the main factor of overcoming suicide. So, it is necessary to build social relationship to interact with other people who are in the same oven. It is also important to make well established motional and financial support from the society. On the basis of data furnished by this research, it is essential to develop infrastructure for overcoming suicide of the neglected people beside patients with Hansen's disease.

Mental health, protective factors and violence among male adolescents: A comparison between urban and rural school students in West Bengal.

A cross-sectional study was conducted among 199 (104 urban, 95 rural) male students of classes VIII and IX, of two schools, in urban and rural areas of West Bengal to compare the prevalence of protective factors, mental health issues, and violence among the urban and rural adolescents using a self-administered questionnaire. Higher proportion of urban students than rural (67.3% vs. 62.5%) reported that their guardians understood their problems. Mental health issues like loneliness (17.3% vs. 9.8%), worry (17.3% vs. 10.7%), and suicidal thoughts (19.2% vs. 14.1%) were higher among urban students. Physical fight (53.8% vs. 11.6%), bullying (46.4% vs. 17%), physical attack by family members (46% vs. 17%), and by teachers (53% vs. 10.7%) were all more in urban adolescents. Mental health- and violence-related issues were prevalent more among urban students than those among rural students in spite of having more protective factors suggesting the need of frequent supervision, monitoring, and support of adolescents.

Burnout e pensamentos suicidas em médicos residentes de hospital universitário / Burnout and suicidal thoughts in medical residents at a university hospital

Este estudo objetivou descrever e analisar a prevalência de burnout e pensamentos suicidas em médicos residentes de um hospital público de Goiânia e verificar se há correlação entre os dois. Foi realizada uma investigação por meio de um estudo analítico-descritivo em corte transversal em 72 residentes através do MBI (Malasch Burnout Inventory) e do questionário de suicídio de Paykel. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade Federal de Goiás sob o Parecer nº 052/2009. Resultados indicam a prevalência de burnout em 18,05% da amostra. Dentre os 13 sujeitos com manifestação de burnout, 61,53% já apresentaram pensamentos suicidas. Dentre os 42 sujeitos com baixo risco para manifestação de burnout, 28,57% já apresentaram pensamentos suicidas. Evidenciou-se correlação entre burnout e pensamentos suicidas, o que torna preciso elaborar programas de prevenção do burnout. Pesquisas nesta área são necessárias para a compreensão do burnout e sua correlação com pensamentos suicidas e outros distúrbios psiquiátricos.

This study aimed to analyze the prevalence of burnout and suicidal thoughts in residents of a public hospital in Goiania and to verify if there is any correlation between the two. An investigation was conducted using an analytic-descriptive cross-sectional study among 72 residents using the MBI (Malasch Burnout Inventory) and the Paykel's suicide questionnaire. This study was approved by the Ethics Committee of the Hospital das Clínicas of GoiásFederal University, under registration number 052/2009. The results show the prevalence of burnout in 18.05% of the sample. Among the 13 subjects who displayed 'burnout', 61.53% have had suicidal thoughts. Among the other 42 with low risk for manifestation of 'burnout', 28.57% have had suicidal thoughts. This study revealed a correlation between 'burnout' and suicidal thoughts, making it necessary to draw up burnout prevention programs. Research hasbecome necessary for the understanding of burnout and its correlation tosuicidal thoughts and other psychiatric disorders.