| Titre : | Why women attempt suicide : the role of mental illness and social disadvantage in a community cohort study in India. (2008) |
| Auteurs : | MASELKO (J.) : USA. Department of Public Health. Temple University. Philadelphia. PA. ; PATEL (V.) : GBR. London School of Hygiene & Tropical Medicine. London. |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 62, n° 9, 2008) |
| Pagination : | 817-822 |
| Langues: | Anglais |
| Mots-clés : | Tentative suicide ; Femme ; Homme ; Psychopathologie ; Inconvénient ; Communauté ; Inde ; Asie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS oEm8oR0x. Diffusion soumise à autorisation]. Context : The relative importance of illness (physical and mental) and social disadvantage as risk factors for suicide is controversial. Objectives : To describe the risk for attempted suicide in women when it is associated with social disadvantage and physical and mental illness. Methods : Data were analysed from a population-based cohort study of women aged 18-50, in Goa, India (n=2494). Baseline information was collected on socioeconomic factors, gender disadvantage and physical and mental illness. The main outcome was self-report attempted suicide (AS) over a 12-month study period. ORs were calculated using exact logistic regression. Results : One-year incidence of AS was 0.8% (n=18+1 completed suicide) and seven of these women had baseline common mental disorders (CMDs) (37%). In unadjusted models, CMDs (OR 8.71,95% Cl 2.86 to 24.43), exposure to violence (OR 7.70,95% Cl 2.80 to 22.21) and recent hunger (OR 6.59,95% Cl 1.83 to 19.77) were the strongest predictors of incident AS cases. However, in a multivariate model, exposure to violence (OR 5.18,95% Cl 1.55 to 18.75) and physical illness (OR 3.77,95% Cl 1.05 to 12.37) emerged as independent predictors of AS. Conclusions : Multi-pronged strategies to reduce domestic violence, provide poverty relief and improve treatment of mental and physical disorders are needed to reduce the population burden of attempted suicide. |
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