The British Journal of Psychiatry · 2008 · 137 citations · 20 references
MedicineHealth SciencesPsychiatryBehavioral HealthMental Health CareSuicide PreventionDepressive DisordersMental HealthMental IllnessPsychiatric EpidemiologySuicide Prevention In Primary CareSuicide Risk AssessmentCase-control Study DesignCurrent Marital StatusLife Events StressLogistic RegressionPredictors Of Suicide RiskStressful ExperienceSuicide EpidemiologyUnivariate Analysis
BACKGROUND: In recent years suicide has become a major public health problem in Pakistan. AIMS: To identify major risk factors associated with suicides in Karachi, Pakistan. METHOD: A matched case-control psychological autopsy study. Interviews were conducted for 100 consecutive suicides, which were matched for age, gender and area of residence with 100 living controls. RESULTS: Both univariate analysis and conditional logistic regression model results indicate that predictors of suicides in Pakistan are psychiatric disorders (especially depression), marital status (being married), unemployment, and negative and stressful life events. Only a few individuals were receiving treatment at the time of suicide. None of the victims had been in contact with a health professional in the month before suicide. CONCLUSIONS: Suicide in Pakistan is strongly associated with depression, which is under-recognised and under-treated. The absence of an effective primary healthcare system in which mental health could be integrated poses unique challenges for suicide prevention in Pakistan.
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Risk factors for suicide in China: a national case-control psychological autopsy study
Michael R. Phillips, Gonghuan Yang, Yanping Zhang et al. · The Lancet · 2002 · 939 citations
Methodological aspects of life events research
E. S. Paykel · Journal of Psychosomatic Research · 1983 · 411 citations