Evidence map›Paper›PMID 28856382›Full record

ArticleSocial psychiatry and psychiatric epidemiology2017

Suicide in Nepal: a modified psychological autopsy investigation from randomly selected police cases between 2013 and 2015.

Ashley K Hagaman, S Khadka, S Lohani, B Kohrt

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Studying Scripts of Women, Men and Suicide: Qualitative-Method Development and Findings from Nepal.International journal of environmental research and public health · 2023
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  10. Psychological Autopsy Studies of Suicide in South East Asia.Indian journal of psychological medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ashley K HagamanCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. hagamana@gmail.com.ORCID 0000-0002-8016-1036
S KhadkaResearch Department, Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal.
S LohaniNobel College, Pokhara University, Kathmandu, Nepal.
B KohrtDepartment of Psychiatry, George Washington University, Washington, DC, USA.

Funding

POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
Division of Behavioral and Cognitive Sciences 1459811Fulbright Association Student Research ProgramNICHD NIH HHS P2C HD050924NICHD NIH HHS T32 HD007168NIMH NIH HHS K01 MH104310NIMH NIH HHS K01MH104310
6 · The paper itself

Abstract

purposeYearly, 600,000 people complete suicide in low- and middle-income countries, accounting for 75% of the world's burden of suicide mortality. The highest regional rates are in South and East Asia. Nepal has one of the highest suicide rates in the world; however, few investigations exploring patterns surrounding both male and female suicides exist. This study used psychological autopsies to identify common factors, precipitating events, and warning signs in a diverse sample.

methodsRandomly sampled from 302 police case reports over 24 months, psychological autopsies were conducted for 39 completed suicide cases in one urban and one rural region of Nepal.

resultsIn the total police sample (n = 302), 57.0% of deaths were male. Over 40% of deaths were 25 years or younger, including 65% of rural and 50.8% of female suicide deaths. We estimate the crude urban and rural suicide rates to be 16.1 and 22.8 per 100,000, respectively. Within our psychological autopsy sample, 38.5% met criteria for depression and only 23.1% informants believed that the deceased had thoughts of self-harm or suicide before death. Important warning signs include recent geographic migration, alcohol abuse, and family history of suicide.

conclusionsSuicide prevention strategies in Nepal should account for the lack of awareness about suicide risk among family members and early age of suicide completion, especially in rural and female populations. Given the low rates of ideation disclosure to friends and family, educating the general public about other signs of suicide may help prevention efforts in Nepal.

Indexed as

AdultAgedAutopsyDepressionFemaleHumansMaleMiddle AgedNepalPolicePovertyRisk FactorsRural PopulationSuicideUrban PopulationYoung AdultDepressionLow-incomeNepalPsychological autopsySuicide

Identifiers

PMID28856382
PMCPMC5705471

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.