Indian Journal of Public Health

LETTER TO THE EDITOR
Year
: 2013  |  Volume : 57  |  Issue : 4  |  Page : 282--283

Author's reply


Harshal Salve1, Rakesh Kumar2, Smita Sinha2, Anand Krishnan3,  
1 Senior Resident, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Indian Coalition for Control of Iodine Deficiency Disorders (ICCIDD), New Delhi, India
3 Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Harshal Salve
Senior Resident, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi
India




How to cite this article:
Salve H, Kumar R, Sinha S, Krishnan A. Author's reply.Indian J Public Health 2013;57:282-283


How to cite this URL:
Salve H, Kumar R, Sinha S, Krishnan A. Author's reply. Indian J Public Health [serial online] 2013 [cited 2019 Oct 20 ];57:282-283
Available from: http://www.ijph.in/text.asp?2013/57/4/282/123250


Full Text

Sir,

We appreciate your comments on our article titled "Suicide an Emerging Public Health Problem: Evidence from Rural Haryana". [1]

In this study, we analyzed the data on suicidal deaths obtained from routine demographic and mortality surveillance in the study area. Mortality surveillance was a routine process in which monthly information was entered into the data base. [2] Though mortality surveillance in the study area was carried out by trained health workers with the help of validated verbal autopsy tool, suicide as cause of death might be under-reported due to attached social stigma with it. Retrieval of the data from this database was operator independent and hence seasonal trends in mortality rates could be studied with greater confidence from this database.

This study observed higher suicidal rates in males as compared to females. This is well documented in various studies in India. [3],[4] Also, suicide rates observed among male to female are comparable to suicide rates in rural region reported in nationwide survey. [5] This study also attributed suicides to mental stress. Authors thought that this was not due to agricultural worries as this part of the country has very fertile land with ample amount of rain throughout the year. Though female predominance in self harm compared with completed suicide was documented in various studies, to determine this association was out of the scope of this study.

There is a scope to further explore causes of non-agriculture related suicides. Nonetheless, addressing this high burden of suicide by providing mental health services at community level is also important.

References

1Salve H, Kumar R, Sinha S, Krishnan A. Suicide an emerging public health problem: Evidence from rural Haryana, India. Indian J Public Health 2013;57:40-2.
2Kant S, Misra P, Gupta S, Goswami K, Krishnan A, Nongkynrih B, et al. The Ballabgarh Health and Demographic Surveillance System (CRHSP-AIIMS). Int J Epidemiol 2013;42:758-68.
3Chavan BS, Singh GP, Kaur J, Kochar R. Psychological autopsy of 101 suicide cases from northwest region of India. Indian J Psychiatry 2008;50:34-8.
4Ponnudurai R, Jeyakar J. Suicide in madras. Indian J Psychiatry 1980;22:203-5.
5Patel V, Ramasundarahettige C, Vijayakumar L, Thakur JS, Gajalakshmi V, Gururaj G, et al. Suicide mortality in India: A nationally representative survey. Lancet 2012;379:2343-51.