Suicide and attempted suicide in Suriname: the case of Nickerie. Epidemiology and intent

Suicide and attempted suicide in Suriname: the case of Nickerie. Epidemiology and intent

Category

Social sciences

Available online

7 Oct 2016

Found in Edition

2016, volume 7, 628-642

Format

Full-length paper
Background: In the past 15 years, the suicide rate for Suriname almost doubled. The more agricultural districts show the higher rates. Research in the district Nickerie concerning the years 2000-2004 revealed the highest rates of suicide and attempted suicide. Aims: To present a general overview of suicide prevalence data for Suriname, as well as to provide more detailed follow-up data on suicide rates and characteristics of suicidal behaviour in Nickerie, covering the years 2000-2012. Method: Descriptive exploratory and epidemiological research on national data, specified for Nickerie. As in 2000-2004, from 2004 to 2012 Nickerie police and hospital registries were studied suicide: N=161, attempted suicide: N=646. In addition, a sample N=348 of patients was interviewed about their motives for attempted suicide, using the Suicide Intent Scale SIS. Results: The national suicide rate doubled since 2000, far beyond the world average and seems to flatten towards a rate of 27. The suicide rate in Nickerie was high 47/100 000. Unlike the increasing national rate, the Nickerie prevalence rate was fairly stable. For suicide, men were particularly at risk. The male - female ratio was 3:1. Most vulnerable was the East-Asian community. Admissions to the two Emergency Wards in Suriname confirm the overrepresentation of the East Asians in attempted suicide. Pesticide intoxication accounts for more than half of all suicidal behaviours. Data from Nickerie show that most suicide attempts are impulsive actions. Suicidal intent is low to medium. Women attempting suicide score higher on suicidal intent than men. Conclusions: Compared to the results from previous research, both suicide and attempted suicide rates remain on a very high level. The implications of the study for policy and intervention are discussed.

Subject

Suicide

Keywords

suicide, suicide attempt, suicidal behaviour, pesticides, Suriname

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ABOUT THE AUTHORS

Tobi Graafsma (6)

Professor in clinical psychology, Institute for Graduate Studies and Research, Anton de Kom Universiteit van Suriname, Paramaribo, Suriname

K. Westra (1)

Department of Clinical Psychology, Vrije Universiteit Amsterdam

A. Kerkhof (1)

Department of Clinical Psychology, Vrije Universiteit Amsterdam
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