A comparative analysis of suicide and parasuicide.

A prospective study was conducted to analyse the spectrum of suicide attempters and completers at Kasturba Hospital, Manipal, India, over a period of three years (January 2001 to December 2004). The present study comprised a total sample population of 246 cases, of whom 90 died and 156 survived the attempt (1:1.73). Men outnumbered women in the deceased group and women surpassed men in the survivor group. The mean age for the deceased group was 42 years compared with 30 years for the survivor group. Prior attempted suicide in the deceased group was 6.6%. Eighty-three percent of the total population studied opted for 'chemical methods', where insecticides topped the list (64.6%) in both the deceased and the survivor group. Among those who preferred 'physical methods', 50% died and 50% survived. In the current study, 17% of the subjects had received a psychiatric consultation, of whom 91.3% were diagnosed in the spectrum of 'depressive disorders.' Knowledge about the legalities of suicide was lacking in 65% of victims and their kin.