Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Bias in the Design of Intervention A Challenge to Suicide Prevention in Kerala


Affiliations
1 Clinical Psychologist, Harisree Insitute of Mental Health and Neauro Sciences (HIMHANS), Kollam, Kerala, India
     

   Subscribe/Renew Journal


The state of Kerala is often described as “Suicidal Capital of India”. Family Suicide is unique in Kerala. Farmer Suicides still vulnerable in the State. In the early phase of 2000, the intervention design followed was by and large medical model. The Psychiatric bias, a confirmation bias in the design of intervention, aggravated the crisis. Hence a literature review of reports in media, articles, studies published in journals and reports on interventions has been critically evaluated and presented. The Plethora of findings and analysis suggest need to de emphasise the medicalization of social distress and focusing on other underlying process of human misery including poverty and lack of equity . The present review suggest need for population based socio-economic approach towards the intervention to prevent suicide.

Keywords

Confirmation Bias, Intervention Design, Suicide in Kerala, Socio-Economic Approach.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Baby, S., Haridas, M.P., & Yesudas, K.F. (2006). Psychiatric diagnosis in attempted suicide. Calicut Medical Journal, 4(3), e2. Retrieved from www.calicutmedicaljournal.or gon 7thMay, 2016
  • Brent, D. (2007). Antidepressants and suicidal behavior: cause or cure? American Journal of Psychiatry, 164, 1044-1049.
  • Chekuty, N.K. (2008). No let-up for Kerala's farmers. Agriculture .
  • Jacob, K.S. (2008). Public health strategies for suicide prevention. Crisis, Journal of the International Association For Suicide Prevention, 27(4), 189–199.
  • Knowlton, L. (1995). Scientists study serotonin markers for suicide prevention. Psychiatric Times, 12, Issue 09.
  • Kutty, B. (2008). Personal communication. Department of Psychiatry, Medical College, Thiruvananthapuram.
  • Khan, A.M.D, Khan, S., Kolts, R., & Brown, W.A. (2003). Suicide rates in clinical trails of SSRI's, other Anti-depressents and Placebo: Analaysis of FDA reports. American Journal of Psychiatry, 160, 190-192.
  • Kumar, S.P .N. (2007). Current Research in Suicide in India. Official Website Of Indian Psychiatric Society Kerala State Branch.
  • Lal, P .K. (2005). Family suicides in Kerala: An explorative study into Patterns, Determinants and Consequences. Sponsered by Kerala Research Program on Local Level Development, Centre for Developmental Studies, Thiruvananthapuram.
  • Nair, K.N. (2006). Distress, debt and suicide among agrarian household: Findings from three villages in Kerala. www.esocialsciences.com
  • Raju, D. (2007). Suicide in Kerala an Overview. Website, Kerala State Mental Health Authority
  • Sandeesh (2008). Personal communication. Clinical Psychologist, Mental Health Centre, Kozhikode, Kerala
  • Shankar, V . (2007). Rural Starvation. Suicide Scripted by Liberalization.
  • (1998). Kerala figures on Suicide in National Dailies', Indian Express.
  • (2000). Kerala is something of a role model in welfare-orientd development and yet the state has been reporting one of the highest suicide rates in the Country', Front Line, Vol 17, Issue 08.
  • (2004). Youth Suicides in Kerala', www.rediff.com.
  • (2004). Subjective stories of farmers commiting suicides', Front Line, Vol 21, Issue 09.
  • (2004). Study finds farmers second among suicide victims', The Hindu.
  • (2004). Committee to study Suicides', The Hindu.
  • (2004). Aid for kin of suicide victims counter-productive', The Hindu.
  • (2005). Plan panel team arrives to study farmer suicides', The Hindu.
  • (2007). Psycho-social factors played role in farmer suicide: Study', The Hindu.
  • (2007). One farmers suicide every 30 minutes', The Hindu .

Abstract Views: 303

PDF Views: 0




  • Bias in the Design of Intervention A Challenge to Suicide Prevention in Kerala

Abstract Views: 303  |  PDF Views: 0

Authors

Krishnan Gireesh
Clinical Psychologist, Harisree Insitute of Mental Health and Neauro Sciences (HIMHANS), Kollam, Kerala, India

Abstract


The state of Kerala is often described as “Suicidal Capital of India”. Family Suicide is unique in Kerala. Farmer Suicides still vulnerable in the State. In the early phase of 2000, the intervention design followed was by and large medical model. The Psychiatric bias, a confirmation bias in the design of intervention, aggravated the crisis. Hence a literature review of reports in media, articles, studies published in journals and reports on interventions has been critically evaluated and presented. The Plethora of findings and analysis suggest need to de emphasise the medicalization of social distress and focusing on other underlying process of human misery including poverty and lack of equity . The present review suggest need for population based socio-economic approach towards the intervention to prevent suicide.

Keywords


Confirmation Bias, Intervention Design, Suicide in Kerala, Socio-Economic Approach.

References