精神経誌（2010）112 巻 2 号

142

第回日本精神神経学会総会

シ ⃞ン ⃞ポ ⃞ジ ⃞ウ ⃞ム⃞

Muslim Suicide: Kashmir Experience
Arshad Hussai（Jquarter Benina Medical College Hospital, India）

Backgroundself harm cases.

Kashmiri language doesnʼ
t have a word forsuicide and thus speaks volumes about rarity ofthe phenomenon in Kashmiri society. KashmirResults
The result of the study reveal that on an

being predominantly a M uslim society had

average 3.5 persons report

day to SM HS

expectedly lowest rates of suicide in whole ofcausality with suicide, parasuicide and deliber-India, things have changed and changed forate self harm from list 3 years. M ost of theworst, suicidal behavior has become one of thepeople who complete suicide are males of thecommonest emergencies in medical casualties

age group 25‑34. Most of the attempts areof Kashmir.

The rates are as high as

made by female, 4 times parasuicides and 7

13 100,000, very close to rate in rest of India i.

times more deliberate self harm. Consumption

e. 10.3 100,000. Declining religious values,lackof organ phosphorous like compound is theof religious education, nuclearization of fami-commonest mode of suicide followed by con-lies, and ever increasing expectation of perfor-

sumption of other drugs like benzodiazepines,

ming, unemployment are interacting withtricyclic antidepressants etc. Violent methods

chronic conﬂict stress and ever increasingof suicide like cut throat and burning are newmental health problems to create a health prob-

phenomenon and predominantly present in peo-lem of the magnitude that needs urgent andple with schizophrenia and severe melancholic

emergency redressed.

depression. All types of suicidal behavior arecommon in age group 25‑34 except DSH in

Methodfemales were 63% are in age group 19 ‑24 years.

This study was based on data from, longi-Major depressive disorder was present in 73%

tudinal medico legal registers of S.M.H.S Hos-of people with parasuicide,with post traumaticpital; a 1,000 bedded associated hospital ofstress disorder as co‑morbidity in 15% of them,Govt. Medical College Srinagar. The registers

Substance use disorders were present in 53% ofwere screened and surveyed for all suicide,males as a co‑morbidity.Cases with DSH‑79%

parasuicide and deliberate self harm（DSH）

did not have any axis I diagnosis this phenome-cases. Medical record number―a unique regis-

non was much more common in females 92% oftration number‑was used for identiﬁcation ofthem did not have an axis I diagnosis. In males

case ﬁles of suicide, parasuicide and deliberatewith DSH 57% did not have any axis I diagno-

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シンポジウム：Disaster and M ental Health143

sis,32% of them had substance use disorder andfrom primordial to primary to secondary to

10% of had diagnosis of borderline personality

tertiary need to be taken to address this prob-disorder.

lem.

From maintaining suicide registers tomaking mental health available and accessible
Conclusion

we have a Herculean task on our hands.

Suicide as health problem has announced

Religious cognitive reappraisal at community

its arrival in an unlikelysocio‑religious scenari-level looks to be an eﬀective maneuver too and perhaps taking all health planners una-combat this problem.

wares. And preventive strategies at all levels（この論文は抄録集より転載しました)