Lessons Learned from Psychological Autopsies in Armed Forces

Background: Suicide in armed forces is a matter of concern despite adequate prophylactic measures that have been adopted to reduce it. Military psychiatrists routinely conduct psychological autopsies. It may reveal various biopsychosocial factors leading to suicide and may be helpful in suicide prev...

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Main Authors: Alok Sinha, Sriniwas Gupta, Madhubrata Ray, Sanjay Kumar, Anindya Kumar Gupta
Format: Article
Language:English
Published: SAGE Publishing 2021-03-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/0253717620950254
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author Alok Sinha
Sriniwas Gupta
Madhubrata Ray
Sanjay Kumar
Anindya Kumar Gupta
author_facet Alok Sinha
Sriniwas Gupta
Madhubrata Ray
Sanjay Kumar
Anindya Kumar Gupta
author_sort Alok Sinha
collection DOAJ
description Background: Suicide in armed forces is a matter of concern despite adequate prophylactic measures that have been adopted to reduce it. Military psychiatrists routinely conduct psychological autopsies. It may reveal various biopsychosocial factors leading to suicide and may be helpful in suicide prevention too. A few studies have been done in Indian Armed Forces but all of them involve cases of attempted suicide. Our study is different as it uses the methodology of psychological autopsy to find out various psychosocial factors of suicide in armed forces. Methods: The present study was carried out in a large service hospital and included all suicide cases occurring in a particular strategic location from February 2014 to July 2017. A total of 16 suicide cases were investigated, and information was collected through visiting the scene, detailed semistructured interviews, the perusal of mobile call records, social website activities, notes in a social diary, bank statements, service record, and health records. Results: The majority (nine of sixteen) of suicide victims were less than 30 years of age. The most common method of suicide (ten of sixteen) was use of firearms. Family history of mental illness/suicide was seen in three of them. Three had a past history of mental illness. Two were abusing substance in the recent past. Behavioral change was noticed in three, and suicide notes were available in three cases. Five had expressed their intent to die. Conclusions: Strain of serving in frontiers is not a common stressor associated with suicide as commonly perceived.
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spelling doaj.art-9be50d6355704e8f8608ce59769017422022-12-21T18:22:24ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642021-03-014310.1177/0253717620950254Lessons Learned from Psychological Autopsies in Armed ForcesAlok Sinha0Sriniwas Gupta1Madhubrata Ray2Sanjay Kumar3Anindya Kumar Gupta4 Command Hospital Air Force, Bengaluru, Karnataka, India. Dr Gupta’s Mind Wellness and Advance Dental Care, Aurangabad, India. Command Hospital (WC), Chandimandir, Haryana, India. Command Hospital (WC), Chandimandir, Haryana, India. Command Hospital Air Force, Bengaluru, Karnataka, India.Background: Suicide in armed forces is a matter of concern despite adequate prophylactic measures that have been adopted to reduce it. Military psychiatrists routinely conduct psychological autopsies. It may reveal various biopsychosocial factors leading to suicide and may be helpful in suicide prevention too. A few studies have been done in Indian Armed Forces but all of them involve cases of attempted suicide. Our study is different as it uses the methodology of psychological autopsy to find out various psychosocial factors of suicide in armed forces. Methods: The present study was carried out in a large service hospital and included all suicide cases occurring in a particular strategic location from February 2014 to July 2017. A total of 16 suicide cases were investigated, and information was collected through visiting the scene, detailed semistructured interviews, the perusal of mobile call records, social website activities, notes in a social diary, bank statements, service record, and health records. Results: The majority (nine of sixteen) of suicide victims were less than 30 years of age. The most common method of suicide (ten of sixteen) was use of firearms. Family history of mental illness/suicide was seen in three of them. Three had a past history of mental illness. Two were abusing substance in the recent past. Behavioral change was noticed in three, and suicide notes were available in three cases. Five had expressed their intent to die. Conclusions: Strain of serving in frontiers is not a common stressor associated with suicide as commonly perceived.https://doi.org/10.1177/0253717620950254
spellingShingle Alok Sinha
Sriniwas Gupta
Madhubrata Ray
Sanjay Kumar
Anindya Kumar Gupta
Lessons Learned from Psychological Autopsies in Armed Forces
Indian Journal of Psychological Medicine
title Lessons Learned from Psychological Autopsies in Armed Forces
title_full Lessons Learned from Psychological Autopsies in Armed Forces
title_fullStr Lessons Learned from Psychological Autopsies in Armed Forces
title_full_unstemmed Lessons Learned from Psychological Autopsies in Armed Forces
title_short Lessons Learned from Psychological Autopsies in Armed Forces
title_sort lessons learned from psychological autopsies in armed forces
url https://doi.org/10.1177/0253717620950254
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