3. Risk factors for self-harm behavior

Suicide which can be considered as the ultimate manifestation of this self-harm behaviors recently has seen an accelerated pace in its numbers. The WHO report which explains suicide as one of the major reasons for death globally reports a huge number of 800,000 individuals who die by suicide every year (World Health Organization, 2014) are suggestive of this trend. In India, more than 100000 people commit suicide every year and the suicide rate is 11/100000 deaths ((National Crime Records bureau, 2015). Evidences from recent literatures suggests that suicide rates are at its peak among the young at their productive age (Vijayakumar, 2010) which is significantly rampant in Kerala (Kerala State Mental Health Authority, 2012), the age group with highest suicide rate were of 15-29 (Arya et. al, 2017), that self-injurious behavior was more in male gender while self-injurious behavior with suicidal intent was found to be more in female gender (Bhola, 2017) and individuals who are not integrated into society or lack structure from a social group, experiences hopelessness, meaninglessness and depression in life which will ultimately result in suicide (Durkheim, 1897). Those states in India with higher levels of development, higher levels of agricultural employment, higher levels of literacy, and higher proportions of people identifying with Hinduism and higher levels of unemployment had relatively higher suicide rates compared to others (Arya, 2017). This exploratory study aimed at analyzing the risk factors of self-harm behavior among the respondents who had attempted suicide. The study was conducted in collaboration with the University of Melbourne, Australia in 2015. 46 respondents were identified from 8 districts in Kerala- Kottayam, Thrissur, Ernakulam, Malappuram, Palakkad, Alappuzha, Idukki and Kozhikode.

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