Present Situation Of Suicide In Bangladesh: A Review

The most important global cause of mortality is suicide. It is often neglected by researchers, health professionals, health policymakers, and the medical profession. This review was aimed to provide a narrative understanding of the present situation of suicide in Bangladesh based on the existing literature. We conducted a review combining articles and abstracts with full HTML and PDF format. We searched PubMed, PubMed Central, Google Scholar, ScienceDirect and BanglaJOL, google using multiple terms related to suicide without any date boundary and without any basis of types of studies, that is, all types of studies were scrutinized. Finally, 16 articles were selected for review. Report suggested that every day almost 32 people commit suicide in 2019 which was 29 and 30 in 2015 and 2017 respectively. The mortality rate of suicide found 39.6 per 100,000 in Bangladesh. The most common method is hanging followed by poisoning and jumping under the train. The most prevalent age group is age under 40 years. The rate of suicide in children is also increasing. In contrast to most Asian countries, more Bangladeshi women commit suicide than men. The mean age of male and female were 28.86 {+/-} 11.27 years and 25.31 {+/-} 7.70 years respectively. The most common associated factors of suicide are younger age, lower education, students, nuclear family, family history of suicide, use substance, problem in workplace, financial constraints, affair, domestic violence, divorce, and physical illness. Most of the suicidal event occurred at night, followed by morning (6 am-12 am), and evening. Its a criminal offence in Bangladesh. The source of information is mainly police, forensic reports, media and courts. Till now there is no nationwide survey of suicide is conducted. Besides, suicide surveillance strategy is yet to be established. Suicide is a neglected and under attended public health problem in Bangladesh with few research and paucity of literature. Now nationwide survey conduction and establishment of national suicide surveillance are a time demanded step.