India faces surge in youth suicides, double the global average: Experts

More young people die by suicide in India than in other countries, said experts on World Suicide Prevention Day on Tuesday, 10 September.

World Suicide Prevention Day is observed every year on 10 September to raise awareness and fight stigma. The theme this year is “Changing the narrative on suicide”.

It has been estimated that suicide is the fourth leading cause of death among the late adolescent age groups (15–19 years) in India.

According to data from the National Crime Records Bureau (NCRB), more than 40 per cent of all cases of suicides are among young adults below the age of 30.

“In India, the magnitude of the young people dying by suicide is unfortunately very high. The number of young people who died by suicide in India is almost double in comparison to the global average. Approximately 160 young persons die by suicide daily in India,” Prof Nand Kumar, from the Department of Psychiatry at AIIMS told IANS.

“Some of the common reasons that precipitate the idea of suicide to death by suicide are: stressful family environments; unstable emotional health; substance use, failed relationship; poor bonding between the friends, and loneliness,” he added.

The NCRB data showed that 1.71 lakh people died by suicide in 2022.

“Suicide, a leading cause of death among individuals aged 15 to 39, is one of the most pressing public health crises we face globally and in our country,” Dr. Shyam Bhat, Psychiatrist and Chairperson, LiveLoveLaugh, told IANS.

Dr. Jyoti Kapoor, Founder-Director and Senior Psychiatrist, Manasthali said that the government has launched initiatives like the National Mental Health Programme and the Kiran Helpline to address the mental health crisis and prevent suicide.

“However, greater awareness, access to care, and addressing underlying socioeconomic issues are essential to reducing suicide rates. We also need to change the narrative of suicide to have open, compassionate conversations that break the stigma surrounding mental health struggles,” she told IANS.

The experts stressed the need for collective participation of society to prevent suicides and to help those struggling with emotional challenges to easy access to support, free from stigma and shame.

Kumar said the effective suicide prevention strategy must include steps focusing on factors beyond the screening for the person at risk of suicide. “The policy needs to emphasise various interventions to enhance the social and emotional connectivity, physical and emotional activity, and mindfulness,” he added.

With over 170,000 lives lost annually due to suicide in India, it is imperative to focus beyond mental health to prevent suicide cases in the country, said an expert in a new study published in The Lancet journal on World Suicide Prevention Day, on Tuesday.

Suicide is a major public health challenge, with more than 700,000 deaths each year globally.

“Suicide so far, unfortunately, has been stigmatised as a crime, but suicide is actually a complex public health issue. Focus to date has been on mental health for suicide prevention, which is important, but we have enough data now to show that we need to broaden our focus beyond mental health for suicide prevention,” Series author Dr Rakhi Dandona, Professor of Public Health at the Public Health Foundation of India (PHFI), told IANS.

The Series highlights how clinical treatment services are critical for people in a suicidal crisis, but upstream measures that address social factors must also be included in national suicide prevention strategies to prevent people from reaching crisis points.

This is particularly relevant for India, which released the National Suicide Prevention Strategy in 2022, with the experts in suicide prevention highlighting the need for the country to widen the way suicide is viewed to also include social risk factors -- such as poverty, debt, domestic violence, addictions, and social isolation -- alongside mental health.

The suicide rate has increased to 12.4 per 1,00,000 -- the highest rate ever recorded in India.

Worryingly, more than 40 per cent of all cases of suicides are among young adults below the age of 30.

A young Indian dies by suicide every eight minutes, which is a loss to the family, society, the economy, and the future of the country.

Data from the NCRB reports based on police records that are published every year highlight the reasons why people take their lives.

Dandona noted these “include poverty, debt, financial hardships, domestic issues, domestic violence, family relationship issues, bullying, peer pressure”.

The Lancet Series showed that in India, higher suicide rates in males are observed in states with higher levels of unemployment. Unemployment also appears to be one of the most important risk factors for suicide in Indian females.

The suicide rate among unemployed females in India was found to be 94·8 per 100,000 people, compared with 12·6 per 100,000 people for professional or salaried employees, 11·6 per 100,000 people for those who were self-employed, and 4·3 per 100,000 for students.

“All of these means that we really need to start thinking about suicide with a broader public health approach to address these risk factors for suicide within their social and economic policies to make that difference to this large number of suicide deaths that happen in India,” the public health expert told IANS.

Currently, the suicide prevention programme in India lies under the National Mental Health Programme.

The expert noted that it can continue to do so for mental health interventions, for suicide prevention, for those who are suicidal. “But we really need a larger whole government public health approach to ensure that people do not reach the suicidal stage,” Dandona said.

“Addressing the underlying socio-economic pressures in addition to mental health is a critical national priority. By taking a public health approach and fostering collaboration among various sectors, we can create a more supportive environment that prioritises early intervention, reduces stigma, and ultimately saves lives,” the expert said.