Among the middle-aged, urban unemployment, poverty and interpersonal problems form a depressing bouquet of factors. The inability to strike a working relationship with a spouse or a colleague, one that psychiatrists describe as "adjustment disorder", accounts for a sizeable number of cases cutting across places and classes. Explains Lakshmi Vijaykumar, vice-president of the International Association for Suicide Prevention (iasp): "The maximum stress factor is interpersonal conflict—husband-wife, father-son or between lovers." These road bumps in relationships, according to Amresh Shrivastava, secretary general, Indian Association of Suicidology, Mumbai, could be the most lethal contribution.
RISING alcoholism is also cited as a reason behind the burgeoning suicide rate among the young and the middle-aged. Says H. Chandrashekar, head of the department of psychiatry in Bangalore's Victoria Hospital: "At least 70 per cent of attempted suicides we’ve studied in the rural pockets of Bangalore district were alcohol-related. Men who were depressed and brooding after a couple of drinks and women who couldn’t tolerate physical and mental abuse by alcoholic husbands." The problem of alcohol being a key factor has been corroborated by Vijaykumar’s study in Chennai’s corporation zone. Of the 100 cases that she investigated, 34 had killed themselves because they were either alcoholics or inebriated.