title: Risk Factors for Farmers' Suicides in Central Rural India: Matched Case-control Psychological Autopsy Study.
abstract: BACKGROUND
  Despite more than two decades since recognition of suicides by farmers in India, systematic studies comparing various risk factors are lacking. This is major hurdle for the formulation of strategies for farmers' suicide prevention.
  
  
  OBJECTIVE
  To identify socioeconomic and psychological risk factors and their relative contribution in suicides by farmers.
  
  
  METHODS
  A matched case-control psychological autopsy was done on 98 farmers' suicide victims and 98 controls in Central India.
  
  
  RESULTS
  Economic problems, psychiatric illness, and stressful life events were found to be important contributors to farmers' suicides. Important economic risk factors were procurement of debt, especially from multiple sources and for nonagricultural reasons and leasing out farms. Psychiatric illness was present significantly in higher proportion among cases than controls. Crop failure, interpersonal problems, medical illness, and marriage of female family member were significant stressful life events.
  
  
  CONCLUSIONS
  There are socioeconomic and psychological risk factors for suicide by farmers which can be targets of prevention policy.
authors.affiliation: Associate Professor, Department of Psychiatry, Mahatma Gandhi Mission's Medical College, Aurangabad, Maharashtra, India.
authors.forename: Manik Changoji
authors.initials: MC
authors.lastname: Bhise
authors.affiliation: Professor and Head, Department of Psychiatry, Director Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed Univ), Wardha, Maharashtra, India.
authors.forename: Prakash Balkrushna
authors.initials: PB
authors.lastname: Behere
keywords: Farmers' suicide; indebtedness; risk factors; stressful life events