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Anomic suicides on rise during recently emerging crises: revisiting Durkheim’s model

Published online by Cambridge University Press:  10 July 2023

Sujita Kumar Kar*
Affiliation:
Department of Psychiatry, King George’s Medical University, Uttar Pradesh, India
Shivangini Singh
Affiliation:
Department of Psychiatry, King George’s Medical University, Uttar Pradesh, India
*
Corresponding author: Sujita Kumar Kar; Email: drsujita@gmail.com
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Abstract

Suicide is a global public health issue, with behavior differing across genders, age groups, places, and sociopolitical settings. Emile Durkheim characterized anomic suicide as occurring when social standards fail, resulting in purposelessness and directionlessness. Young people who are experiencing social issues are in danger, even if they do not voice suicidal ideas. Prevention interventions should target these people by strengthening resilience, minimizing social dysregulation stress, and fostering the development of life skills, coping resources, and social support. Anomic suicide has important psychological and societal implications, emphasizing the importance of fostering social cohesion and assisting persons experiencing purposelessness or a lack of direction in life.

Type
Editorial
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Suicide is a major global public health concern, with variations in suicidal behavior observed among different genders, age groups, geographic locations, and sociopolitical contexts. The various risk factors associated with suicidal behavior suggest that its causes are likely multifaceted.Reference Turecki and Brent 1 Anomic suicide is a type of suicide that occurs when there is a breakdown of social norms and values, leading to a sense of purposelessness and a lack of direction in individuals’ lives. It was first identified by French sociologist Emile Durkheim in his book Suicide published in 1897. One theory on the etiology of suicide is Emile Durkheim’s sociological perspective, which examines the impact of societal factors on an individual’s likelihood to die by going for suicide. Durkheim proposed that suicide rates were influenced by the degree of integration and control within a group’s social relationships. Based on these factors, Durkheim identified four different types of suicide, including egoistic/altruistic suicides (based on integration levels) and anomic/fatalistic suicides (based on regulation levels).Reference Durkheim 2

Durkheim argued that suicide rates were linked to the clarity, consistency, and acceptance of a group’s laws and social norms. Anomic suicides, for example, were a result of living in an unregulated society or social group. Durkheim believed that a sense of moral unity provided a protective shield for group members, but this protection could be weakened by societal changes or crises. The ecological fallacy, however, limits Durkheim’s ability to fully understand the relationship between macro-level societal factors and individual behavior.Reference Durkheim 2

The ecological fallacy of examining suicide rates to comprehend individual behavior is not fully addressed by Durkheim. Durkheim claimed persuasively that societal or macro-level factors (integration and regulation) led to individual-level conduct (suicide), but it is difficult to prove the connection between these two types of forces and individual behavior. Although Durkheim views regulation as soothing and sustaining, there is a difference between moral authority acting as a source of dominance and oppression and acting as an anchor in a storm of chaos.Reference Mueller, Abrutyn and Pescosolido 3

While Durkheim’s theories continue to dominate the field of sociology, some scholars have called for new approaches to the study of suicide.Reference Wray, Colen and Pescosolido 4 Despite the lack of new research programs, Durkheim’s approach and other theoretical and methodological initiatives have contributed to the understanding that suicidal behavior is not solely attributable to an individual’s personal characteristics or decision-making.

People set goals and pursue to achieve their goals to find a sense of satisfaction and probably a meaning in life. However, not every individual can reach the expectations and achieve the goal due to several social circumstances. This sense of failure gives frustration and may result in suicidal behavior, which better explains anomic suicide. In recent years, students face significant stress related to their academic targets and getting through the competitive examinations for pursuing higher studies, which may result in suicidal behavior.Reference Kar, Rai and Sharma 5 Economic uncertainties that arise unexpectedly due to changes in economic policy, political crisis, coronavirus disease-2019 (COVID-19) pandemic, or war, may attribute to the development of significant stress and subsequent suicidal behavior.Reference Abdou, Cassells and Berrill 6 -Reference Yan, Hou and Li 11

Youth suicide is a major public health problem in low- and middle-income countries including India and is following an increasing trend.Reference Gupta and Basera 12 Majority of youth suicide are related to stress related to academic challenges, relational difficulties, abuse, and bullying, which result in dysfunctional social regulation. The existing interventions for suicidal behavior mostly deal with these aspects; however, the facility is unavailable for all individuals who attempted suicide due to such dysfunctional social regulations due to the paucity of human resources. To address mental health issues and suicidal behavior, the Government of India has recently launched the tele-manas program––a dedicated helpline for suicide prevention and the National Suicide Prevention Strategy within the last 2 years. 13 -Reference Ransing, Arafat and Menon 15 However, these services need to be consolidated and the policy needs to be implemented by the states effectively to have effective suicide prevention.

A sizable portion of young people who are experiencing social difficulties (due to maladjustment, an inability to live up to expectations and demands, and unjustified interference in achieving life goals) but have not yet expressed suicidal thoughts are still at risk and may start acting suicidally if the stress of society persists. To prevent suicide, these populations can also be addressed. To increase resilience and reduce the stress that social dysregulation causes, life skill development, coping resource improvement, and social support system building may be helpful. Anomie suicide is a severe problem that can have a big impact on both the person and society. To prevent anomic suicide, it is crucial to foster social cohesion and offer assistance to people who could be experiencing thoughts of purposelessness or a lack of direction in their lives.

Author contribution

Conceptualization: S.S., S.K.K.; Resources: S.S., S.K.K.; Writing – original draft: S.S., S.K.K.; Writing – review & editing: S.S., S.K.K.

Disclosures

The authors declare none.

References

Turecki, G, Brent, DA. Suicide and suicidal behaviour. Lancet Lond Engl. 2016;387(10024):12271239. doi:10.1016/S0140-6736(15)00234-2.CrossRefGoogle ScholarPubMed
Durkheim, E. Suicide: A Study in Sociology. 2nd ed. London: Routledge; 2002. doi:10.4324/9780203994320.CrossRefGoogle Scholar
Mueller, AS, Abrutyn, S, Pescosolido, B, et al. The social roots of suicide: theorizing how the external social world matters to suicide and suicide prevention. Front Psychol. 2021;12:621569. doi:10.3389/fpsyg.2021.621569.CrossRefGoogle ScholarPubMed
Wray, M, Colen, C, Pescosolido, B. The sociology of suicide. Annu Rev Sociol. 2011;37:505528. doi:10.1146/annurev-soc-081309-150058.CrossRefGoogle Scholar
Kar, SK, Rai, S, Sharma, N, et al. Student suicide linked to NEET examination in India: a media report analysis study. Indian J Psychol Med. 2021;43:183185. doi:10.1177/0253717620978585.CrossRefGoogle ScholarPubMed
Abdou, R, Cassells, D, Berrill, J, et al. Revisiting the relationship between economic uncertainty and suicide: an alternative approach. Soc Sci Med. 2022;306:115095. doi:10.1016/j.socscimed.2022.115095.CrossRefGoogle ScholarPubMed
Knipe, D, John, A, Padmanathan, P, et al. Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: a systematic review. PLOS Glob Public Health. 2022;2(6):e0000282. doi:10.1371/journal.pgph.0000282.CrossRefGoogle ScholarPubMed
Moradi, Y, Dowran, B, Sepandi, M. The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies. BMC Psychiatry. 2021;21(1):510. doi:10.1186/s12888-021-03526-2.CrossRefGoogle ScholarPubMed
Oyesanya, M, Lopez-Morinigo, J, Dutta, R. Systematic review of suicide in economic recession. World J Psychiatry. 2015;5(2):243254. doi:10.5498/wjp.v5.i2.243.CrossRefGoogle ScholarPubMed
Stack, S. Contributing factors to suicide: political, social, cultural and economic. Prev Med. 2021;152:106498. doi:10.1016/j.ypmed.2021.106498.CrossRefGoogle ScholarPubMed
Yan, Y, Hou, J, Li, Q, et al. Suicide before and during the COVID-19 pandemic: a systematic review with meta-analysis. Int J Environ Res Public Health. 2023;20(4):3346. doi:10.3390/ijerph20043346.CrossRefGoogle ScholarPubMed
Gupta, S, Basera, D. Youth suicide in India: a critical review and implication for the National Suicide Prevention Policy. OMEGA - J Death Dying. 2021:00302228211045169. doi:10.1177/00302228211045169. (online first)Google ScholarPubMed
Ministry of Health and Family Welfare. National Tele Mental Health Programme of India; 2023. https://telemanas.mohfw.gov.in/#/home. Accessed April 12, 2023.Google Scholar
Ransing, R, Kar, SK, Menon, V. National helpline for mental health during COVID-19 pandemic in India: new opportunity and challenges ahead. Asian J Psychiatry. 2020;54:102447. doi:10.1016/j.ajp.2020.102447.CrossRefGoogle ScholarPubMed
Ransing, R, Arafat, SMY, Menon, V, et al. National Suicide Prevention Strategy of India: implementation challenges and the way forward. Lancet Psychiatry. 2023;10(3):163165. doi:10.1016/S2215-0366(23)00027-5.CrossRefGoogle ScholarPubMed