Evaluation of suicide rates in rural India using verbal autopsies, 1994-9.

seen in the primary care setting. We believe, however, that our findings would need to be assessed in the primary care setting before implementation is considered. Contributors: See bmj.com Funding: No pharmaceutical company or other commercial entity provided funding or other resources for the study. Competing interests: None declared. Ethical approval: The local ethics committee approved the trial. Absence of therapeutic benefit from antacids or cimetidine in non-ulcer dyspepsia. prevalence of reflux symptoms in duodenal ulcer patients who develop gastro-oesophageal reflux disease after curing Helicobacter pylori infection. Shaffalitzky de Muckadell OB. Helico-bacter pylori test-and-eradicate versus prompt endoscopy for management of dyspeptic patients: a randomised trial.domised trial of endoscopy with testing for Helicobacter pylori compared with non-invasive H pylori testing alone in the management of dyspepsia. Alternative management strategies for patients with suspected peptic ulcer disease. Initial endoscopy or empirical therapy with or without testing for Helicobacter pylori for dyspepsia: a decision analysis. strategies for Helicobacter pylori seropositive patients with dyspepsia: clinical and economic consequences. A prospective randomised trial of a " test-and-treat " policy versus endoscopy based management in young Helicobacter pylori positive patients with ulcer-like dyspepsia, referred to a hospital clinic. Reappraisal of non-invasive management strategies for uninvestigated dyspepsia: a cost-minimization analysis. seroprevalence of cagA-positive Helicobacter pylori strains in the spectrum of gastroesophageal reflux disease. pylori infection, pattern of gastritis and symptoms in erosive and nonerosive gastroesophageal reflux disease. Is Helicobacter pylori associated with non-ulcer dyspepsia and will eradication improve symptoms? A meta-analysis. Suicide rates have increased in many developing countries. 1 But the reported rates are misleading because population counts are unreliable, and identifying suicides is problematic because of inefficient civil registration systems, non-reporting of deaths, variable standards in certifying death, and suicide's legal and social consequences. Suicide rates were between 8.1 and 58.3/100 000 population for different parts of India. 2 Police records, which under-report, were used to calculate these rates. We used verbal autopsies in the 85 villages of the Kaniyambadi region of southern India (area 127 km 2 ; population 108 873 in 1999) to calculate mean age and sex specific suicide rates for the period 1994-9. A community health worker (a resident of the village), health aide, community nurse, and doctor reached a consensus on the cause of death. The community health worker, health aide, and nurse independently visited the home of the deceased and collected information from relatives and neighbours of the deceased, …