Suicide in paradise: Aftermath of the Bali bombings

Suryani, LK, Page, A, Lesmana, CBJ, Jennaway, M, Basudewa, IDG and Taylor, R (2009) Suicide in paradise: Aftermath of the Bali bombings. PSYCHOLOGICAL MEDICINE, 39 8: 1317-1323. doi:10.1017/S0033291708004893

Author Suryani, LK
Page, A
Lesmana, CBJ
Jennaway, M
Basudewa, IDG
Taylor, R
Title Suicide in paradise: Aftermath of the Bali bombings
Journal name PSYCHOLOGICAL MEDICINE   Check publisher's open access policy
ISSN 0033-2917
Publication date 2009-08-01
Year available 2008
Sub-type Article (original research)
DOI 10.1017/S0033291708004893
Open Access Status
Volume 39
Issue 8
Start page 1317
End page 1323
Total pages 7
Editor Kendler, Kenneth. S.
Place of publication United Kingdom
Publisher Cambridge University Press
Language eng
Subject C1
111714 Mental Health
920413 Social Structure and Health
Abstract Background. The relationship between the Bali (Indonesia) bombings of October 2002 and suicide has not previously been investigated, despite anecdotal evidence of the economic and psychological consequences of these attacks. Method. Suicide rates were calculated over the period 1994-2006 in three Bali regencies to determine whether suicide increased in the period following the first Bali bombings. Poisson regression and time-series models were used to assess the change in suicide rates by sex, age and area in the periods before and after October 2002. Results. Suicide rates (age-adjusted) increased in males from an average of 2.84 (per 100 000) in the period pre-2002 to 8.10 in the period post-2002, and for females from 1.51 to 3.68. The greatest increases in suicide in the post-2002 period were in the age groups 20-29 and ≥60 years, for both males and females. Tourist arrivals fell significantly after the bombings, and addition of tourism to models reduced relative risk estimates of suicide, suggesting that some of the increase may be attributable to the socio-economic effects of declines in tourism. Conclusions. There was an almost fourfold increase in male suicide risk and a threefold increase in female suicide risk in the period following the 2002 bombings in Bali. Trends in tourism did not account for most of the observed increases. Other factors such as indirect socio-economic effects and Balinese notions of collective guilt and anxieties relating to ritual neglect are important in understanding the rise in suicide in the post-2002 period.
Keyword Bali
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Australian Centre for International & Tropical Health
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 03 Sep 2009, 17:46:53 EST by Mr Andrew Martlew on behalf of School of Public Health