Plans for the future: We plan to start data collection in Nepal in May at the hospitals for which we have ethics and administrative approvals. We are currently working with our researchers and the Nepali principal investigator to prepare for data collection. Data collection will start in India when we obtain approval from the Indian Council of Medical Research.
Sri Lanka's pesticide regulations have contributed to one of the greatest falls in suicide rates ever seen in the world. Sri Lanka has reduced its suicide rate by 70% (or 93,000 lives) through a series of regulation of pesticides since 1995 (Knipe et al. The Lancet Global Health). Having peaked at 57 per 100 000 population in the early 1990s, its incidence is now 17 per 100 000 each year and continuing to fall. However, removal of problematic pesticides from agriculture by regulation then results in other pesticides becoming popular in agriculture and for self-harm.
Taiwan has seen a considerable reduction in pesticide suicide rates over the last three decades. This is most likely to be related to a rapid reduction in the population that is involved in agriculture and exposed to highly hazardous pesticides when Taiwan has experienced rapid industrialisation and rural-to-urban migration over this period.
CPSP is setting up a study in Nepal that aims to identify the most important pesticides for suicide across the country.
It is a collaboration with the Director General, Department of Agriculture, Ministry of Agricultural Development and with the Department of Medicine, Tribhuvan University Teaching Hospital, and ten hospitals across Nepal.
CPSP is setting up a study in India that aims to identify the most important pesticides for suicide across the country.
It is a collaboration with the Department of Medicine, Christian Medical College, Vellore and with the Emmanuel Hospital Association and with 20 hospitals across 13 Indian states.