Objective: The aim of this study was to determine whether there is any temporal variation in the incidence of parasuicide within the Chinese community and, if possible, to correlate the findings with prevailing cultural and social influences. Method: All patients of Chinese origin referred to a teaching hospital in Singapore between 1990 and 1994 were included in the study. The cases were divided by sex and aggregated for the month and day of the week in which the parasuicides occurred.
Results: Cases of parasuicide peaked on Mondays, while the lowest incidences occurred on Saturdays. The peak months were June, August and September with a trough in December and January.
Conclusions: The findings may not be amenable to any single explanation but the peak months coincided with the month of the Hungry Ghosts, which is believed to be a particularly inauspicious period, while the trough occurred during a festive period. Similarly, looking at the student population, the peaks coincided with the examination period. It appears that social and cultural factors play a significant role in the temporal variation in parasuicide in Singapore.
MartinSJKellyIWSuklofskeDHSuicide and lunar year review over 28 years. Psychological Reports1992; 71:787–795.
2.
MastersonG.Monthly and seasonal variation in parasuicide and sex difference. British Journal of Psychiatry1991; 158:155–157.
3.
SwinscowD.Some suicide studies. British Medical Journal1951;i:1417–1425.
4.
WenzFVSeasonal suicide attempts and forms of loneliness. Psychological Reports1977; 40:807–810.
5.
KehoeJPAbbottAPSuicide and attempted suicide in the Yellow Territory. Canadian Psychiatric Association Journal1975; 20:15–23.
6.
SchreiberGDycianAKaplanZBleichA.A unique monthly distribution of suicide and parasuicide through firearms among Israeli soldiers. Acta Psychiatrica Scandinavica1993; 87:110–113.
7.
NakamuraJKMcLeodCRMcDermottJFTemporal variation in adolescent suicide attempts. Suicide Life Threatening Behaviour1994; 24:343–349.
8.
KubackiABoyleBBaldwinJ.Suicide weather? Special issue: Canadian Academy of Child Psychiatry: a Canadian perspective. Canadian Journal of Psychiatry.1986; 31:602–604.
9.
BreurHBreurJFischbach-BreurB.Social, toxicological and metrological data on suicide attempts. European Archives of Psychiatry and Neurological Sciences1986; 235:367–370.
10.
BarkerAHawtonKFaggJJennisonC.Seasonal and weather factors in parasuicide. British Journal of Psychiatry1994; 165:375–380.
11.
WenzFVEffects of seasons and sociological variables on suicidal behaviour. Public Health Reports1977; 92:233–239.
12.
FaeddaGLTondoLTeicherMHBaldessaraniRJGelbardHAFlorisGFSeasonal mood disorders. Patterns of seasonal recurrence in mania and depression. Archives of General Psychiatry1993; 50:17–23.
13.
NayyarKCochraneR.Seasonal changes in affective states measured prospectively and retrospectively. British Journal of Psychiatry1966; 168:627–632.
14.
KreitmanNPhilipAEGreerSBagleyC.Parasuicide. British Journal of Psychiatry1970; 116:460.
15.
NayhaS.Autumn incidence of suicide reexamined: date from Finland by sex, age and occupation. British Journal of Psychiatry1982; 141:512–517.
16.
LesterDFrankMLGeophysical variables and behaviour: LIX. The seasonal variation in suicide rates: three studies. Perceptual and Motor Skills1990; 70:57–58.
17.
PhilipsDPWillsJSA drop in suicides around major national holidays. Suicide and Life Threatening Behaviour1987; 17:1–12.
18.
DavenportSMBirtleJ.Association between parasuicide and Saint Valentine's Day. British Journal of Medicine1990; 330:783–784.