Transcription of CHAPTER 7 Self-directed violence
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CHAPTER 7 Self-directed violence
CHAPTER 7 Self-directed violenceBackgroundIn the year 2000 an estimated 815 000 people diedfrom suicide around the world. This represents anannual global mortality rate of about per100 000 population or one death about every40 seconds. Suicide is the thirteenth leading causeof death worldwide (see Statistical annex). Amongthose aged 15 44 years, self-inflicted injuries arethe fourth leading cause of death and the sixthleading cause of ill-health and disability (1).Deaths from suicide are only a part of this veryserious problem. In addition to those who die, manymore people survive attempts to take their own livesor harm themselves, often seriously enough torequire medical attention (2). Furthermore, everyperson who kills himself or herself leaves behindmany others family and friends whose lives areprofoundly affected emotionally, socially and eco-nomically.
Self-mutilation involves very different factors from suicidal behaviour and will not be dis-cussed here further. For an ex-tensive review of self-mutilation,
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