HEALTH: Too Much of Russia Killing Itself

By Kester Kenn Klomegah Reprint | | Print |

Kester Kenn Klomegah

MOSCOW, Dec 18 2006 (IPS) - Offers of money to produce more children will not address problems such as suicide that are contributing to a reduction in the Russian population, experts warn.

In his annual address to the nation in May this year, President Vladimir Putin said the population was falling by about 700,000 each year. He pledged financial incentives to women with larger families, and a bigger health budget. But such moves may not suffice.

Health experts and religious leaders say that rising suicide rates and other problems like alcoholism, drug addiction, tuberculosis, tobacco-related diseases and a high number of abortions are all taking a heavy toll.

“We are not tackling the problems as we should do, simply because authorities have failed to accept the fact that suicides are a contributing factor,” Tatyana Dmitriyeva, director of the Serbsky Social and Forensic Psychiatry Research Centre, a state medical research centre in Moscow, told IPS. “There have been on average 60,000 suicides in Russia every year over the last 12 years, and all of them could have been prevented.”

About 20 percent of suicides are by mentally ill people, but there are moments when a person is prone to take the final step because of a state of mind caused by both social and economic factors, she said.

“It simply shows the extent of the crisis in the health system and the inability to bear economic difficulties that is driving people into a difficult mental state,” she said.

Dmitriyeva said Russia ranks second after Lithuania in the number of suicides in relation to the population.

She said people aged 45-55 and teenagers are at greatest risk. The Koryak autonomous region in the far east, the Komi republic in northeastern Russia and Udmurtya in the Volga region in central Russia topped the list of suicide regions, she said. Suicides are rare in the Caucasus region that has seen a great deal of violence around Chechnya.

Dmitriyeva attributes such regional variation to religious reasons.

“The orthodox church does not have deep influence in the republics of Komi, Mari El and Udmurtya, where pagan beliefs have persisted and crossing the threshold between life and death is considered a proud and brave act,” Dmitriyeva said.

Suicides can be cut by reducing alcoholism, the head of the Moscow Protestant Chaplaincy Pastor Robert Bronkema told IPS. Legislative measures are needed to increase the cost of alcohol and discourage drinking, he said.

People also need to be able to talk more about suicidal tendencies, he said. “In the United States, suicide is also a real problem but not even close to the level of what we see here in Russia. There is a real awareness of suicide in the United States, and it is not an issue that people are afraid to mention.”

But national comparisons can be tricky. “I do notice that people in European and former Soviet countries are liable to commit suicide much more than those from poor countries,” said Bronkema. “But in fact it is very difficult to find suicide rates for poor countries because there is not much reporting from those countries in that field.”

Iosif Diskin, co-chairman of the Centre for National Economic Strategies in Moscow said Russia is lagging behind in providing economic security, and adequate health and welfare services, and this is leading to high death rates.

“People are not acknowledging the reality or analysing the situation,” he said. “We hear of industrial and traffic accidents, among the soaring number of suicides which are part of the key reasons for the decades long demographic crisis.”

Dr Raphael Quartey from the State Medical Academy in Krasnodar in southern Russia, about 2000 km from Moscow, said suicide cases appeared to be fewer during Soviet days although the economic situation was not better than now.

But here too, there is some concern over official under-reporting during Soviet days. “We know that not everybody can cope with the new capitalism that has emerged in the country, and could as a result end up in depression leading to suicide,” Quartey said.

But suicidal behaviour is not easy to explain through such factors, he said. The biology of the brain, genetics, psychological traits and social forces can all contribute to suicide. People commonly attribute suicide to external circumstances such as divorce, loss of a job, or failure in school, but medical psychologists and sociologists believe these events are triggers rather than causes in themselves, he said.

“The majority of people who kill themselves suffer from depression that is often undiagnosed and untreated. Because depression so often underlies suicide, studying the causes of depression can help scientists understand the causes of suicide,” Quartey said.

Mikhail Zurabov from the Russian Health and Social Protection Ministry told IPS that “the ministry is taking measures to solve the country’s health crisis including growing suicide among the population, and the government plans to support low income families under priority projects.”