IJE Advance Access published online on October 2, 2007
International Journal of Epidemiology, doi:10.1093/ije/dym197
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.
Commentary: Preventing suicide: need for a life course approach
Professor of International Mental Health & Wellcome Trust Senior Clinical Research Fellow in Tropical Medicine, London School of Hygiene & Tropical Medicine, Sangath Centre, Porvorim, Goa 403521, India.
E-mail: vikram.patel@lshtm.ac.uk
Accepted 15 August 2007
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In this edition of the IJE, Gunnell et al.1 describe the impact of the regulation of pesticides on completed suicide rates in Sri Lanka, a country that has the unhappy distinction of one of the highest rates of suicide in the world—a health indicator in stark contrast to most other health indicators. Sri Lanka is, in fact, an outstanding example in Asia of a low income country which has invested in a basic health care system that has led to health indicators which other countries, particularly its larger neighbours in south Asia, can only dream of. Yet, for reasons that remain unclear, Sri Lanka has a very
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