Patel, S.N.; (2005) Suicidality in young Asian women: the role of shame. Doctoral thesis , University of London.

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Abstract

The literature addressing suicidal behaviour in young South Asian women is reviewed. Most published literature cites 'culture conflict' as a causal mechanism for the high rates of suicidal behaviour found in this group. Whilst this concept is undoubtedly of relevance, it is ill defined and does not propose a mechanism through which conflicting cultural roles may lead to suicidal ideation and behaviour. Recent research suggests a role for shame in the suicidal behaviour of young Asian women. A specific pathway is for the first time proposed in this study, by hypothesising that experiencing conflict between Western and South Asian cultures in terms of acceptable moral and social behaviour for women may lead to or at least contribute to suicidal behaviour through the cultural concepts of 'sharam' (shame) and 'izzat' (honour). The shame experienced is thought to relate more to a fear of shaming one's family and/or community, and thereby affecting family honour rather than to Western concepts of shame. Religion is examined as a moderating variable, as research suggests that Muslim women may be at lower risk of suicidality than South Asian women from other religious backgrounds in particular Hindu women. A hypothetical model is proposed linking culture conflict, shame and suicidal behaviour with religion moderating the effect of shame on suicidal behaviour.

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