The Sustainable Development Goals (Target 3.4) call to “ensure healthy lives and promote well-being for all at all ages.” One of the key targets is to reduce premature mortality from non-communicable diseases by one-third through prevention and treatment, while also promoting mental health and well-being by 2030. However, progress in reducing suicide rates has been hampered by widespread stigma, underreporting, difficulty in tracking incidents, and a lack of political will to formulate effective suicide prevention strategies.
The government allocates less than one percent of the health budget to mental health. Reports show that the mental health budget declined from 0.8 percent in 2008 to just 0.2 percent in 2020. Such limited resources result in inadequate mental health services, poor access to care, and a shortage of trained personnel and facilities, especially outside urban areas.
According to the WHO, 73 percent of global suicides occur in low- and middle-income countries. In high-income countries, suicides are often linked to mental disorders—particularly depression, alcohol use disorder, and a history of previous suicide attempts.
Every year, many people die by suicide, while many more attempt it. Each suicide is a tragedy with profound and lasting effects on families, communities, and entire societies. Why, then, do people take their own lives?
The French sociologist Émile Durkheim (1858–1917) sought to answer this question in his classic study on suicide, inspired by the death of his close friend Victor Hommay. His theory remains relevant today. Durkheim argued that suicide rates are influenced by levels of social integration and regulation in society. When social integration is very high, altruistic suicide may occur, as when individuals sacrifice themselves for religion, politics, or the nation. When integration is very low, egoistic suicide arises, as people unable to find belonging or meaning choose suicide to escape loneliness or isolation.
Similarly, excessive regulation can lead to fatalistic suicide, seen historically in slavery and persecution, where individuals feel trapped by fate. On the other hand, insufficient regulation results in anomic suicide, often triggered by economic crises or sudden social changes that disrupt people’s expectations—such as financial collapse, divorce, or the loss of a spouse.
Durkheim identified two forms of anomic suicide: acute anomie, caused by abrupt changes like a business failure or divorce, and chronic anomie, a constant state of instability common in modern capitalist societies. Examples include betrayals in love, economic depressions, or other crises that create a gap between people’s lived experiences and their expectations.
In Nepal, police data show that 7,055 people died by suicide in fiscal year 2024/25. Hanging was the most common method (5,798 cases, 82.2 percent), followed by poisoning (961 cases, 13.6 percent). Among these, 3,734 were men, 2,451 women, and 870 children. Hanging was the dominant method across groups, with men (3,112) and women (1,907) most affected. Cases of suicide provocation were higher among women (143) than men (30), reflecting unique gendered dynamics. Other methods—self-immolation, drowning, jumping, or weapons—were less frequent.
Applying Durkheim’s framework to the Nepali context reveals that a lack of social integration, regulatory imbalances, economic hardship, and rapid social change drive many suicides—mostly anomic in nature. Financial crises and relationship breakdowns often lead to hanging, while oppressive norms, early marriage, and abuse may drive women toward fatalistic suicide. Migrants isolated in urban areas may be prone to egoistic suicide. Altruistic suicides appear less common in today’s Nepal.
Karl Marx’s concept of alienation also sheds light on suicide. Marx argued that modern capitalist society separates individuals from their creative potential and from authentic social relationships, undermining equality and freedom. In such conditions, people may feel estranged and hopeless.
Osho, a 21st-century mystic, similarly observed that while traditional societies imposed clear collective values, modern individuals must construct their own identities in a competitive, uncertain environment. This search for meaning, he argued, often leaves people disoriented and vulnerable to despair.
Religions also shape perspectives on suicide. In the West, Judaism and Christianity generally condemn suicide as sinful, historically treating attempts as criminal acts with punishments that even included confiscating property. In South Asia, Hinduism and Buddhism reject suicide but historically permitted forms of altruistic suicide under certain circumstances. For instance, the sati system of self-immolation was once believed to ensure salvation for the widow and her family. Suicide is also often seen as a consequence of past karma.
In Nepal, the Muluki Ain of 2020 criminalized suicide, with survivors facing fines or prison. However, the National Penal Code of 2074 no longer treats suicide as a crime but makes encouraging or assisting suicide a punishable offense, carrying penalties of up to five years in prison and fines of up to Rs 50,000.
Despite decriminalization, stigma persists. Many Nepalis still view suicide or attempts as shameful, discouraging people from seeking help. Yet a suicide attempt can be a turning point—if timely support is provided. Too often, however, families and communities are preoccupied with their own struggles, leaving vulnerable individuals neglected.
Recognizing early warning signs is critical. Verbal cues (expressing a wish to die), emotional changes (hopelessness, mood swings), and situational triggers (loss, trauma, illness, or financial stress) can all indicate risk. High-risk groups include people with a history of attempts, mental illness, substance abuse, or social rejection.
Timely interventions—listening with empathy, offering care, and connecting individuals to professional help—can save lives. Social environments and family dynamics play a decisive role. As social beings, we carry a responsibility to reach out, talk to, and care for those suffering from depression, anxiety, or despair. Professional support from psychiatrists, trained social workers, and counselors—including meditation and mindfulness practices—can provide immense relief and hope.
