Perspectives on the decriminalisation of suicide in Pakistan: historical context, societal impacts, and the way forward

IF 6.2 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet regional health. Southeast Asia Pub Date : 2025-03-27 DOI:10.1016/j.lansea.2025.100568
Mariyam Sibghatullah, Komal Dayani, Mekaiel Zia, Taha Sabri
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Abstract

This Viewpoint provides a comprehensive review of the historical context, legal frameworks, and societal implications associated with the criminalisation of suicide in Pakistan, along with the process that was utilised for the decriminalisation of suicide. The context focuses on the importance of decriminalising suicide, presenting evidence and insights into how the criminalisation of suicide has impacted individuals, families, and the healthcare system. The process of decriminalising suicide in Pakistan focuses on the public awareness strategies, emphasising the key role that the stories of people with lived experience of mental illness played in shifting the societal attitudes and misconceptions related to suicide. Through discussions of the challenges faced in the process of repealing Section 325 of the Pakistan Penal Code (PPC), we emphasise the need for continued public awareness efforts to address the religious misconceptions related to suicide. With the implementation of the law still pending, we argue that decriminalising suicide aligns with the development of a National Suicide Prevention Strategy. The Viewpoint also presents recommendations for government representatives, public health professionals, policymakers, and other stakeholders to utilise our learnings to develop a robust suicide prevention strategy with a multisectoral approach, strengthening the medical system to respond to mental health emergencies.
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巴基斯坦自杀除罪化的观点:历史背景、社会影响和未来之路
这一观点提供了一个全面的回顾历史背景,法律框架,以及与巴基斯坦自杀罪化相关的社会影响,以及用于自杀罪化的过程。背景侧重于将自杀非刑事化的重要性,提出证据并深入了解自杀的刑事化如何影响个人、家庭和医疗保健系统。巴基斯坦将自杀除罪化的过程侧重于提高公众意识的策略,强调有精神疾病经历的人的故事在改变与自杀有关的社会态度和误解方面发挥的关键作用。通过讨论在废除《巴基斯坦刑法》第325条的过程中所面临的挑战,我们强调有必要继续提高公众意识,以解决与自杀有关的宗教误解。由于法律的实施仍然悬而未决,我们认为将自杀合法化与国家自杀预防战略的发展是一致的。《观点》还向政府代表、公共卫生专业人员、政策制定者和其他利益攸关方提出建议,利用我们的经验,以多部门方法制定强有力的自杀预防战略,加强医疗系统以应对精神卫生紧急情况。
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