COL KIRPAL SINGH AWARD ABSTRACT

Thus spake dead: Thematic analysis of suicide notes in Indian context Lt Col Manisha Jindal, Ishita Manal, Sharmin Palestia, C. S. Makhani Command Hospital, Southern Command Affiliated with AFMC, Pune, Maharashtra, India LOM/M23/19 Background: Suicide remains a significant global public health concern, with complex psychological social and cultural determinants. Suicide notes offer unique insight into the cognitive and emotional states of the deceased and often reflect their motivations interpersonal dynamics and unresolved conflicts. Thematic analysis of suicide notes allows researchers to identify recurring themes, and knowledge of these region-specific vulnerabilities can help in tailoring the suicide prevention interventions to diverse socio-cultural contexts. Aim: The aim was to study the themes in suicide notes and evaluate contextual, social factors and emotional states related to suicides. Methods: We reviewed autopsy records from 2014 to 2025 for suicide notes and analysed them qualitatively using a grounded theory approach. Results: A total of 23 suicide note were available. Among males, financial crises were the most common contextual theme, while among females, physical and emotional abuse predominated. Escape from defined/undefined struggle, apologetic exit and emotional exhaustion, burnout and hopelessness were the most common emotional states seen in suicide notes. Conclusions: Those unable to deal with life stressors like financial crisis, domestic abuse, academic failure, substance abuse and prolonged illness are at risk of committing suicide. Comprehensive suicide prevention in India necessitates targeted interventions. Key words: Suicide, suicide note, thematic analysis