Policy Recommendations from Ten Years of Suicide Prevention Through Bangladesh's Only Telephone-Based Suicide Prevention Helpline

Abstract

Background
Suicide is a major global public health issue, causing over 700,000 deaths annually. In Bangladesh, the challenge of addressing suicide is heightened by stigma, underreporting, and limited mental health resources. The Kaan Pete Roi (KPR) helpline, established in 2013, provides emotional support and suicide prevention services as the nation's only helpline of its kind.

Methods
This study utilized data collected over ten years from KPR's operations. The analysis focused on caller demographics, the nature of calls, and the effectiveness of the helpline in crisis intervention. The aim was to evaluate the helpline's impact and derive policy recommendations for national suicide prevention efforts.

Results
KPR received approximately 60,000 calls, with a significant number of callers experiencing active suicidal ideation or crisis. The helpline successfully de-escalated all calls, including those at immediate risk. Despite limited outreach, the helpline's operations demonstrated considerable effectiveness in providing critical support.

Conclusion
Kaan Pete Roi's decade-long experience highlights the importance of accessible helpline services in suicide prevention. The data collected provides valuable insights into suicidal behaviors in Bangladesh, offering a foundation for national policy development. The findings support the expansion of helpline services, integration into national emergency frameworks, and increased public awareness to reduce stigma and encourage help-seeking behavior.