International Journal of Health Sciences and Research Vol.13; Issue: 1; January 2023 Website: www.ijhsr.org Original Research Article ISSN: 2249-9571 International Journal of Health Sciences and Research (www.ijhsr.org) 170 Vol.13; Issue: 1; January 2023 Suicide During the Pandemic in an Informal Settlement of Bengaluru Biswamitra Sahu 1 , Sathyanarayana Tamysetty 1 , Giridhara R Babu 1 , Suresh Shapeti 1 , Simon Queeny 2 , Hima Bindu Dubasi 1 , Deepa R 1 , Nolita Dolcy Saldanha 1 , Rajesh Bhatia 3 , Sonalinee Khetrapal 3 1 Department of Public Health, Indian Institute of Public Health, Bengaluru 560023 2 Read India Foundation, Bangalore 3 Asian Development Bank Corresponding Author: Biswamitra Sahu DOI: https://doi.org/10.52403/ijhsr.20230124 ABSTRACT Objective: To investigate the external factors that influence people to commit suicide during the pandemic. Design: Mixed-method approach was used to examine the direct and indirect impact of pandemic on suicide. The study has assessed socio-demographic profile of suicide cases as well as the cause of suicide of those who committed suicide using police ledger data and socio-cultural autopsies. Using case study method, interviewed three families of the deceased and tried to understand the underlying factors, context and process that explains the complex phenomenon of suicide. Direct and indirect impact of pandemic on suicide. Result: There is a clear mis-match in reporting of socio-demographic profile of suicide cases and the underlying reason for the same in police ledger vis-a-vis socio-cultural autopsy. Current case studies have revealed the process through which the deceased have committed suicide. Specifically, the reasons being financial crisis due to COVID-19, habits such as alcoholism, Gambling and extra- marital affair, lack of understanding between couple, lack of communication between the couples for a long period. It has also been noticed that the families had no idea the deceased was suicidal and were left alone during this vulnerable period. Since, excessive alcohol consumption was common in all three cases and due to their financial situation, these families could not afford treatment at a de- addiction center. Conclusion: The current research discovered that the link between the lay counselor and people at risk of committing suicide could be a mobile application that aids in the recruitment of such people. Keywords: COVID-19, Suicide, Urban slums, mixed-method approach, Socio-cultural autopsy 1. INTRODUCTION Though the resource limited countries bear the major burden of the mental health issues, mental health in these countries receives least priority. The COVID-19 pandemic has worsened this situation even further in Low-to-Middle-Income countries (LMIC's) as these countries continue to cope with the treatment gap for mental health care. A growing pool of evidence suggests the impact of COVID-19 and its adverse effects on mental health(1). Many stressors like social isolation, job loss, travel restrictions, disrupted academic activities due to lockdowns, increased fear of contracting the virus deters access to health care, aggravating the mental illnesses during the pandemic(2). These effects are far likely to escalate among those in lower socio- economic strata living in informal settings. For instance, among residents of a slum in North India, the prevalence of depression