Scholars debate whether these rare reports of "sati" suicide by widows are related to culture or are examples of mental illness and suicide such as those found among women worldwide. In the case of Roop Kanwar, Dinesh Bhugra states that there is a possibility that the suicides could be triggered by "a state of depersonalization as a result of severe bereavement", then adds that it is unlikely that Kanwar had mental illness and culture likely played a role. However, Colucci and Lester state that none of the women reported by media to have committed "sati" had been given a psychiatric evaluation before their "sati" suicide and thus there is no objective data to ascertain if culture or mental illness was the primary driver behind their suicide. Inamdar, Oberfield and Darrell state that the women who commit "sati" are often "childless or old and face miserable impoverished lives" which combined with great stress from the loss of the only personal support may be the cause of a widow's suicide.