Background: Little is known about the prevalence of DAS among postgraduate international students in the UK. The study aimed to determine in these students the prevalence, associated individual characteristics, life and academic challenges related to DAS and suicidal thoughts, and management strategies used by the affected students.Methods: This cross-sectional study was conducted at a large English university. Self-selected postgraduate international students, aged 20-50 years, participated through online and paper questionnaires. The World Health Organisation’s Self-Reporting Questionnaire (SRQ-20) was used to indicate the presence of DAS. Additional open questions explored social and academic challenges, and coping strategies. Results: Amongst the 289 participants, 43% (n=123) presented with DAS and 12% (n=34) experienced suicidal thoughts. In the multivariate analysis, significant independent predictors (p≤0.05) were length of stay in the UK (>3 years) and studying in a certain faculty. Significant challenges associated with DAS included relationship issues, inadequate finances, homesickness, difficulty carrying out domestic chores, problem finding a community with shared cultural/religious values, change of climate, and perceived insufficient support from university staff. Coping strategies included talking to academic advisors/tutors, friends/family in the UK or their home country. Of all students with DAS and suicidal thoughts, 25% and 21%, respectively sought medical help, and 17% and 32% were on medication.Conclusion: International postgraduates had higher rates of DAS and suicidal thoughts than the UK population. A low percentage sought medical help, which has implications for service planning. A model of influencing factors is presented, requiring future studies.
Objective: To assess treatment-seeking behaviour in psychiatric patients with co-morbid infertility. METHODology: This hospital-based prospective study was conducted on outpatients , consulted at NMI (Neuro-spinal & medical Institute), Karachi.All consecutive and consenting cases were interviewed using a semi-structured proforma. Results were tabulated and analyzed through SPSS Version 11.0. Fisher Exact test/Chi-square test were used to compare variables. Results: One hundred five cases (62.85% Men and 37.14% Women) that fulfilled the criteria of infertility were evaluated. More than half (51.42%) of the cases had sought alternative type of treatment including treatment from Faith Healers (19.04%), Hakeems (Eastern/Indigenous Practitioners=18.09%) and Homoeopathics(14.28%). The rest of the cases had history of multiple consultations with Allopathic medical practitioners. Conclusion: The impact of Infertility is serious especially in the east making a person vulnerable to seek help from the various available source of treatment particularly traditional/ alternative mode.
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