Background:Alcohol dependence has adverse health and social consequences; Alcohol related problems primarily occur within the family context and maximum impact is felt on spouses, given the intimate nature of their relationship. Spouses play an important role in treatment programs related to alcohol. There is thus a need to study psychiatric morbidity and marital satisfaction in spouses of alcohol dependent patients in order to understand and address such issues.Aims:The aim of this study was to assess the pattern of psychiatric morbidity, marital satisfaction in spouses of men with alcohol dependence syndrome and explore the association.Materials and Methods:For psychiatric morbidity, 60 spouses of men with alcohol dependence syndrome were evaluated. Marital satisfaction was assessed using the marital satisfaction scale. Severity of alcohol dependence in the husbands and consequences of drinking was assessed using short alcohol dependence data and drinkers inventory of consequences respectively.Results:More than half of the spouses (65%) had a psychiatric disorder. Primarily mood and anxiety disorder were present. Major depressive disorder was present in 43%. Psychiatric morbidity, marital dissatisfaction in spouses and higher adverse consequences alcohol dependence in their husbands, were found to be significantly correlated with each other and their association was robust particularly when problems in the physical, interpersonal and intrapersonal domains were high.Conclusion:Psychological distress and psychiatric morbidity in spouses of alcohol dependent men is high, with marital satisfaction being low. Addressing these issues will be beneficial as spouses are known to play an important role in the treatment of alcohol dependence syndrome.

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Background: Adolescence is defined by WHO as period in human growth and development that occurs after childhood and before adulthood from ages 10 to 19 years. According to WHO, half of all mental health disorders in adulthood start by age 14 years, but most cases are undetected and untreated.Methods: The present study was community based cross sectional comparative study was conducted on study participants were high school children aged 14 years to 16 years in tribal, rural and urban areas of Mysuru from November 2014 to May 2016, i.e., one and a half years (eighteen months). Around 9 tribal high schools, 8 rural high schools and 13 urban high schools were selected and sampling was done according to probability proportionate to size. Institutional Ethics Committee clearance was obtained before start of the study. The study methodology was discussed with and permission obtained from all Principals and Headmasters of respective High Schools. Written informed assent was obtained from each study participant. Data thus Obtained were coded and entered into Microsoft excel Work sheet .This was analyzed using SPSS 22 version. Descriptive statistics like percentage, mean and standard deviation were applied. Inferential statistical tests like chi square test were applied to find out association. The difference, association were expressed statistically significant at p-value less than 0.05.Results: Among the study participants, in tribal area, 88 (47.3%) belonged to age group of 15 years, in rural area, 103 (51.5%) belonged to age group of 15 years and in urban area 116 (59.8%) belonged to age group of 14 years. Anxiety disorders were seen more in urban participants 26.3% and least in rural, major depressive disorders were seen more in urban participants (4.1%) and suicidality was seen more in rural participants (6.5%).Conclusions: Anxiety disorders were seen more in urban participants 26.3%, Major depressive disorders were seen more in urban participants (4.1%) and suicidality was seen more in rural participants (6.5%). The present study stresses importance of School-based specific diagnostic screenings such as for anxiety disorders, depression, ADHD should be implemented.

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Background: In India, there is a large gap between the mental health morbidity in society and the availability of psychiatrists. However, the latest Indian undergraduate medical curriculum does not require any competency in psychiatry to be fulfilled for certification of medical graduates as doctors. Thus, the role of Indian psychiatry teachers is quite challenging. Interestingly, there has been hardly any effort to understand the felt needs of psychiatry teachers that may further improve the quality of undergraduate training. Methods: We used a survey questionnaire that was both qualitative and quantitative, with questions on topics such as years of psychiatry training and experience as a psychiatry teacher. Do they feel the need for training in undergraduate psychiatry teaching? Do they require training in teaching psychiatry theory or clinics or both? What are the specific areas where they want training? What more should be planned for psychiatry teachers? Based on an online survey further steps in the direction of psychiatry teachers felt needs were initiated. Results: Around 55 responses with a response rate of 37% were received. More than 50% were working in medical colleges for the last 5 years. About 80% felt the need for further training to teach medical students while 97% felt that additional training is required for handling theory as well as bedside clinic. More than 60% were keen to attend a 1-day workshop to upgrade their teaching skills. A majority wanted to have a forum to share their experiences and to learn from others. Based on the felt needs of psychiatry teachers from the survey, a 1-day workshop was carried out and a forum for psychiatry teachers was inaugurated. Conclusion: Training of psychiatry teachers is an important felt need for the challenges that are unique to Indian medical education. The outcome from the Karnataka survey is a progressive step in addressing this challenge.

Background: India has one of the largest numbers of doctors in the world. It is estimated that more than 1 million doctors are in India. Every year more than 80,000 medical students graduate as doctors from 529 medical colleges in India. Medical profession is considered as more stressful, but mental health is still a subject of taboo in medical profession in Indian context. Doctors have higher suicide risk, 2.5 times more than the general population. In the United Kingdom, 430 doctors committed suicide between the years 2011 and 2015. Even though suicide among doctors is reported in Indian media, there is hardly any scientific study that has looked into the suicide among Indian doctors because of many hurdles in the collection of information. Materials and Methods: All the Indian newspaper that are published in English and are available in the online platform were scrutinized on doctors suicide report from the year 2016 March to 2019 March. Results: Thirty suicides were reported between 2016 March and 2019 March, out of which 18 were female and 12 male. More than 80% were younger than 40 years. Twenty-two were from medical education institutions. Seventeen were from south India and 13 from North India. Eight were MBBS students and ten were postgraduate students. Among subspecialties, six doctors were from Anesthesia. Seventeen used hanging as a method for suicide, eight used medications, and five jumped from building to end life. Nineteen of suicide reports about doctors mentioned that they were depressed. Conclusion: Suicide among Indian doctors is concern. Majority are young undergraduate and postgraduate medical students. Female doctors were more than male doctors. Most doctors were reported to be depressed and used lethal method such as hanging and medications.