Objective. To identify social and behavioral patterns and mental health concerns associated with intimate partner homicide-suicide (IPHS) in Jamaica through an analysis of media and police reports. Methods. This was an archival data review of police records and print, radio, and television reports of IPHS incidents from January 2007-June 2017 in Jamaica. The 27 cases found were qualitatively analyzed using pre-identified codes and open coding to generate themes and patterns. Results. A prevalence rate of 0.1 per 100 000 was determined. In all cases, males were the homicide-offender. Sociodemographic patterns associated with IPHS incidents-age, personality traits, choice of weapon, and time of occurrence-were consistent with previous findings. Common triggers were offender obsession, sexual jealousy, and fear of separation. Despite reports of mental health concerns in both male and female partners, neither the couples nor community members sought help prior to the homicide-suicide. Conclusion. These findings demand a change in cultural attitudes toward domestic disputes and mental health concerns, and a redefining of the community's responsibility in IPHS. The warning signs associated with IPHS should be part of existing violence and suicide prevention programs.

Objective: The under-utilisation of mental health services by populations because of inadequate mental health education by community leaders and the public is of concern. The primary purpose of this study was to evaluate the usefulness of brief 1-day workshops in educating the public about mental health. Design: Quantitative pre–post evaluation. Setting: Community-based mental health workshops in urban Jamaica. Method: A survey on awareness of mental health resources was completed by 39 community leaders. In addition, 204 participants, who attended three 1-day public educational workshops, anonymously completed evaluations of workshop objectives including met expectations, stimulated learning, and workshop strengths and weaknesses. Of these participants, 157 completed pre–post workshop evaluations to identify subjective improvements in knowledge and competency. Results: Almost 60% of community leaders reported being in regular contact with persons who expressed poor emotional well-being, but typically only referred 25%–30% for mental health counselling. The workshops on mental health education, facilitated by faith-based organisations, were well subscribed by the public and most participants rated them favourably. Significantly more participants reported satisfaction with the workshops on Parenting Practices compared to Workplace Wellness ( p < .05). Wilcoxon Signed Rank tests revealed higher mean scores overall on post-workshop evaluation indicating gain in knowledge and competency; mean pre-test score, 3.26 (0.77), and post-test, 4.38 (0.48), p < .000. Conclusion: One-day mental health education workshops met public expectations and resulted in subjective gains in knowledge and competency. Research is needed to clarify the specific benefits of using public education workshops supported by faith-based organisations to promote mental health.

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Clergy play a vital role in mental health care in Jamaica but little is known about their mental health awareness and practices. Thirty five Anglican and Baptist clergy were compared to 24 helping professionals and 67 community members using purposive sampling. Clergy's awareness exists with spiritualized beliefs about the etiology of mental illness as well as with effective and unethical counseling practices. Findings indicate the need for more training in mental health sensitization and practice.