There is high prevalence of suicidal ideation, suicide attempt, death wish and deliberate self- harm in adolescent population of two schools in Delhi. Clinical implications of these findings are discussed.
Since 1988, persecuted people primarily from the Chin state in Burma have fled into India due to large-scale human rights violations. A qualitative study was conducted to understand the narratives of 5 Burmese Chin refugee women retrospectively. Using their drawings as a stimulus, an unstructured interview was employed to help participants recall their life trajectories across 4 temporal periods: (a) preflight, (b) experience of traumatic events, (c) experience of flight, and (d) present status. Results highlighted 2 main concepts—systemic gender inequalities and hope. Participants’ gender-specific experiences of inequalities during their trauma in Burma and postdisplacement lives in India were a result of masculinized ideological frameworks of institutions such as the Burmese military and the Indian police. Simultaneously, they described a sense of hope to return to their home country and work toward its development while also desiring a sense of self-sufficiency through the Burmese model of family economy. Additionally, their means of hope was evident in their continued faith in God. Findings merit the attention of UN High Commissioner for Refugees (UNHCR), local nongovernmental organizations, policymakers, and government officials in India for proposing gender-specific policies and suggesting initiatives for psychosocial issues related to women refugees’ employment opportunities, vulnerability to sexual abuse, and local xenophobic sentiments in India.
Background: The concept of patient satisfaction in mental health services has eluded understanding in spite of large research body on this subject. Poor patient satisfaction leads to worse outcomes on psychiatric disorders. This study looked for social, demographic and clinical variables associated with patient satisfaction.Methods: 1100 eligible subjects were screened and then 519 alternate sample subjects were recruited for the survey based on the selection criteria. Social, demographic and clinical variables were assessed and PSQ-18 (Patient Satisfaction Questionnaire) was administered to all subjects.Results: 453 (87.28%) patients reported satisfaction and 66 (12.72%) of patients reported being unsatisfied with the service provided. Four sub-scales [“General satisfaction” (p<0.001), “Technical quality” (p<0.001), “Interpersonal manner” and “Communication” were found to be associated with patient satisfaction while other 3 sub-scales (“Financial aspects”, “Time spent with the doctor” and “Accessibility and convenience”) were not significantly associated with patient satisfaction.Conclusions: Both the technical and the interpersonal and communication skills of the doctor were important in determining patient satisfaction whereas the often believed variables like financial aspect and the time spent with the doctor did not affect patient satisfaction significantly.
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