Attempted suicide in west London, I. Rates across 
ethnic communities

Bhugra, Dinesh; Desai, Miraj U.; Baldwin, David S.

doi:10.1017/s0033291799008910

Cited by 102 publications

(71 citation statements)

References 12 publications

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“…We combined ethnic groups on a pragmatic basis. Our categories were in line with previous research, 17 …”

Section: Methods Study Design and Data Collectionsupporting

confidence: 89%

“…There are a number of possible interpretations for the difference in results in young South Asian groups compared with previous findings and between centres. First, previous studies were carried out in Birmingham and London 17,35 and not all South Asian populations are the same. For example within our three centres the proportions of the population that were of Indian, Pakistani and Bangladeshi origin varied considerably (Table 1).…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

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Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

et al. 2010

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Variation in rates of suicide in Black and minority ethnic (BME) groups have been reported in different countries.1,2 Rates of suicide 3,4 and self-harm 5-7 may be lower in BME groups than White groups overall, but this finding may obscure differences in age-and gender-specific groups. Also, rates of suicide and self-harm within ethnic minority groups may fluctuate according to area, with a decline in relative risk of suicide and self-harm where there is a larger density of minority populations. 8,9 Previous research on BME groups in the UK has generally been conducted in single geographical areas, 10 and self-harm studies have been limited by small sample size, with few studies of people of African-Caribbean origin.11 A report on suicide prevention for BME groups in England calls for better information on rates and risk factors for suicide or behaviours that increase the likelihood of suicide. 12 We have conducted a study of self-harm in different minority ethnic groups using a multicentre database of self-harm in three geographical areas in England. Our objectives were to compare ethnic groups (that is, White, South Asian and Black African-Caribbean) with regard to: age-and gender-specific rates of self-harm in different cities; sociodemographic and clinical characteristics; clinical management following self-harm; and risk of repetition of self-harm. Method Study design and data collectionWe conducted a prospective, multicentre cohort study, identifying all episodes of self-harm presenting to emergency departments in general hospitals in Manchester (three hospitals), Derby (two hospitals) and Oxford (one hospital). The study hospitals were chosen on a pragmatic basis -the centres included were those that had established monitoring systems. The cities of Manchester, Derby and Oxford have different profiles (Table 1), with ethnic groups forming a greater proportion of the general population in Manchester. According to the UK government's Index of Multiple Deprivation, where 353 local authority areas in England were scored on a number of indicators (covering a range of economic, social and health issues) into a single deprivation score, 13 Manchester was ranked fourth (worst), Derby sixty-ninth and Oxford one hundred and fifty-fifth.Data were collected using established monitoring systems in the three centres, described in full elsewhere.14,15 Self-harm attendances were identified via detailed examination of computerised emergency department records and defined consistently across all three centres as intentional self-poisoning or self-injury, irrespective of motivation and degree of suicidal intent.16 Most participants received a psychosocial assessment from emergency department staff and/or mental health specialists. For assessed participants, clinicians recorded a wide range of sociodemographic and clinical information using research assessment forms. For participants who were not assessed (for example, because they refused or took early discharge), basic information was collected by research clerks from medi...

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“…We combined ethnic groups on a pragmatic basis. Our categories were in line with previous research, 17 …”

Section: Methods Study Design and Data Collectionsupporting

confidence: 89%

Section: Interpretation Of Findingsmentioning

confidence: 99%

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

et al. 2010

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“…In a London-based treatment study, Bhugra and his colleagues (Bhugra et al, 1999b;Bhugra et al, 1999c;Bhugra et al, 1999d) aimed to establish inception rates of attempted suicide for men and women and associated social and cultural factors across four ethnic groups: South Asian, African/African-Caribbean, White and "Other" (mixed) . The sample was drawn from general medicine, accident emergency and psychiatric wards of local hospitals and matched by age with a community group attending a GP surgery.…”

Section: Suicide/attempted Suicide/deliberate Self-harm (Dsh)mentioning

confidence: 99%

The Mental Health Status of South Asian Women in Britain

Anand¹,

Cochrane

2005

Psychology and Developing Societies

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Mental Health of South Asian Women in Britain / 195 This article reviews the research on the mental health status of South Asian women living in UK. It reports on the findings from epidemiological studies of the prevalence of depression, suicide, parasuicide, deliberate self-harm and eating disorders in this community. Focus is on research studies that describe cultural influences on conceptualisations and expressions of distress, help seeking behaviours and alternative coping strategies. The influence of acculturation and "culture conflict" as they impact upon women's mental health is also highlighted. The review concludes by considering, first, salient cultural and religious concepts identified in studies that may facilitate understanding South Asian women's mental ill health, and second, the urgent need to develop gender, linguistic and culturally sensitive mental health services for women of South Asian origins now citizens of UK.

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“…This is an issue which is now consistently noted into the UK. There are now some very important studies of elevated rates of self harm among Asian women under 30 (Merrill and Owens, 1986;Yazdani, 1998;Soni-Raleigh, 1996;Bhugra, 1999). The qualitative study by Yazdani, "Young Asian Women and Self-Harm," suggests that domestic violence, of which forced marriage was one aspect, was a factor for many, though not all, of the young Asian women.…”

Section: Social Work In Mental Healthmentioning

confidence: 99%

Responding to the Individual Trauma of Domestic Violence: Challenges for Mental Health Professionals

Humphreys

2008

Social Work in Mental Health

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A clear link exists between domestic violence and mental health problems for women. Depression, trauma symptoms, and suicide attempts are issues that seriously undermine the emotional well-being of women who have been subjected to violence and abuse from their partner or ex-partner. This paper draws on a research project that highlighted the mental health issues for women using domestic violence services and raised a number of pertinent problems for policy and practice in this area. Bringing services for survivors into the mainstream of service provision within the health and mental health arena may bring problems if a model of individualized service provision is not enhanced by the involvement of Dr. Humphreys is a senior lecturer in the School of Health and Social Studies, 187 professionals and their organizations in the social movement to support survivors and skills that enhance social support. Ideas put forward by Judith Herman (1992) are used to explore this argument.

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Attempted suicide in west London, I. Rates across ethnic communities

Abstract: Younger Asian women are vulnerable to increased rates of attempted self-harm and deserve to be studied further.

Cited by 102 publications

References 12 publications

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

The Mental Health Status of South Asian Women in Britain

Responding to the Individual Trauma of Domestic Violence: Challenges for Mental Health Professionals

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