Psychosocial risk factors and clinical profile associated with attempted suicide in young adult and adolescent patients in conflict zone-Kashmir

Jan, Mohd Muzzafar; Rather, Yasir Hassan; Majeed, Nousheen; Wani, Zaid Ahmad; Dar, Mansoor Ahmad; Margoob, Mushatq Ahmad; Hussain, Arshad; Bhat, Tariq A.

doi:10.4103/1755-6783.205561

Cited by 3 publications

(9 citation statements)

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“…Of the 643 potentially relevant publications screened in full text, 125 were identified as eligible for this review. The grey literature search identified another 25 eligible publications, and a further seven were identified through reference list of previous reviews, with a total of 157 publications finally included in the review 24–154Table 1. summarises the characteristics of all included publications.…”

Section: Resultsmentioning

confidence: 99%

Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review

et al. 2020

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BackgroundOver 240 million children live in countries affected by conflict or fragility, and such settings are known to be linked to increased psychological distress and risk of mental disorders. While guidelines are in place, high-quality evidence to inform mental health and psychosocial support (MHPSS) interventions in conflict settings is lacking. This systematic review aimed to synthesise existing information on the delivery, coverage and effectiveness of MHPSS for conflict-affected women and children in low-income and middle-income countries (LMICs).MethodsWe searched Medline, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Psychological Information Database (PsycINFO)databases for indexed literature published from January 1990 to March 2018. Grey literature was searched on the websites of 10 major humanitarian organisations. Eligible publications reported on an MHPSS intervention delivered to conflict-affected women or children in LMICs. We extracted and synthesised information on intervention delivery characteristics, including delivery site and personnel involved, as well as delivery barriers and facilitators, and we tabulated reported intervention coverage and effectiveness data.ResultsThe search yielded 37 854 unique records, of which 157 were included in the review. Most publications were situated in Sub-Saharan Africa (n=65) and Middle East and North Africa (n=36), and many reported on observational research studies (n=57) or were non-research reports (n=53). Almost half described MHPSS interventions targeted at children and adolescents (n=68). Psychosocial support was the most frequently reported intervention delivered, followed by training interventions and screening for referral or treatment. Only 19 publications reported on MHPSS intervention coverage or effectiveness.DiscussionDespite the growing literature, more efforts are needed to further establish and better document MHPSS intervention research and practice in conflict settings. Multisectoral collaboration and better use of existing social support networks are encouraged to increase reach and sustainability of MHPSS interventions.PROSPERO registration numberCRD42019125221.

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Section: Resultsmentioning

confidence: 99%

Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review

et al. 2020

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“…15 Kashmir is a conflict zone and has been constantly under stress for the past 20 years which has led to rise in mental illnesses in the valley as reported by many studies conducted by various researchers. [16][17][18] The incidence of suicide-deaths in Jammu and Kashmir during the year 2014 was 258, which contributes a suicide rate of 2.1 (suicide rate means number of suicides per one lakh population). 17,20 However, studies conducted by Ghanate et al and Kodali et al showed suicidal attempts to be more common in males than females.…”

Section: Discussionmentioning

confidence: 99%

“…This result is in concordance with the study results of Shoib et al (59.92%), Manhas et al (56.8%) and Roy, et al (73%). 18,20,24 This result may be explained by the fact that rural areas have low literacy rates and higher unemployment rates which is further complicated by financial difficulties and low socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

“…As per the study conducted by Jan et al in Kashmir valley, none the patients in the study population had made any detailed plan, however 12% had left a suicide note before the attempt. 18 This was a tertiary care hospital-based study so a major chunk of such cases from peripheral hospitals was not available and, in some cases, real facts were concealed to avoid any legal implications and the narratives of the family members were not consistent. Future evolution of any morbidity as well as proper follow up of the study group was not taken care of.…”

Section: Discussionmentioning

confidence: 99%

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Socio-demographic profile and mode of attempt of suicide among suicide attempters in Kashmir: a hospital-based study

et al. 2021

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Background: Suicide is an important and serious public health problem. It is one of the major emergencies in psychiatry. This study was carried out to assess the socio-demographic profile and mode of attempt of suicide among suicidal attempters attending emergency.Methods: This study was a cross sectional, observational study conducted at Institute of Mental Health and Neurosciences-Kashmir, an associated hospital of Government Medical College Srinagar, among the suicide patients attending the outpatient service and inpatient services fulfilling inclusion and exclusion criteria over a period of one and a half year. Each patient was informed about the purpose of interview; his/her consent was obtained in a simple and easily understandable unambiguous language.Results: A total of 221 cases who had been admitted following unsuccessful suicide attempts to the emergency and psychiatry department were taken up for the study. Out of which 161 (72.9%) were females and 60 (27.1%) were males, the mean age was 24.61±8.9 years. Lower middle and upper lower classes occupied an equal percentage of 34.4% of the suicide attempters, while 24% belonged to upper middle class and only 5.9% belonged to lower class .The least no. of cases (1.4%) were from the upper classes. The most common mode adopted was poisoning whereas the least common mode was self- immolation. Poisoning and self-mutilation were proportionally high in females as compared to males with a significant p value.Conclusions: There should be a robust system in place which takes care of future management and follow up of this group of population.

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“…Kashmir is a conflict zone and has been constantly under stress for the past 20 years which has led to rise in mental illnesses in the valley as reported by many studies conducted by various researchers. 12,13,14 In recent times suicide rates are rising more quickly in adolescents and young people than any other age group, both in developing and developed countries and it has been seen that emotional issues, exam failures, peer pressure, substance abuse, financial difficulties, high parental expectations, family conflicts etc, are the triggering factors. 15 In our study, the mean age was 24.61 years.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

Bhagat

Dar

Ahmed

2021

Int J Sci Healthcare Res

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Background: Psychiatric disorders are at increased risk for suicide. Attempted suicide is a common clinical problem in a general hospital. It has a serious clinical and socio-economical impact too. Aims: This study was carried out to assess the prevalence of psychiatric co-morbidities of suicide attempters attending the emergency. Material and methods: This study was a cross sectional, observational study which was conducted at the Community General Hospital Unit, Institute of Mental Health and Neurosciences-Kashmir an associated hospital of Government Medical College Srinagar among the suicide patients attending the outpatient service and inpatient services of the hospital fulfilling inclusion and exclusion criteria over a period of one and a half year, from November 2017 to May 2019. Written informed consent was obtained in a simple and easily understandable unambiguous language. For the diagnosis of psychiatric comorbidity, we used MINI International Neuropsychiatric Interview Schedule Plus (MINI PLUS). A p-value of <0.05 was taken as statistically significant. Results: A total of 221 cases who had been admitted following unsuccessful suicide attempts to the emergency and psychiatry department were taken up for the study. They were evaluated in detail with regards to past attempt of suicide, family history of psychiatric illness or suicide and the presence of psychiatric co-morbidity and the results have been presented below in tabulated and graphical forms. 77.4% of the attempters had no history of psychiatric illness in their family while 22.6% of patients did have family history of a psychiatric illness. 98.2% of attempters had no family history of suicide while 1.8% of the patients gave a family history of suicide. 21.26% males and 54.75% females had associated psychiatric co-morbidities and 23.9% had no associated psychiatric co-morbidities. Conclusion: The most common psychiatric morbidity associated with suicide was found to be major depressive disorder. Most importantly, the suicide attempters should be looked with sympathy rather than with a grimace on face. Such people should not be stigmatized and we should not let their shoulders drop. Keywords: Depression, Bipolar Disorder, Morbidity, Suicide.

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Psychosocial risk factors and clinical profile associated with attempted suicide in young adult and adolescent patients in conflict zone-Kashmir

Cited by 3 publications

References 2 publications

Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review

Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review

Socio-demographic profile and mode of attempt of suicide among suicide attempters in Kashmir: a hospital-based study

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

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