scholarly journals Structuring Roles and Gender Identities Within Families Explaining Suicidal Behavior in South India

Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Reena A. Lasrado ◽  
Khatidja Chantler ◽  
Rubina Jasani ◽  
Alys Young

Abstract. Background: This paper examines the social structures, culture, gendered roles, and their implications for suicidal behavior in South India. Exploring the cultural process within the structures of family and society to understand suicide and attempted suicide from the perspectives of survivors, mental health professionals, and traditional healers has not been achieved in the existing suicide-related research studies conducted in India to date. Aims: This study aimed to explore the cultural implications of attempted suicide by examining the survivors' life stories, their perceptions, and service providers’ interpretations of problem situation. Method: A qualitative design was used drawing on constant comparison method and thematic analysis. The analysis was underpinned by the theoretical concepts of Bourdieu's work. In-depth interviews were conducted with 15 survivors of attempted suicide, eight mental health professionals, and eight traditional healers from Southern India. Results: The study found interactions among visible and invisible fields such as faith, power, control, culture, family, religion, and social systems to have strengthened the disparities in gender and role structures within families and societies and to have impacted survivors’ dispositions to situations. Conclusion: The role of culture in causing suicide and attempted suicide is explained by unraveling the negative impact of interacting cultural and structural mechanisms.

2021 ◽  
Vol 104 (11) ◽  
pp. 1739-1745

Objective: Even though the number of health professionals is growing in many counties in Southeast Asia, the shortage of mental health professionals remains a challenge. The current model of professional training needs to be changed to foster cooperative and collaborative skills, through interprofessional and transprofessional education, so professionals as well as non-professional service providers and operational personnel are trained to be members of the health teams. However, training needs in each Southeast Asian country remains unknown. The present study surveyed these needs using Hennessy-Hick’s criteria and experts’ opinions. Materials and Methods: Fifteen representatives from Thailand, Cambodia, and Indonesia, mostly psychiatrists, nurses, and psychologists, attended the meeting and presented for 30 to 50 minutes on the condition of mental health services and training needs in their countries. All representatives were asked to complete an online-shared report of the adapted Hennessy-Hicks Training Analysis Questionnaires. Results: According to the Hennessy-Hick’s criteria, some teamwork tasks were required for Thailand, whereas most tasks were required for Indonesia and Cambodia. Training on special topics depended on the country’s necessity. Basic skills are needed in all ranges of mental health issues. Thailand and Indonesia expressed quite similar needs, while Thailand had identified itself as having ‘an aging society’, which ‘caring for patients with dementia and caregivers’ in their training needs were more urgent than Indonesia. Training non-psychiatric professionals, such as primary physicians and nurses, concerning mental health issues, might help to address current mental health needs in Thailand, while Cambodia was concerned about recruiting mental health professionals and focusing on providing sufficient services for the country rather than training non-professionals to deal with mental health issues. Conclusion: The training needs for mental health professionals centered on research, clinical tasks, and communication, while including nonprofessional mental health providers in training of basic skills such as communication and up-to-date technology are deemed important at the present. Keywords: Training Needs Analysis; Thailand; Cambodia; Indonesia; Mental Health


2000 ◽  
Vol 34 (4) ◽  
pp. 627-636 ◽  
Author(s):  
Gordon Parker ◽  
Helen Chen ◽  
Joshua Kua ◽  
Jennifer Loh ◽  
Anthony F. Jorm

Objective: The objectives of this study are, first, to replicate and extend an Australian approach to assessing mental health literacy by studying a sample of Singapore mental health professionals, and to focus on differences between judgements made by the psychiatrists in comparison with the other mental health professionals. Second, to compare the psychiatrists' judgements with those of Australian psychiatrists. Method: The Australian questionnaire, assessing responses in relation to vignettes of major depression and to schizophrenia was extended by adding a third vignette of mania, and by the addition of several region-specific response options. Nearly 500 questionnaires were distributed to representative staff (psychiatrists, nurses and allied health) of a large psychiatric institution in Singapore, with a response rate of 81%. Psychiatrists' judgements were compared with all other hospital staff, and with Australian psychiatrists' judgements. Results: The two principal contrast groups (Singapore psychiatrists and other Singapore mental health professionals) differed slightly in terms of diagnostic accuracy. The psychiatrists differed in favouring a more professionally focused model of intervention, while both professional groups viewed traditional healers and their practices as distinctly unhelpful. Direct comparison of psychiatrist ratings generated in Singapore and in Australia revealed quite similar response profiles. Conclusions: In addition to generating data of some intrinsic importance, comparison with Australian survey data allows the potential impact of regional and cultural differences, as well as of varying psychiatric practices, to be identified. Responses identified more similarities than differences in the judgements of the psychiatrists from the two countries.


2016 ◽  
Vol 26 (5) ◽  
pp. 535-544 ◽  
Author(s):  
S. A. Kinner ◽  
C. Harvey ◽  
B. Hamilton ◽  
L. Brophy ◽  
C. Roper ◽  
...  

Aims.There are growing calls to reduce, and where possible eliminate, the use of seclusion and restraint in mental health settings, but the attitudes and beliefs of consumers, carers and mental health professionals towards these practices are not well understood. The aim of this study was to compare the attitudes of mental health service consumers, carers and mental health professionals towards seclusion and restraint in mental health settings. In particular, it aimed to explore beliefs regarding whether elimination of seclusion and restraint was desirable and possible.Methods.In 2014, an online survey was developed and widely advertised in Australia via the National Mental Health Commission and through mental health networks. The survey adopted a mixed-methods design, including both quantitative and qualitative questions concerning participants’ demographic details, the use of seclusion and restraint in practice and their views on strategies for reducing and eliminating these practices.Results.In total 1150 survey responses were analysed. A large majority of participants believed that seclusion and restraint practices were likely to cause harm, breach human rights, compromise trust and potentially cause or trigger past trauma. Consumers were more likely than professionals to view these practices as harmful. The vast majority of participants believed that it was both desirable and feasible to eliminate mechanical restraint. Many participants, particularly professionals, believed that seclusion and some forms of restraint were likely to produce some benefits, including increasing consumer safety, increasing the safety of staff and others and setting behavioural boundaries.Conclusions.There was strong agreement across participant groups that the use of seclusion and restraint is harmful, breaches human rights and compromises the therapeutic relationship and trust between mental health service providers and those who experience these restrictive practices. However, some benefits were also identified, particularly by professionals. Participants had mixed views regarding the feasibility and desirability of eliminating these practices.


2021 ◽  
pp. 104973232110628
Author(s):  
Laura Cordisco Tsai ◽  
Catherine Carlson ◽  
Rhea Baylosis ◽  
Elizabeth Hentschel ◽  
Terriann Nicholson ◽  
...  

Human trafficking survivors experience elevated suicide risk in comparison to the general population. Anti-trafficking service providers in the Philippines have identified capacity building in suicide prevention as a critical priority given the insufficient number of trained mental health professionals and lack of culturally adapted evidence-based interventions in the Philippines. We conducted a focused ethnography exploring the experiences of non-mental health professionals working in the anti-human trafficking sector in the Philippines in responding to suicidality among survivors of human trafficking ( n = 20). Themes included: emotional burden on service providers, manifestations of stigma regarding suicide, lack of clarity regarding risk assessment, lack of mental health services and support systems, transferring responsibility to other providers, and the need for training, supervision, and organizational systems. We discuss implications for training service providers in the anti-human trafficking sector, as well as cultural adaptation of suicide prevention interventions with human trafficking survivors in the Philippines.


2011 ◽  
Vol 28 (2) ◽  
pp. 84-86
Author(s):  
Mohamed Ahmed ◽  
Michael Reilly ◽  
Carol Cassidy ◽  
Laura Mannion

AbstractObjectives: The objective of this study was to ascertain the topics patients and mental health professionals thought should be covered in a psychoeducation programme at a day hospital.Methods: Patients at the psychiatric day hospital and mental health professionals were invited to complete the study questionnaire. Replies from 101 participants were analysed.Results: The patients and mental health professionals generally agreed regarding the topics to be covered in the eight-week psychoeducation programme. Patients tended to score ‘suicide’ as more important than did the mental health professionals.Conclusions: Patients in a day hospital setting and mental health professionals share similar concerns about what information needs to be imparted about the patients' illnesses. However, suicide is seen by patients as a more important topic in such a setting.


2016 ◽  
Vol 21 (4) ◽  
pp. 277-296 ◽  
Author(s):  
Erin E Cook ◽  
Amanda B Nickerson ◽  
Jilynn M Werth ◽  
Kathleen P Allen

A sample of 124 service providers (e.g. mental health professionals, educators, administrators) completed a survey about bullying of individuals with disabilities and the use and perceived effectiveness of resources and strategies to address bullying. Providing support and performing an action in response to bullying were reported to be used more often and were perceived as more effective than education and minimizing/ignoring. Service providers who reported that the individuals they worked with experienced cyberbullying more frequently were more likely to take action and use education. Those who attributed victimization to social differences were more likely to provide support.


2000 ◽  
Vol 6 (2) ◽  
pp. 78 ◽  
Author(s):  
Maureen Alsop ◽  
Mark F. Harris ◽  
Gawaine Powell-Davies ◽  
Kristine Battye ◽  
Karin Gerhardt

Phase two of the Northern Queensland Rural Division of General Practice Mental Health program involved the piloting of case conferencing between General Practitioners (GPs) and mental health professionals in three rural communities. The initial findings suggest that this model supports GPs by increasing their confidence in the management of patients with whom they find it most challenging to work. Mental health professionals indicate that the opportunity to consult with GPs on a regular basis is important to their clinical work, and see the primary focus of these consultations as a means for communicating with GPs. The case conferencing also led to modest improvements in relationships between GPs and mental health service providers.


2000 ◽  
Vol 34 (2) ◽  
pp. 256-263 ◽  
Author(s):  
Sarah Welch ◽  
Sunny C. D. Collings ◽  
Phillippa Howden-Chapman

Objectives: To describe the mental health of lesbians in New Zealand, and to document their accounts of their experience of mental health services. Method: This is a descriptive cross-sectional study. A postal questionnaire, the Lesbian Mental Health Survey, was distributed via lesbian newsletters to 1222 women throughout New Zealand. Mental health measures included the General Health Questionnaire (GHQ-28), Interview Schedule for Social Interaction (ISSI), and respondents' histories of sexual abuse and psychiatric histories. Experiences of mental health services were sought. Results: The estimated response rate was 50.8%%. The respondent group were predominantly New Zealand European, highly educated, urban women between 25 and 50 years of age. Three-quarters had identified as lesbian for more than 5 years. Recent self-identification as lesbian was associated with higher GHQ score, as was being younger than 35, having a history of sexual abuse, and not living with a partner. Eighty percent of respondents had used mental health services sometime in their lives and nearly 30 percent of users had received ‘lesbian-unfriendly’ treatment at some point. One-sixth of respondents had experienced discrimination from service providers in the previous 5 years. Conclusion: While the mental health of lesbians is influenced by factors similar to those influencing women's mental health in general, because of social factors, such as stigma and isolation, lesbians may be more vulnerable to common mental illnesses. Health professionals, mental health professionals in particular, need to raise their awareness of the issues lesbians face in dealing with their sexuality, therapeutic relationships and mental health services. Increased training about sexuality for health professionals, as well as further research into areas such as stress and stigma, sexual abuse and attempted suicide among lesbian women, is recommended.


1993 ◽  
Vol 14 (10) ◽  
pp. 380-388
Author(s):  
David A. Brent

Depression, suicide, and suicidal behavior in the pediatric population are serious public health problems. Pediatricians in collaboration with psychiatrists and other mental health professionals can make an important contribution to the mental health of children and adolescents through the identification, referral, and management of depressed and suicidal youth.


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