Service responses to South Asian women who attempt suicide or self-harm: challenges for service commissioning and delivery

2002 ◽  
Vol 22 (4) ◽  
pp. 641-668 ◽  
Author(s):  
Erica Burman ◽  
Khatidja Chantler ◽  
Janet Batsleer
Crisis ◽  
2002 ◽  
Vol 23 (3) ◽  
pp. 108-113 ◽  
Author(s):  
Dinesh Bhugra

Summary: Rates of deliberate self-harm have been reported to be higher among South Asians, especially women, in the UK. Two studies collected information on inception rates of deliberate self-harm in the UK and reported that rates of attempted suicide are much higher among South Asian women especially those aged 18-24. These rates are associated with high rates of cultural alienation and previous attempts. The implications of cultural conflict are discussed in this context. In addition, a hypothetical model of interrelationship of factors for both adults and adolescents is described.


2002 ◽  
Vol 10 (5) ◽  
pp. 339-347 ◽  
Author(s):  
Carolyn Chew-Graham ◽  
Col Bashir ◽  
Khatidja Chantler ◽  
Erica Burman ◽  
Janet Batsleer

2016 ◽  
Vol 33 (S1) ◽  
pp. S600-S600
Author(s):  
N. Husain ◽  
F. Lunat ◽  
N. Gire ◽  
S. Bin Bilal Hafi ◽  
M.I. Husain ◽  
...  

IntroductionIt has been estimated that the global burden of suicide is a million deaths per year (WHO, 2014). Rates of self-harm in British South Asian (BSA) women are higher compared to their white counterparts. Limited evidence is available on effective preventative strategies and culturally sensitive interventions for these patients.ObjectiveTo understand common perceptions about self-harm, identify any barriers to accessing services and service improvement recommendations including appropriate interventions for BSA women.AimTo examine the views of health professionals on the culturally adapted problem solving therapy (C-MAP) in BSA women.MethodsThe design was a qualitative study using focus group discussion. This is part of a larger exploratory trial, to test a culturally adapted problem solving therapy (C-MAP) in British South Asian women who have a history of self-harm (Husain et al., 2011). Three focus groups were held with Asian lay members of the community, health professionals and service users. The data was analysed using a manual content analysis and indexing technique.ResultsResults showed lack of identification of self-harm by health professionals. Common self-harm methods reported were serious overdoses, use of household chemicals, burning and cutting. Lack of trust in GP s was one common reason for non-disclosure of self-harm behaviour. Need for increased awareness, working along with local Imams, better cultural sensitivity among health professionals and non-judgmental support were some solutions offered to address these barriers.ConclusionThe results of this study have provided insight into developing strategies to prevent and manage self-harm in British South Asian women.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Kakali Bhattacharya

De/colonial methodologies and ontoepistemologies have gained popularity in the academic discourses emerging from Global North perspectives over the last decade. However, such perspectives often erase the broader global agenda of de/colonizing research, praxis, and activism that could be initiated and engaged with beyond the issue of land repatriation, as that is not the only agenda in de/colonial initiatives. In this chapter, I coin a framework, Par/Des(i), with six tenets, and offer three actionable methodological turns grounded in transnational de/colonial ontoepistemologies. I locate, situate, and trace the Par/Des(i) framework within the South Asian diasporic discourses and lived realities as evidenced from my empirical work with transnational South Asian women, my community, and my colleagues. Therefore, I offer possibilities of being, knowing, and enacting de/colonizing methodologies in our work, when engaging with the Par/Des(i) framework, with an invitation for an expanded conversation.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mridula Bandyopadhyay

Abstract Background South Asian women are at a high risk of developing gestational diabetes mellitus than other women in Australia. Gestational diabetes affects up to 14–19% of all pregnancies among South Asian, South East Asian, and Arabic populations placing women at risk of adverse pregnancy outcomes. Although, gestational diabetes resolves after childbirth, women with gestational diabetes are up to seven times more likely to develop type 2 diabetes within five to ten years of the index pregnancy. Increasingly, South Asian women are being diagnosed with gestational diabetes in Australia. Therefore, we aimed to gain a better understanding of the lived experiences of South Asian women and their experiences of self-management and their health care providers’ perspectives of treatment strategies. Methods Using an ethnographic qualitative research methodology, semi-structured one-on-one, face-to-face interviews were conducted with 21 health care providers involved in gestational diabetes management and treatment from the three largest tertiary level maternity hospitals in Melbourne, Victoria, Australia. In-depth interviews were conducted with 23 South Asian women post diagnosis between 24–28 weeks gestation in pregnancy. Results Health care providers had challenges in providing care to South Asian women. The main challenge was to get women to self-manage their blood glucose levels with lifestyle modification. Whilst, women felt self-management information provided were inadequate and inappropriate to their needs. Women felt ‘losing control over their pregnancy’, because of being preoccupied with diet and exercise to control their blood glucose level. Conclusions The gestational diabetes clinical practice at the study hospitals were unable to meet consumer expectations. Health care providers need to be familiar of diverse patient cultures, rather than applying the current ‘one size fits all’ approach that failed to engage and meet the needs of immigrant and ethnic women. Future enabling strategies should aim to co-design and develop low Glycaemic Index diet plans of staple South Asian foods and lifestyle modification messages.


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