scholarly journals Self-Harm Behavior among Adolescent Students of Higher Secondary Schools of Kathmandu Valley, Nepal

2020 ◽  
Vol 10 (1) ◽  
pp. 52-58
Author(s):  
Anil Giri
Keyword(s):  
Secondary Schools ◽  
Social Relationships ◽  
Kathmandu Valley ◽  
Sample Population ◽  
College Administration ◽  
Adolescent Students ◽  
Increased Risk ◽  
Self Harm ◽  
Desire To Die ◽  
Self Administered Questionnaire

Introduction: A sizable amount of adolescents do self-harm, but most cases do not reach medical services as well as the attention of college administration and parents, making such a study essential to be carried out. The prevalence of suicidal thoughts and deliberate self-harm behavior remains largely unexplored. In this study, self-harm behaviors among adolescents studying at higher secondary schools were evaluated in selected schools of Kathmandu Valley in Nepal. Methods: The purposive sampling of five different higher secondary schools in the Kathmandu valley were taken as a study area and the census was done to select the sample population of the selected higher secondary school. A crosssectional analysis of self-administered questionnaire data was collected aftertaking informed and assent consent from participants (n= 243)14-19 years old. Results: The prevalence of lifetime self-harm was approximately 55.6%. The most commonly used self-harm method was scratching the skin intensely (14.5%) and was followed by carving words or other marks on the skin (14.0%). Of those who reported self-harm, 34.8%, intentionally hurt themselves to get the attention of others and 17.8% to punish themselves. Concurrent alcohol consumption (OR=3.660), cigarette smoking (OR=2.50), and depression (OR= 3.01) were associated with a significantly increased risk of self-harm. Similarly, problems with various social relationships were associated with the risk of self-harm. 68.1% knew other people harming themselves before they were involved in self-harm and 19.6% were influenced by family, friends, and media to harm themselves. Conclusions: Self-harm behaviors are common among adolescents. Although the majority of self-harm behavior is not accompanied by a desire to die (serious attempt), all self-harm regardless of motivation is associated with an increased risk of deliberately harming when it is carried out repeatedly.

Interpersonal Violence and Substance Use Among Female Sexual Minorities

2019 ◽  
Author(s):  
Cort M. Dorn-Medeiros ◽  
Cass Dykeman ◽  
Timothy Bergquist
Keyword(s):  
New York ◽  
Tobacco Use ◽  
Interpersonal Violence ◽  
Sexual Minorities ◽  
Sample Population ◽  
Life Outcomes ◽  
City Community ◽  
Increased Risk ◽  
Significant Difference ◽  
Community Health Survey

This archived data study used results from the New York City Community Health Survey to explore the relationship between interpersonal violence among female sexual minorities (FSM) and their levels of alcohol and tobacco use. A total of 92 FSM were included in the sample population. There was a significant difference in the mean number of alcoholic drinks consumed between FSM who reported past experience of interpersonal violence and those who did not. No difference was found in levels of tobacco use between FSM who reported interpersonal violence and those who did not. Results of the present study support current research indicating FSM may be at increased risk for elevated alcohol use and respective negative life outcomes related to the experience of interpersonal violence.

Gendered experiences of unemployment, suicide and self-harm: a population-level record linkage study

2021 ◽  
pp. 1-9
Author(s):  
R. Cunningham ◽  
A. Milner ◽  
S. Gibb ◽  
V. Rijnberg ◽  
G. Disney ◽  
...  
Keyword(s):  
Mental Health ◽  
Employment Status ◽  
Mental Health Problems ◽  
Labour Force ◽  
Antidepressant Medication ◽  
Population Level ◽  
Related Factors ◽  
Data Infrastructure ◽  
Increased Risk ◽  
Self Harm

Abstract Background Unemployment and being not in the labour force (NILF) are risk factors for suicide, but their association with self-harm is unclear, and there is continuing debate about the role of confounding by prior mental health conditions. We examine associations between employment status and self-harm and suicide in a prospective cohort, taking into account prior mental-health-related factors. Methods We used linked data from the New Zealand Integrated Data Infrastructure. The outcomes were chosen to be hospital presentation for self-harm and death by suicide. The exposure was employment status, defined as employed, unemployed, or NILF, measured at the 2013 Census. Confounders included demographic factors and mental health history (use of antidepressant medication, use of mental health services, and prior self-harm). Logistic regression was used to model effects. Analyses were stratified by gender. Results For males, unemployment was associated with an increased risk of suicide [odds ratio (OR): 1.48, 95% confidence interval (CI): 1.20–1.84] and self-harm (OR: 1.55, 95% CI: 1.45–1.68) after full adjustment for confounders. NILF was associated with an increased risk of self-harm (OR: 1.43, 95% CI: 1.32–1.55), but less of an association was seen with suicide (OR: 1.19, 95% CI: 0.94–1.49). For females, unemployment was associated with an increased risk of suicide (OR: 1.30, 95% CI: 0.93–1.80) and of self-harm (OR: 1.52, 95% CI: 1.43–1.62), and NILF was associated with a similar increase in risk for suicide (OR: 1.31, 95% CI: 0.98–1.75) and self-harm (OR: 1.32, 95% CI: 1.26–1.40). Discussion Exclusion from employment is associated with a considerably heightened risk of suicide and self-harm for both men and women, even among those without prior mental health problems.

scholarly journals Association of source country gender inequality with experiencing assault and poor mental health among young female immigrants to Ontario, Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Lebenbaum ◽  
Therese A. Stukel ◽  
Natasha Ruth Saunders ◽  
Hong Lu ◽  
Marcelo Urquia ◽  
...  
Keyword(s):  
Mental Health ◽  
Violence Against Women ◽  
Gender Inequality ◽  
Poor Mental Health ◽  
Sub Saharan Africa ◽  
Source Country ◽  
Community Based Research ◽  
Increased Risk ◽  
Female Immigrants ◽  
Self Harm

Abstract Background Gender inequality varies across countries and is associated with poor outcomes including violence against women and depression. Little is known about the relationship of source county gender inequality and poor health outcomes in female immigrants. Methods We used administrative databases to conduct a cohort study of 299,228 female immigrants ages 6–29 years becoming permanent residence in Ontario, Canada between 2003 and 2017 and followed up to March 31, 2020 for severe presentations of suffering assault, and selected mental health disorders (mood or anxiety, self-harm) as measured by hospital visits or death. Poisson regression examined the influence of source-country Gender Inequality Index (GII) quartile (Q) accounting for individual and country level characteristics. Results Immigrants from countries with the highest gender inequality (GII Q4) accounted for 40% of the sample, of whom 83% were from South Asia (SA) or Sub-Saharan Africa (SSA). The overall rate of assault was 10.9/10,000 person years (PY) while the rate of the poor mental health outcome was 77.5/10,000 PY. Both GII Q2 (Incident Rate Ratio (IRR): 1.48, 95% Confidence Interval (CI): 1.08, 2.01) and GII Q4 (IRR: 1.58, 95%CI: 1.08, 2.31) were significantly associated with experiencing assault but not with poor mental health. For females from countries with the highest gender inequality, there were significant regional differences in rates of assault, with SSA migrants experiencing high rates compared with those from SA. Relative to economic immigrants, refugees were at increased risk of sustaining assaults (IRR: 2.96, 95%CI: 2.32, 3.76) and poor mental health (IRR: 1.73, 95%CI: 1.50, 2.01). Higher educational attainment (bachelor’s degree or higher) at immigration was protective (assaults IRR: 0.64, 95%CI: 0.51, 0.80; poor mental health IRR: 0.69, 95% CI: 0.60, 0.80). Conclusion Source country gender inequality is not consistently associated with post-migration violence against women or severe depression, anxiety and self-harm in Ontario, Canada. Community-based research and intervention to address the documented socio-demographic disparities in outcomes of female immigrants is needed.

scholarly journals Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

2004 ◽  
Vol 185 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Daniel Louis Zahl ◽  
Keith Hawton
Keyword(s):  
Relative Risk ◽  
Suicide Risk ◽  
Single Episode ◽  
Deliberate Self Harm ◽  
Young Females ◽  
Follow Up Study ◽  
Increased Risk ◽  
Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

scholarly journals Assessment of learners’ exposure to health education and promotion at school in the Limpopo Province of South Africa

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Oni H. Tosin ◽  
Takalani G. Tshitangano
Keyword(s):  
South Africa ◽  
Health Education ◽  
Secondary Schools ◽  
Limpopo Province ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
School Participation ◽  
Physical Changes ◽  
Self Administered Questionnaire ◽  
Health Education And Promotion

Background: School participation and educational attainment among adolescents have been rising rapidly in the developing world. Thus, to attain Millennium Development Goal 6 (Combat HIV and/or AIDs, malaria and other diseases), it is crucial to seize the opportunity to educate and encourage teenagers about healthy choices and proper social behaviours that will continue into adulthood.Aim: This study aimed to assess the exposure of rural secondary school learners to health education and promotion at schools in the Limpopo Province of South Africa.Setting: This study was carried out at 10 secondary schools in Vhumbedzi educational circuit.Methodology: The study adopted a cross-sectional quantitative approach. Data were collected from 338 randomly selected learners from 10 secondary schools that make up a rural Vhumbedzi circuit in the Limpopo province. A self-administered questionnaire was used to collect data.Results: The findings showed that, 102 (66.07%) male and 121 (67.60%) female learners reported that they were taught about physical changes that occur during adolescence. In the same vein, most of the participants (n = 128, 84.39%) and (n = 152, 85.39%) males and females respectively claimed to have been taught about sexually transmitted diseases.Conclusion: In this study the secondary schools in the Limpopo Province of South Africa are making efforts to uphold and expose their learners to health education and promotion at school.Keyword: Health education and promotion, adolescents, school, learners

scholarly journals Depression and Deliberate Self-Harm Among Rural Adolescents of Sichuan Province in Western China: A 2-Year Longitudinal Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Shimin Lai ◽  
Chang Su ◽  
Shasha Song ◽  
Mingxia Yan ◽  
Chengmeng Tang ◽  
...  
Keyword(s):  
Social Support ◽  
Influencing Factors ◽  
Rating Scale ◽  
Self Esteem ◽  
Sichuan Province ◽  
Western China ◽  
Rural Adolescents ◽  
Deliberate Self Harm ◽  
Increased Risk ◽  
Self Harm

Objective: To explore the change in the prevalence and association of depression and deliberate self-harm and their common and independent influencing factors among western Chinese rural adolescents.Methods: A total of 2,744 junior and senior high school students from two rural schools in Sichuan Province, China, participated in the baseline survey and were invited to participate in two follow-up surveys. The Center for Epidemiologic Studies-Depression Scale, a deliberate self-harm item, the Social Support Rating Scale, the Rosenberg Self-esteem Scale and the Connor-Davidson Resilience Scale were administered. A bivariate four-level logistic regression model was used for analysis.Results: The prevalence of depression and deliberate self-harm were 39.6 and 21.2%, respectively. Regular physical exercise, a good relationship with parents, high resilience, and high self-esteem were common protective factors for both depression and deliberate self-harm. Feeling disliked by teachers was a common risk factor for both. Being female, having a mother who emigrated as a migrant worker before the student was 3 years old, feeling disliked by classmates and having a poor family economic status were associated only with an increased risk of depression. Participants with medium social support were less likely to report deliberate self-harm than those with low or high support. Depression and deliberate self-harm were clustered at the class level.Conclusions: The comorbidity of depression and deliberate self-harm in rural adolescents should be given ample attention. Interventions should consider the class clustering of depression and deliberate self-harm and their common and unique influencing factors.

scholarly journals Knowledge, Attitude And Practice Of Radiation Exposure Protection For Pediatric Patients Among Undergraduate Dental Students

2018 ◽  
Vol 11 (2) ◽  
pp. 1143-1151 ◽  
Author(s):  
Fahmida binti Abd Rahman ◽  
Deepa Gurunathan ◽  
Madhu Sudhan Vasantharajan
Keyword(s):  
Radiation Exposure ◽  
Dental Health ◽  
Dental Students ◽  
Protection Measures ◽  
Dental Health Care ◽  
Attitude And Practice ◽  
Choice Pattern ◽  
Increased Risk ◽  
Self Administered Questionnaire ◽  
Knowledge Attitude And Practice

Radiography in dentistry is commonly used in modern dental health care. It acts as a diagnostic tool in identifying the physical condition of the patients. However the use of dental radiography should be carefully managed since it can cause some side effects toward normal cells and tissues especially in growing children. To assess the knowledge, attitude and practice of undergraduate dental students on radiation exposure protection for pedodontic patients. A self-administered questionnaire consists of 13 questions with both ‘yes’,’no’ and multiple choice pattern was prepared to obtain information about knowledge, attitude and practice on radiation exposure protection for pedodontic patients.A total of 100 dental students were chosen as the participants. The questionnaires were assessed by manual survey. The use of dental radiograph has bee significantly enhanced over the years for better diagnosis and treatment planning .Tough the application of has been increased, there is an increased risk for unwanted exposure for both patient and operator also. In this current study, conducted among third year and final year dental students, we observed that the students are able to take proper radiograph with unnecessary retakes with years of study and practice. To conclude, it can be noted that the final year dental students were much more knowledgeable in using radiograph judicially compared to the other group of participants which belong to third year dental students. However, in terms of practise both third year and final year dental students irrespective of year of study do not follow radiation protection measures even though they were aware of it.

scholarly journals Do Silent Brain Infarctions Predict the Development of Dementia After First Ischemic Stroke?

2013 ◽  
Vol 1 (1) ◽  
pp. 66-69
Author(s):  
Ivan Barbov ◽  
Slavica Arsova ◽  
Arben Taravari ◽  
Vera Petrova
Keyword(s):  
Survival Analysis ◽  
Ischemic Stroke ◽  
Cognitive Function ◽  
Mental State ◽  
Total Sample ◽  
Ct Scans ◽  
Sample Population ◽  
Brain Infarcts ◽  
Increased Risk ◽  
Acute Event

Background: Silent brain infarctions (SBI) are common findings in advanced age, but their relationship to dementia is still uncertain.Aim: The present study was designed to evaluate whether SBI predict the development of dementia after first clinical ischemic stroke.Methods: We blindly studied admission CT scans of 102 consecutive nondemented patients presenting with ischemic stroke that clinically was their first stroke episode. SBI were defined as CT evidence of infarcts not compatible with the acute event. The patients were subsequently followed for their mental state for 2 years. Survival analysis, wherein onset of dementia was the end point, was performed on the total sample population and conducted separately on those with and without SBI at admission.Results: Dementia developed in 33 patients (32.3%), including 17 of the 37 (45.9%) with SBI and 16 of the 65 (24.6%) without SBI. Thus, dementia was strong related to SBI.Conclusion: Elderly people with silent brain infarcts and stroke have an increased risk of dementia and a steeper decline in cognitive function than those without such lesions.

scholarly journals Assessment of knowledge on non-pharmacological methods of pain relief during labour among nurses working in maternity and children hospital, Nepal

2017 ◽  
Vol 7 (3) ◽  
pp. 25-28
Author(s):  
Amshu Dhakal ◽  
Shrooti Shah ◽  
Babita Singh
Keyword(s):  
Pain Relief ◽  
Well Being ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Labor Management ◽  
Cross Sectional ◽  
Self Confidence ◽  
Increased Risk ◽  
Women And Children ◽  
Self Administered Questionnaire

Background: Labor pain is a universal phenomenon and it is associated with the contraction of uterus. Rather than making the pain disappear with pharmacotherapy, the nurses can assist the laboring women to cope up with, build their self-confidence and maintain a sense of mastery of well-being. Thus, nurses must have knowledge to assess pain to implement pain relief strategies. Methods: A descriptive cross-sectional study was carried out among 52 nurses of Siddhartha Women and Children Hospital, Butwal, Nepal to assess Knowledge about Non-pharmacological Methods of Pain Relief during Labor using structured self-administered questionnaire. The reliability of the tool after pretesting was 0.883. Descriptive statistics was used to analyze the data. Results: Among 52 nurses, 36.5% were 18-22 years of age, 46.2% of them had qualification of Proficiency certificate level Nursing, 40.4% had experience of 3 years- 6 years. In this study, 46.2% had satisfactory knowledge about non-pharmacological methods of pain relief during labor, 32.6% had fair knowledge and remaining 21.2% had poor knowledge. Conclusion: This study concluded that less than half of the nurses had satisfactory knowledge about non-pharmacological methods of pain relief during labor. Since, there is an increased risk of complications resulting from pain and anxiety during labor, management of pain is very essential thus nurse’s knowledge on these methods is crucial. Hence, the nurses should be encouraged to enhance knowledge related to management of labor pain.

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