ABSTRACT
Objective: To determine the demographic details [gender, age, marital status, level of education, and occupation] of suicide attempters attending the tertiary care hospital services at Hyderabad, Pakistan
Study Design: Cross sectional study
Setting: Liaquat university hospital Hyderabad and Sir Cowasjee Jahangir Institute of psychiatry [CIJP] Hyderabad
Period: Twelve months from the 1st January 2011 to 31[st] December 2011
Methodology: The aim of the study was. Patients with a history of attempted suicide. Two hundred [200] consecutive cases were recruited and selected according to the inclusion criteria. An informed consent was obtained from patients for being included in the study. A specially designed semistructured Proforma was used to record demographic details of the patients. Data were entered into and analyzed through statistical software SPSS version 20
Results: Total 200 hundred cases were included in the study. Males 78.5% [N=157] outnumbered female patients 21.5% [N= 43]. The age range of study subjects was between 15 -59 years. Mean age of the total cases was 22.6 years. Majority of the patients presenting with suicide were single comprising 61% [N= 122] of study cases with a P value < 0.001. Total cases of married subjects were 27.5% [N= 55] with a P value < 0.001. While 5.5% subjects were separated and 6% were divorced. Unskilled labors made the largest group comprising of 24.5% [N=49] of all the cases. Other occupations included farmers [15.5%], skilled labor [15%], jobless [11.5%], house wives [8.5%], students [7%], and shopkeepers [6%]. Out of the total 200 patients with attempted suicide 32% were illiterate, 33.5% were educated up to primary level, 19.5% were matriculate, 09% were intermediate passed, and only 6% were graduate. [Table-II]
Conclusion: In Pakistan still Suicide attacks are reported. Our results suggest that suicidal thoughts can be entirely predict by common reported in male and younger age due to very sensitive to family issues, lower education level and major depression due to unemployment or low level earning of unskilled labor occupation in the Pakistan population
ABSTRACT
Objectives: To find out the effectiveness of "Illness management and Recovery [IMR]" program as a group intervention for improving daily functioning of clients suffering from severe psychiatric illnesses
Setting: The Recovery House, a Psychiatric Rehabilitation Center in Karachi, Pakistan
Period: Dec 2012 to Sep 2013
Methodology: Fifteen[15] patients were enrolled in the study. They were randomly divided into two groups, one group with 7 patients and the second with 8 patients. Informed consent was obtained from the patients and their family. A semi-structured Proforma was used to record the demographic details of patients. Before Starting the IMR program, 15 points rating scale was administered on patients [pre-IMR assessment] and after 9-month program implementation, the scale was again administered [post-IMR assessment] to evaluate the effectiveness of Illness management Program as a group intervention. After each IMR session patients received sheets to work as homework assignments from the handouts. Patients received IMR program with, supportive, educational, motivational and cognitive behavior interventions in group and individual sessions with practitioner. Data collected was entered into and analyzed by using statistical package for the social science - seventeenth version [SPSS 17]
Results: Out of the total 15 patients, 12 [80%] were male and 3 [20%] were female. Age range 15 to 67 years with mean age was 37+8.5 years. Education status of the patients revealed that all patients were educated; 04 [26.7%] had achieved education to the graduation level; 04 [26.7%] were matriculate; 04 [26.7%] were primary passed; and 03 [20%] were educated up to intermediate level. Patients with severe psychiatric illnesses were bipolar disorder 2[13.3%] cases, personality disorder 3[20%] cases, delusional disorder 1[6.7] case, schizophrenia 8[53.3%] cases and schizoaffective 1[6.7%] cases. Total number of WMR [Wellness management and recovery] session attended by each patient ranged from 30 to 62 sessions. Results in 15 areas of assessment on the rating scale before the application of illness management and recovery sessions [Pre-IMR sessions] and after the application of sessions [Post-IMR sessions]
Conclusion: Illness management and recovery program is an effective tool to bring about a significant improvement in several domains of life among patients suffering from severe psychiatric illnesses