Suicide and suicidality in Iraq: a systematic review.

Suicide is the third-leading cause of death globally, predominantly among youth. We aimed at reviewing the available published literature and some reports about suicide, in an attempt to unveil aspects of this mental health problem in Iraq. Articles about suicide in Arab/Middle Eastern countries were also included to compare those populations of a similar race and religion. The estimated suicide rate in Iraq is 1.7/100000 population (mostly among youth), which is still lower than in western countries. However, underreporting is the reason actual numbers are not known and many who attempt suicide do not report it and so hide their intent to die. The most common method of suicide is self-hanging, followed by firearms, self-burning, and self-poisoning. Suicide and suicidality in Iraq are on the increase even though it is believed to be underreported. Many socio-demographic, psychological and environmental factors predispose to ideation, attempts, and completed suicides despite the religious and social taboos. Young females are more represented in suicide attempts and ideation using potentially lethal methods like self-burning as a consequence of higher rates of depression, community and domestic violence. A key component in suicide prevention is improving the accessibility and quality of mental and social health care services.

Historical Highlights on Electroconvulsive Therapy Practice in Iraq: A Brief Narrative.

ABSTRACT: Electroconvulsive therapy (ECT) is an established treatment option for severe psychiatric disorders. Electroconvulsive therapy practice began in Iraq in 1946, primarily to treat patients with schizophrenia. Since then, it has developed and expanded to treat mood disorders and major depression. Initially, both modified and unmodified ECT was administered to patients in Ibn Rushd and Al Rashad mental hospitals in Baghdad. The ongoing political turmoil from 3 wars, economic sanctions, and internal conflicts halted the development of mental health services across the country; ECT provision was not an exception. The practice of unmodified ECT-without general anesthesia-ceased in 2009, after the recommendations of the Royal College of Psychiatrists' Iraq Subcommittee. This closure reduced the availability and accessibility of ECT clinics nationwide because of limited access to general anesthesia. This article explores the nature of ECT services, in the context of Iraq's health care system, sociocultural norms, instability, and international codes of practice. This brief report uses the first author's work experience, few available data, and personal communication to describe the brief history of ECT practice in Iraq. This report is a baseline document for future ECT practice regulation in Iraq.

The plight of women in Iraq: Gender disparity, violence, and mental health.

BACKGROUND: Generations of women living in Iraq endured three major regional wars and internal conflicts, which weakened their psychological vulnerability and social role by poverty, displacements, and loss of their beloved ones. The available literature about women's mental health is scarce and does not signify the gender inequality and gender disparity of mental disorders. METHOD: During 1st August to October 2020, we explored the search engines: Google Scholar, Pub-Med, Medline, and Clarivate using keywords of Iraq, gender inequality, women's mental health, violence, and conflict, mental disorders, gender-based violence, etc. From 1792 research items, 64 articles were scrutinized for this study. We selected the most relevant studies with some available documents excluding data bout Immigrant women outside Iraq and reports from foreign military sources. FINDING: Women living in Iraq have struggled for equality and empowerment since the 20th century. For the last four decades, successive wars, economic sanction, gender-based violence, and internal conflicts have affected their development endeavors. The 2003 US-led invasion caused a loss of lives, destruction of infrastructure, and forced displacement for tens of thousands of civilians, including women and children. These atrocities increased women's vulnerability to develop or worsen the existing mental disorders. This review tries to attract world attention to women's situations in Iraq.

Stigmatising attitude and reflections towards mental illness at community setting, population-based approach, Baghdad City 2020.

BACKGROUND: Addressing the social stigma of mental illness is of importance in Iraq where mentally ill patients experience the compounded disadvantages of inadequate health services and illness stigma. AIMS: To study the prevalence and magnitude of the social stigma towards mental illnesses. METHOD: A cross-sectional study has been carried out on 300 male and female participants at shopping malls and public cafes in Baghdad, Iraq. A self-administered questionnaire made data collection. Descriptive, and analytic statics procedure was operated as far as a convenience by using Excel 365 version as a data management tool. RESULTS: About (80%) of the respondents revealed a moderate degree of stigmatising attitude towards mental illness with a Likert scale total equivalent score range of (2.34-3.669). About (20%) of respondents showed a low degree of stigmatising attitude towards mental illness, with a Likert scale total equivalent score range of (1-2.339). P-value was highly significant (=0.011798) <0.05 among gender variables while it is not significant among age, income, education, and positive family of mental illnesses. 83% of the respondents prefer the medical management of mental illnesses. CONCLUSIONS: There were no clear roles of socio-demographic factors in the stigmatic attitude towards mental illnesses. This finding warrants a more in-depth look into the Iraqi community's cultural, social, and moral contexts.