Suicidal Behavior in Nepali motion pictures of three decades (1990-2020): A content analysis.

BACKGROUND: Assessment of the depiction of suicidal behavior in motion pictures would reveal the social representation of suicide that would foster suicide prevention in a country. OBJECTIVES: We aimed to assess how suicidality has been depicted in Nepali movies by scrutinizing their contents against the sociodemographic checklist and WHO media guidelines for suicidal reporting. METHODS: This is a narrative quantitative analysis of suicidal behavior portrayals in the Nepali motion pictures that are publicly and freely accessible. RESULTS: Overall, out of the 573 scrutinized movies, we found ten movies consisting of 11 characters (i.e., the prevalence is 1.75%) showing suicidal behavior. The majority of suicidal behavior was seen in males 6 (54.5%), and the majority of attempters were students 3 (27.3%) or homemakers 2 (18.2%). Suicidal behavior was mostly observed in unmarried people 6 (54.5%). Hanging was the most prevalent method (45.5%), and home (36.4%) and public places (36.4%) were equally the most frequent places of attempt. The consequential risk factors for the attempts were found to be marital problems/premarital affairs (50%), followed by unfulfilled demand/conflict (30%). While all 11 items depicted the method and place of the attempt, two also depicted the complete scene of the attempt. One item used language that normalized suicide as a constructive solution to the problem. None of the pictures publicized any mental health messages or educated the public about suicide prevention. CONCLUSIONS: The minimal adherence of the Nepali motion pictures on the depictions of suicidality with WHO media guidelines indicates urgent need to create awareness among the Nepali film fraternity.

Prevalence and factors associated with depression and anxiety among COVID-19 survivors in Dhaka city.

Background: Coronavirus disease 2019 (COVID-19) is a global public health concern. Evidence shows that depression and anxiety are common among patients with COVID-19 after recovery. About one-third of the total COVID-19 cases in Bangladesh have been reported in Dhaka city. Therefore, the study aimed to evaluate the prevalence of depression and anxiety among COVID-19 survivors in Dhaka city as well as to identify the factors associated with these mental health conditions. Methods: A cross-sectional study was carried out among a total of 384 COVID-19 survivors aged 18 years or older. Data collection was done through face-to-face and telephone interviews using a semi-structured questionnaire. Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) scales were used to assess depression and anxiety, respectively. Binary logistic regression analysis was performed to identify the predictors of depression and anxiety among patients recovered from COVID-19. Results: The overall prevalence of depression and anxiety was 26.0% and 23.2%, respectively among COVID-19 survivors. The respondents who were ≥60 years were 2.62 and 3.02 times more likely to report depressive and anxiety symptoms, respectively than those aged 18 to 39 years. Hospitalised patients recovered from COVID-19 had a 2.18 times higher chance of developing anxiety than their non-hospitalised counterparts. COVID-19 recovered patients with comorbidities were at 3.35 and 2.97 times higher risk of depression and anxiety, respectively compared to those without comorbidities. Similarly, the respondents who had already passed a period of 15 days to 3 months after recovery showed 3.06 and 1.85 times higher odds of depression and anxiety, respectively than those who had already passed a period of above 3 to 6 months after recovery. Conclusion: The study reported a high prevalence of depression and anxiety among COVID-19 survivors living in Dhaka city. The findings suggest the need for appropriate interventions to reduce mental health complications in COVID-19 survivors.

Changing trends in quality of media reporting of suicide in the community following a celebrity suicide in India.

OBJECTIVE: Little is known about changes in quality of media reporting of suicide in the community following a celebrity suicide. Our objective was to compare trends in quality of media reporting of suicide, before and after the suicide of an Indian entertainment celebrity, against the World Health Organization suicide reporting guidelines. METHOD: Online news portals of English and local language newspapers, as well as television channels, were searched to identify relevant suicide-related news articles. Comparison of reporting characteristics before and after the celebrity suicide was performed using chi-square test or Fisher's exact test. RESULTS: A total of 3867 eligible news reports were retrieved. There was a significant increase in harmful reporting characteristics, such as reporting the name, age and gender of the deceased (p < 0.001 for all comparisons), mentioning the location (p < 0.001) and reason for suicide (p = 0.04) and including photos of the deceased (p = 0.002) following the celebrity suicide. Helpful reporting practices were less affected; there was a significant rise in inclusion of expert opinion (p = 0.04) and mention of suicide-related warning signs (p = 0.02). CONCLUSION: Following a celebrity suicide, significant changes in the quality of media reporting of suicide were noted with an increase in several potentially harmful reporting characteristics.

Dhat syndrome: Systematic review of epidemiology, nosology, clinical features, and management strategies.

BACKGROUND: Dhat syndrome is a culture-bound syndrome prevailing in the Indian subcontinent, first described in the 1960s. Over time, newer studies are exploring various aspects of Dhat syndrome, including its epidemiology, nosology, clinical features, and management predominantly in South Asia. We aimed to review the epidemiology, nosology, clinical presentation, and management of Dhat syndrome over the last six decades through a systematic review of studies. METHODS: We searched PubMed and Scopus using the following search terms - "Dhat syndrome," "Semen loss syndrome," "Semen loss anxiety" together with the Boolean operator OR. We collected the articles from inception till March 2021. We included articles in the English language published in peer-reviewed journals. RESULTS: A total of 89 articles were included in the analysis. Most of the articles were published in the last decade (2011-2020). Most of the publications were cross-sectional studies and of unsatisfactory quality. Most of the studies lack representativeness of the population; hence the generalizability of the findings was poor. Most of the articles discussed phenomenology (64%), overview (52.8%), and cultural basis of Dhat syndrome. The comorbidities associated with Dhat syndrome were discussed in 37.1% of the articles. The nosological status of Dhat syndrome and management of Dhat syndrome was discussed in 18% of publications each; whereas, the outcome of Dhat syndrome was discussed in 5.6% of articles. CONCLUSION: Though Dhat syndrome is a commonly diagnosed entity in the South Asian population, the research on Dhat syndrome is sparse and of poor quality.

Raised C-reactive protein in medication overdose: A report of two cases.

Studies have been coming out focusing on the biological markers of suicide. Here, we present two cases with raised C-reactive protein who were admitted after attempts of suicide by overdose. There is a need to study the neuro-immuno-endocrinal changes in suicide systematically that will give insight into the biological underpinning.

Potentialities and challenges of digital health in psychiatry in Kashmir, India.

Telepsychiatry has been recommended as a cost-effective strategy to meet the high unmet need for mental health services to the remote and areas with conflict. The current COVID-19 pandemic along with lockdown measures to prevent the spread of the disease has worsened the mental health status of the Kashmiri population.

Depression and suicidal ideation among the geriatric population of Kashmir, India.

BACKGROUND: Depression is a common disorder that can lead to suicidal behaviours among the geriatric population. AIM: We aimed to assess depression, hopelessness, and suicidal ideation among the elderly population of Kashmir. METHODS: A community-based cross-sectional study was conducted in three districts of Kashmir between June and August 2019. The sample consisted of 200 persons aged >65 years. Beck's Depression Inventory, Beck's Hopelessness Scale, and the Beck Suicide Ideation scale were used to determine depression, hopelessness, and suicide ideation. Pearson's correlation was performed to assess the relationships between depression, hopelessness, and suicide. RESULTS: The prevalence of severe depression with a score of ⩾31 on Beck's Depression Inventory was 56% among the studied population. Most of these elderly were found to have moderate levels of suicidal ideation (62.5%) and hopelessness (61%). Depression had a positive correlation with suicidal ideation (r = 0.35). Hopelessness and suicidal intent had a more significant positive correlation (r = 0.54), as compared to depression and hopelessness (r = 0.43). CONCLUSION: More than half of the older persons in Kashmir had depression with superimposed hopelessness which is an important risk factor of suicidal ideation.

News reporting of suicidal behaviour in Nigeria: Adherence assessment to World Health Organization guidelines.

BACKGROUND: Sensible media reporting has been considered an important suicide prevention strategy which is an under-researched issue in Nigeria. There is a dearth of research assessing how the media has been reporting suicidal news to the general population in Nigeria. AIM: It was aimed to see the adherence of news reports to the World Health Organization (WHO) suicide reporting guidelines while reporting the events. METHODS: We searched the published contents of 10 English newspapers of Nigeria and assessed the adherence to the WHO media guidelines for reporting suicide from January 2010 to December 2019. RESULTS: Most of the reports (85.31%) mentioned completed suicides, 4.4% recorded suicides, and 9.5% recorded suicide-related homicides. The majority of the reports mentioned the name (85.6%) and profession (63.8%) of the person; the name of the method (92%) and life events (67.8%). The word 'suicide' was mentioned in the headline of 87.6% of the reports; the method was mentioned in the headline of 22.8% of the reports, and 31.7% of the reports referred to life events in the headline. Only 8.8% of reports had traced mental illness, 33.3% traced the warning signs, 2.8% mentioned evidence of substance abuse and very few reports mentioned educative materials. CONCLUSION: The study found that Nigeria's online newspapers are poorly adherent to the WHO media reporting guidelines. Explicit descriptions of the person, methods, life events, and mono-causal explanations were frequently published. Negligible initiatives have been found to educate the general people in the reports.

Is there any link between celebrity suicide and further suicidal behaviour in India?

BACKGROUND: Little is known about the factors that determine vulnerability to subsequent suicide in the community following a celebrity suicide. Our objective was to investigate the link between an alleged celebrity suicide and further suicidal behaviour in the community in India. METHODS: Relevant news articles that reported suicidal behaviour in the population were retrieved from online news portals of regional and English language newspapers in the immediate month following the actor's death. A deductive analysis of the retrieved suicide news articles was carried out using a pre-designed data extraction form. RESULTS: A total of 1160 relevant news articles were identified from the local language (n = 985) and English (n = 175) newspapers. For a sizeable percentage of these reports (n = 65, 5.6%), the media reported links with celebrity suicide. Odds of subsequent suicide among young (Odds Ratios [OR] - 9.24), female (OR - 1.94), unemployed (OR - 7.26), those without precipitating life events (OR - 2.94) or mental illness (OR - 1.69) were higher among those with link to celebrity suicide; likewise, odds of death by hanging (OR - 49.84) and leaving a suicide note (OR - 2.03) were higher among those linked to celebrity suicide. English newspapers (OR - 4.23) were more likely to report events linked to celebrity suicide than local language newspapers. CONCLUSION: Persons who died by suicide by hanging after a celebrity suicide are more likely to be young, female, unemployed, have a mental disorder or precipitating life events. Suicide prevention efforts must focus on this group and prevent the same method of suicide like that of the celebrity.

Do Tamil newspapers educate the public about suicide? Content analysis from a high suicide Union Territory in India.

BACKGROUND: Responsible media reporting of suicide is a key population-level suicide prevention strategy. Thus far, there has been no systematic analysis of media reporting of suicide in Puducherry, a consistently high suicide burden state in India. AIM: To evaluate the adherence of media reports of suicide against the World Health Organization (WHO) guidelines in Puducherry. METHOD: We conducted a year-round content analysis of all suicide-related reports in the two most widely read vernacular dailies of Puducherry. We used a pre-defined data extraction form and coded each item based on the WHO reporting guidelines. RESULTS: A total of 318 suicide reports were retrieved. Harmful reporting practices such as mentioning the method of suicide (99.1%), description of the steps involved (68.2%) and location of suicide (86.5%), monocausal explanations (91.8%), and inciting life events (52.5%) were common. Helpful practices such as mentioning warning signs (1.3%), recognizing links with mental health disorders (3.8%) and effects on bereaved persons (2.2%) were rare. Only one article (0.31%) included any content related to educational/preventive aspects of suicide. CONCLUSION: Media reporting of suicide in Puducherry, India, does not adhere to reporting guidelines and there is very little focus on educating the public about preventive aspects of suicide. Urgent efforts are warranted to improve the quality of media reporting which should include the development of national guidelines on suicide reporting and collaborative efforts that take into account barriers and perspectives of media professionals.