A Study to assess the level of knowledge among Family members of Psychosis in - Patient at MIND Psychiatric Hospital, Bangalore regarding Suicidal Preventive Strategies

 

Mr. Navin Kumar. E

Principal, Shree H. N. Shukla Nursing School, Rajkot

 

ABSTRACT:

The study was conducted to assess the level of knowledge among family members of Psychosis in - patient regarding suicidal preventive strategies.

The study was conducted in MIND Psychiatric Hospital, Bangalore. Total samples were 50.

Non probability purposive sampling technique was used. The research tool was developed in English after an extensive of literature and experts opinion it was translated in to Kannada by language experts. The structured questionnaire was used as an instrument to measure the level of knowledge regarding suicidal preventive strategies among family members of Psychosis in patient at MIND Psychiatric Hospital, Bangalore.

This study revealed that 31 (62%) of family members of psychosis in-patient have moderately adequate knowledge and 19 (38%) of family members of psychosis in-patient have inadequate knowledge regarding suicidal preventive strategies among family members of Psychosis in patient at MIND Psychiatric Hospital, Bangalore.

Chi- square test was calculated to find out the association between the level of knowledge regarding suicidal preventive strategies among family members of psychosis inpatient and selected Socio-demographic variables and Percentage distribution of socio-demographic variables of family members of psychosis in patient. It shows that there is significant association between the level of knowledge and demographic variables like source of information, locality of living, history of any disease regarding suicidal preventive strategies and no significant association between the level of knowledge and demographic variables like age, occupation, education, relationship with patient, Marital Status, diagnosis of the patient and socio economic status regarding suicidal preventive strategies.

 

 

 

INTRODUCTION:

Suicide (Latin Suicidium, from Suicaedere, "to kill oneself") is the act of a human being intentionally causing his or her own death. Suicide is often committed out of despair, or attributed to some underlying mental disorder which includes depression, bipolar disorder, schizophrenia, alcoholism and drug abuse. Financial difficulties, troubles with interpersonal relationships and other undesirable situations play a significant role.^[1]

 

Over one million people commit suicide every year. The World Health Organization estimates that it is the thirteenth-leading cause of death worldwide ^[3] and the National Safety Council rates it sixth in the United States. It is a leading cause of death among teenagers and adults under 35.^[2]HYPERLINK "http://en.wikipedia.org/wiki/Suicide" \l "cite_note-understanding_suicidal_behaviour_a02-5"^[3] Rates of suicide are higher in men than in women.^[4] There are an estimated 10 to 20 million non-fatal attempted suicides every year worldwide.^[5]

 

Views on suicide have been influenced by broader cultural views on existential themes such as religion, honor and the meaning of life. The Abrahamic religions consider suicide an offense towards God due to religious belief in the sanctity of life. In the West it was often regarded as a serious crime. Conversely, during the samurai era in Japan, seppuku was respected as a means of atonement for failure or as a form of protest. In the 20th century, suicide in the form of self-immolation has been used as a form of protest, and in the form of kamikaze and suicide bombing as a military or terrorist tactic. Sati is a Hindu HYPERLINK "http://en.wikipedia.org/wiki/Funeral"funeral practice in which the widow would immolate herself on her husband's funeral pyre, either willingly, or under pressure from the family and in-laws.^[6]

 

The Risk factors of suicide are associated with the risk of suicide including: mental illness, drug addiction, and socio-economic factors. While external circumstances, such as a traumatic event, may trigger suicide it does not seem to be an independent cause.

 

NEED FOR THE STUDY:

A sound mind is the sound body. The person is said to be healthy if there is a physical, mental, spiritual and social wellbeing. Among all these aspects mental health plays a important role. If the person is mentally ill it may lead to various problems for himself, family members and community. There are various mental illnesses found, among those psychosis is one of the major illness. These patients are more likely to harm and destroy themselves because of the abnormal mind, loss of contact with reality. Huisman et al (2010) found in his study there is a need to redouble our efforts and make intervention studies our priority if we are to combat the global problems of suicide.⁽⁷⁾

 

Courter P (2010) study indicates that suicidal co morbidity that may justify implementing specific treatments such as lithium or focused psychotherapies. Finally, innovative care management needs to be developed, as they are likely to be helpful to provide continuously assistance to people who are suffering in order to avoid a suicidal act.⁽⁸⁾

 

Suicide is the tenth leading cause of death worldwide with about a million people dying by suicide annually. According to 2007 data, suicides in the U.S. outnumber homicides by nearly 2 to 1 and ranks as the 11th leading cause of death in the country, ahead of liver disease and Parkinson's. Worldwide suicide rates have increased by 60% in the past 50 years, mainly in the developing countries.⁽⁹⁾

 

A disproportionate amount of suicides in the world occur in Asia, which is estimated to account for up to 60% of all suicides. According to the World Health Organization, China, India and Japan may account for 40% of all world suicides. In the U.S., the rate of suicide is increasing for the first time in a decade. The increase in the overall suicide rate between 1999 and 2005 has been due primarily to an increase in suicides among whites aged 40–64, with white middle-aged women experiencing the largest annual increase. ⁽¹⁰⁾

 

So there is prevalence of more suicidal tendency among them. Hence prevention is essential and knowledge regarding preventive strategies among family members is required. There is a need for awareness generation programs to educate family members of psychosis patients, propagation of correct messages and also to prevent the suicidal prevalence. So the researcher was interested in doing the study to assess the knowledge regarding suicide preventive strategies among family members of psychosis patients in selected psychiatric hospital.

 

OBJECTIVES OF THE STUDY:

1.    To assess the knowledge on suicidal preventive strategy among family members of psychosis in-patients.

2.    To determine the degree of association between socio-demographic variables and different factors associated with suicidal preventive strategy.

 

 

MATERIAL AND METHODS:

 

FINDINGS

FINDINGS:

The study revealed that 21 (42 %) of the respondents were between the age group of 21-30 years; 17 (34 %) of the respondents were between the age group of 31-40 years; 12 (24 %) of the respondents were the age group of 41-50 years.

 

This study revealed that 31 (62%) of family members of psychosis in patient have moderately adequate knowledge and 19 (38%) of family members of psychosis in-patient have inadequate knowledge on suicidal preventive strategies.

 

CONCLUSION:

This study reveals that majority family members of psychosis in patient have moderately adequate knowledgeregarding suicidal preventive strategies among family members of Psychosis in patient at MIND Psychiatric Hospital, Bangalore. This might be because of source of information, locality of living and history of any disease regarding suicidal preventive strategies.

 

REFERENCES:

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4.       Dennis.M.et.al 2007: The spectrum of Suicidal ideation in Great Britain:Comparision across a 16-74 years age range, A Journal for Research in Psychiatry and allied sciences,37(5):795-805

5.       Emmanuel .R.et.al 2007: Prevalence and associated factors of Suicidal Ideation among School going adolescents in Guyana: results from a cross sectional study, Clinical practice and epidemiology in mental health,3:13

6.       Emmanuel et. Al 2007: Suicidal ideation and associated factors among school going adolescents in rural Uganda, Bio med Central Psychiatry journal,7:67

7.       Emmas.E.et.al 2004: Factors associated with suicidal phenomena in adolescents: A systematic review of population based studies, Clinical Psychology review,24:957-959

8.       Evens.E.,et.al 2005: Suicidal Phenomena and abuse in adolescents; a review of epidemiological studies, Child abuse and neglect, 29,45-58

9.       Jirapramukpitak T.et.al 2011: Rural –Urban migration and experience of childhood abuse in the young Thai population, Journal of Fam violence, 26(8):607-615

10.    Leung .P.et.al 2008: Prevalence and determinants of child maltreatment among high school students in southern China: A large scale school based survey , Child and adolescent psychiatry and mental health, 2:27

 

 

Received on 01.06.2016           Modified on 30.06.2016

Accepted on 06.07.2016           © A&V Publication all right reserved