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Deliberate Self Harm Among South Asians in London

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Deliberate Self Harm Among South Asians in London

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    1. Deliberate Self Harm Among South Asians in London Professor Dinesh Bhugra Professor of Mental Health and Cultural Diversity Institute of Psychiatry, Kings College, London

    3. Deliberate Self Harm�. �..is an act with non-fatal outcome in which an individual deliberately initiates a non habitual behaviour that without intervention from others will cause self harm. It includes substance ingestion in excess of the prescribed or generally recognized therapeutic dosage and is aimed at realising change which is desired via actual or expected physical consequences��..

    4. Location

    5. Population of Ealing In 2001 the total population of Ealing was 300,950 Of which, 176,750 (59%) were White and 124,200 (41%) Black and Asian

    6. Sample: White & Asian, Community Instruments: socio-demographic details DACS GHQ-28 CIS-R Life events inventory (Cochrane & Robertson, 1973) Racial Life Events Cultural Identity

    7. Rates of Attempted Suicide

    8. Age Specific Rates in Ethnic Groups

    9. Ethnicity and Method: numbers (%)

    10. Details Asian females 29, 16 married (55%) White females 47, 16 married (35%) P=0.08

    11. Other Differences Asians more likely to be living in owner occupied accommodation (20 of 29, 68%) Whites (18 of 47) p=0.008 Whites more likely to have used alcohol (33 of 46, 72%) Asians 4 of 29 (p=0.0000)

    12. Other Features Regret 36% (17 of 47)Whites did 62% (18 of 29) Asians did (p=0.03) Wanted to die 62% (29 of 47 Whites) 86% (25 of 29 Asians) (p=0.01) Suicide note 23% (10 of 47 Whites) 31% (9 0f 29 Asians)

    13. Other Features Depressed 52% (24 of 47 whites) 27% (8 of 29 Asians) No psych disorder 11% (6 0f 47 Whites) 48% (14 of 29 Asians) Whites more likely p=0.001

    14. Life Events Relationships (28%) p=0.002 Marriage (26%) p=0.005 Children (21%) p=0.004 Personal/family illness(58%) p=0.004 Finances (26%) p=0.003 Physical violence (27%) Racial life events (26%)

    15. Asian Patients and Controls n =26 n=26 controls GP surgery Age and sex matched Same questionnaires to both groups Interviewed after consent

    16. Social Class in the 2 Groups

    17. Religious Affiliation

    18. Employment Status

    19. Past Suicidal Attempt

    20. Racial Life Events

    21. Adolescents Case note study Three years All contacts with child and adolescent services Socio-demographic factors Attempts Circumstances

    22. The Sample Total 99 Ethnicity Self Ascribed Whites 76 M:F 13:63 (1:4.8) Asians 23 M:F 2:21 (1:10.5)

    23. Age Distribution

    24. Sex Ratio

    25. Causes

    26. Predisposing Factors

    27. DSH Characteristics

    28. DSH Characteristics

    29. Social Problems

    30. School Problems

    31. DSH Characteristics

    32. White Female: 38 White Male: 8 Asian Female: 12 Others Male: 2 Others Female: 13

    33. Inception Rates in Adolescents

    34. Self Ascribed Symptoms

    38. Deliberate Self Harm Characteristics

    54. Distal Causes

    55. Religion

    56. Educational Pamphlet

    57. Contents

    58. To Test the Affects Towards:

    59. Educational Pamphlet PRE PAMPHLET AND POST PAMPHLET QUESTIONNAIRES 300 DISTRIBUTED 182 RETURNED FINAL ANALYSIS ON 180 160 COMPLETED FOLLOW-UP 4-6 WEEKS LATER GP SURGERIES

    60. Results of Pamphlet Increase in people agreeing that they could recognise depression Increase in knowing where to seek help

    64. Causes

    66. �

    67. Baseline vs. Immediately after pamphlet Baseline vs. at 4-6 weeks follow-up Community Organisation group Total n=97 Follow-up n=90

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