Wednesday, July 16, 2014

Common Stressors among Suicide Attempters as Revealed in a Psychiatric Service of Eastern Nepal

click here-
Abstract
Background: Stressor is one of the three major risk factors of suicide, along with altered mental state and access to suicidemeans. There is scant data from Nepal about the stressors being common among suicide attempters.
Objective: To identify common stressors among suicide attempters visiting a psychiatric service in Eastern Nepal
Methodology: It is a hospital based descriptive study looking into stressors as revealed by patients and care-takers in psychiatric assessment. All patients consulting the investigating psychiatrist team within study period (12 months, 2011) were enrolled after informed consent. During detailed work-up; suicidal state was ascertained, relevant information were recorded in the proforma and an intensive qualitative exploration was made in all subjects into the stressors present during the time of suicide-attempt.
Results: Fifty seven percent of subjects (66/115) were female, 70% (80/115) married and 88% (101/115) from rural and semi-urban settings. Average age was 29.68 years. Nearly one fifth was illiterate or barely literate. Poisoning was the most common mode of suicide attempt. About 75% (86/115) had at least one ICD- 10 mental disorder. ‘Stress related disorder’ was present in 13% (15/115). In a great majority (112/115), at least one stressor was reported. The most commonly revealed stressor was interpersonal conflict, dispute or quarrel (72/115), followed by the stressor related to subject’s health issues, e.g. illness, treatment cost. Some cases reported easy access to suicide means as a risk factor.
Conclusion: Interpersonal dispute, health problems and easy access to suicide means were reported as common stressor/factors among suicide attempters.
Citation: Shakya DR (2014) Common Stressors among Suicide Attempters as Revealed in a Psychiatric Service of Eastern Nepal. J Trauma Stress Disor Treat 3:3. doi:10.4172/2324-8947.1000129 

Tuesday, July 15, 2014

लागूऔषधको कुरा :  

सन् १९८८ देखि संयुक्त राष्ट्रसङ्घले विश्व समाजलाई लागूऔषधमुक्त बनाउने प्रतिवद्धतासहित हरेक वर्ष जुन २६ का दिन ‘लागूऔषध प्रयोग तथा ओसारपसार विरुद्धको अन्तर्राष्ट्रिय दिवस’ मनाउँदै आएको छ । जनस्वास्थ्य, शान्ति सुरक्षा, मानव जीवन र दिगो विकासका लागि विशेषत: किशोरकिशोरीहरुका लागि ठूलो चुनौती र अड्चनका रुपमा रहेको लागूऔषधको विकराल समस्यासँग जुध्न भएका प्रयास, बनेका नीति–नियम र चलेका कार्यक्रमहरुको मूल्याङ्कन गरी यसको नियन्त्रण गर्नु नै यस दिवसको ध्येय हो । यस दिन लागूऔषधका समस्याहरुबारे मनन् र जनचेतना अभिवृद्धि तथा उपयुक्त नीतिनियम र कदमका लागि पैरवी गर्ने प्रणसहित कार्यक्रमहरु हुन्छन् । यस वर्ष सन् २०१४ मा पनि सबैका लागि यसको रोकथाम र यसबाट पीडित करोडौं मानिसका लागि उपचार सम्भव भएको आशावादी सन्देशसहित यो दिवस मनाइदैछ । यस अवसरमा यहा लागूऔषध र यसका समस्याबारे छलफल हुदैछ ।
click here for detail reading-