Pub Date : 2020-05-12DOI: 10.30834/kjp.33.1.2020.186
Asha Jalal, A. Premnath, S. Ms, R. Velayudhan, G. Manojkumar, Raghuram Tm
Background: Belief in faith healers, lack of awareness and stigma of mental illness have placed obstacles in timely identification and treatment of mental illness. This study assessed the factors influencing individuals with mental illness to seek faith healers. It was also planned to study the delay caused due to faith healers in starting psychiatric treatment. Methods: Cross-sectional study of 100 consecutive patients who had visited a faith healer at least once and attending the outpatient clinic of the department of psychiatry was done using a semi-structured questionnaire. Results: Fear of psychiatric medication (46%), stigma of psychiatric illness (44%) and beliefs in myths (43%) were the main reasons for avoiding psychiatric treatment. There was a significant delay in psychiatric treatment initiation when comparing people who first visit faith healers to those who first visited psychiatrists (28.2 months vs 14.5 months, p=0.002). Post-visit to psychiatrist, 57% prefer to continue with the psychiatrist, and 34% would visit both, and only 5% would prefer faith healer. Conclusions: Myths and stigma regarding psychiatric illness are prevalent, and mental health education can improve the scenario.
{"title":"Delay and treatment factors of psychiatric treatment among patients seeking faith healers","authors":"Asha Jalal, A. Premnath, S. Ms, R. Velayudhan, G. Manojkumar, Raghuram Tm","doi":"10.30834/kjp.33.1.2020.186","DOIUrl":"https://doi.org/10.30834/kjp.33.1.2020.186","url":null,"abstract":"Background: Belief in faith healers, lack of awareness and stigma of mental illness have placed obstacles in timely identification and treatment of mental illness. This study assessed the factors influencing individuals with mental illness to seek faith healers. It was also planned to study the delay caused due to faith healers in starting psychiatric treatment. Methods: Cross-sectional study of 100 consecutive patients who had visited a faith healer at least once and attending the outpatient clinic of the department of psychiatry was done using a semi-structured questionnaire. Results: Fear of psychiatric medication (46%), stigma of psychiatric illness (44%) and beliefs in myths (43%) were the main reasons for avoiding psychiatric treatment. There was a significant delay in psychiatric treatment initiation when comparing people who first visit faith healers to those who first visited psychiatrists (28.2 months vs 14.5 months, p=0.002). Post-visit to psychiatrist, 57% prefer to continue with the psychiatrist, and 34% would visit both, and only 5% would prefer faith healer. Conclusions: Myths and stigma regarding psychiatric illness are prevalent, and mental health education can improve the scenario.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43883276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-15DOI: 10.30834/kjp.33.1.2020.188
S. Praharaj, S. Ameen
{"title":"How to choose research topic?","authors":"S. Praharaj, S. Ameen","doi":"10.30834/kjp.33.1.2020.188","DOIUrl":"https://doi.org/10.30834/kjp.33.1.2020.188","url":null,"abstract":"","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69653080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-19DOI: 10.30834/kjp.33.1.2020.185
Smitha Ramadas, G. Menon, P. Kuttichira
During the 35th annual conference of Kerala State branch of Indian Psychiatric Society (SIPSCON 2019), conducted in Thrissur, a group activity was designed, titled ‘Voices from the floor: group activity on contemporary psychiatric issues in Kerala’. In this academic program, the participants were given the centre stage. It was designed as a group activity where all the delegates were divided into small groups to give their experiential account and reflection related to mental health care in Kerala. The topic of discussion and exploration in each group were chosen from either one of the broad perspectives of clinician, academician or mental health activist. This narrative is based on the introductory remarks made in the workshop, co-authored by all the authors and presented by the third author. From this activity, the outcome expected was to discover a treasure of information which could pave the way for further exploration and action plans. No consensus was aimed at. These could shape the future of Kerala mental health scenario.
{"title":"Kerala Psychiatry, yesterday and today: recollections and reflections: -Based on background paper presented in SIPSCON 2019 at Thrissur","authors":"Smitha Ramadas, G. Menon, P. Kuttichira","doi":"10.30834/kjp.33.1.2020.185","DOIUrl":"https://doi.org/10.30834/kjp.33.1.2020.185","url":null,"abstract":"During the 35th annual conference of Kerala State branch of Indian Psychiatric Society (SIPSCON 2019), conducted in Thrissur, a group activity was designed, titled ‘Voices from the floor: group activity on contemporary psychiatric issues in Kerala’. In this academic program, the participants were given the centre stage. It was designed as a group activity where all the delegates were divided into small groups to give their experiential account and reflection related to mental health care in Kerala. The topic of discussion and exploration in each group were chosen from either one of the broad perspectives of clinician, academician or mental health activist. \u0000 This narrative is based on the introductory remarks made in the workshop, co-authored by all the authors and presented by the third author. From this activity, the outcome expected was to discover a treasure of information which could pave the way for further exploration and action plans. No consensus was aimed at. These could shape the future of Kerala mental health scenario.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43810144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-13DOI: 10.30834/kjp.33.1.2020.184
P. M. A. Nishad, R. Karkal, A. Kakunje, Mohan Chandran Vv
{"title":"When breath becomes air","authors":"P. M. A. Nishad, R. Karkal, A. Kakunje, Mohan Chandran Vv","doi":"10.30834/kjp.33.1.2020.184","DOIUrl":"https://doi.org/10.30834/kjp.33.1.2020.184","url":null,"abstract":"","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41440358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-27DOI: 10.30834/kjp.32.1.2019.178
Joice Geo, Jismi B Krishnan, Mareen Benjamin, R. Kallivayalil
Background: The lifetime prevalence of major depressive disorders is 10-25% for women and 5-12% for men. Women are more prone to develop depressive episode from the period of menarche to the perimenopausal period. Relatively little research has been done on this. Materials and methods: Female patients between the ages of 12 years to 55 years presenting in the outpatient department with first episode depressive symptoms are selected (ICD 10) and the number of patients presenting in different stages of the reproductive cycle – perimenarche, pregnancy, post-partum, post abortion and perimenopausal are noted. Age at onset, severity of the illness, positive family history, presence of somatic and hypochondriac symptoms, and suicidal intent (Beck suicidal intent scale, Hamilton rating scale for depression) were noted. Results and discussion: Out of the total 120 patients, 53 were in the perimenopause state, 23 in the perimenarche, 5 in pregnancy, 14 in the post-partum, and 7 as post abortion. The mean age of onset of depressive disorders is 36.7 years (SD- 13.67). The severity of the depressive episode is significantly higher towards the younger age group (<30years) and number of patients presenting with somatic symptoms are much higher towards the older age group (41-55years). There is no significant difference in presence of positive family history, hypochondriasis and suicidal intent among various age groups. Conclusion: Perimenopausal and perimenarche periods show higher prevalence of depressive disorders during female reproductive cycle. Biological changes in reproductive cycle can cause increase prevalence of depression in women.
{"title":"First episode depression in women- a study of clinical characteristics through the female reproductive stages in a rural tertiary care center in Kerala","authors":"Joice Geo, Jismi B Krishnan, Mareen Benjamin, R. Kallivayalil","doi":"10.30834/kjp.32.1.2019.178","DOIUrl":"https://doi.org/10.30834/kjp.32.1.2019.178","url":null,"abstract":"Background: The lifetime prevalence of major depressive disorders is 10-25% for women and 5-12% for men. Women are more prone to develop depressive episode from the period of menarche to the perimenopausal period. Relatively little research has been done on this. Materials and methods: Female patients between the ages of 12 years to 55 years presenting in the outpatient department with first episode depressive symptoms are selected (ICD 10) and the number of patients presenting in different stages of the reproductive cycle – perimenarche, pregnancy, post-partum, post abortion and perimenopausal are noted. Age at onset, severity of the illness, positive family history, presence of somatic and hypochondriac symptoms, and suicidal intent (Beck suicidal intent scale, Hamilton rating scale for depression) were noted. Results and discussion: Out of the total 120 patients, 53 were in the perimenopause state, 23 in the perimenarche, 5 in pregnancy, 14 in the post-partum, and 7 as post abortion. The mean age of onset of depressive disorders is 36.7 years (SD- 13.67). The severity of the depressive episode is significantly higher towards the younger age group (<30years) and number of patients presenting with somatic symptoms are much higher towards the older age group (41-55years). There is no significant difference in presence of positive family history, hypochondriasis and suicidal intent among various age groups. Conclusion: Perimenopausal and perimenarche periods show higher prevalence of depressive disorders during female reproductive cycle. Biological changes in reproductive cycle can cause increase prevalence of depression in women.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46936847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-05DOI: 10.30834/kjp.32.1.2019.176
Varsha Vidyadharan, Harish M. Tharayil, Biju George
Background: Delay in early diagnosis of Specific learning disorder (SLD) is influenced by various factors, including the lack of simple yet validated tools for assessment. Objective: We aimed to develop and validate a screening questionnaire in English and Malayalam for SLD in children aged 7-11 years, which can be used easily. This paper deals with the initial development and preliminary validation of the tool, which was subsequently validated in a larger sample and had already been published. Materials and methods: The tool was validated using a case-control methodology. It was developed after ensuring face and content validity, and suitable modifications were done based on the internal consistency measure and factor analysis results. The tool was applied in children with SLD and two groups of controls. ROC curve analysis was done to find the optimum cut-off, and validity parameters were estimated. Results: A total of 21 SLD, 42 normal and 37 borderline intelligence children, were studied. The final tool with 26 items had good Cronbach’s alpha (0.95) and area under the curve values (0.96). The tool had good sensitivity (100 %) and specificity (77.2%), i.e., if the score is <10, we can rule out SLD. Conclusions: We propose a new screening tool for SLD with promising reliability and validity characteristics that need to be evaluated further.
{"title":"Development and Preliminary validation of a screening tool for Specific learning disorder in children","authors":"Varsha Vidyadharan, Harish M. Tharayil, Biju George","doi":"10.30834/kjp.32.1.2019.176","DOIUrl":"https://doi.org/10.30834/kjp.32.1.2019.176","url":null,"abstract":"Background: Delay in early diagnosis of Specific learning disorder (SLD) is influenced by various factors, including the lack of simple yet validated tools for assessment. \u0000Objective: We aimed to develop and validate a screening questionnaire in English and Malayalam for SLD in children aged 7-11 years, which can be used easily. This paper deals with the initial development and preliminary validation of the tool, which was subsequently validated in a larger sample and had already been published. \u0000Materials and methods: The tool was validated using a case-control methodology. It was developed after ensuring face and content validity, and suitable modifications were done based on the internal consistency measure and factor analysis results. The tool was applied in children with SLD and two groups of controls. ROC curve analysis was done to find the optimum cut-off, and validity parameters were estimated. \u0000Results: A total of 21 SLD, 42 normal and 37 borderline intelligence children, were studied. The final tool with 26 items had good Cronbach’s alpha (0.95) and area under the curve values (0.96). The tool had good sensitivity (100 %) and specificity (77.2%), i.e., if the score is <10, we can rule out SLD. \u0000Conclusions: We propose a new screening tool for SLD with promising reliability and validity characteristics that need to be evaluated further.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41676650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-30DOI: 10.30834/kjp.32.1.2019.173
A. Sadath, Kurian Jose, Jiji Km, Shibu kumar Tm
Background: Indigenous tribes are at higher risk of substance misuse, including betel quid. Available studies in this area focused on health hazards, while socio-behavioural aspects of betel quid practices are less studied, especially among the tribal population in India. Objectives: The study was conducted to explore the factors influencing betel quid use among indigenous tribes in Wayanad, Kerala Methods: Using a purposive sampling method, we selected 12 persons with betel quid use form Paniya and Kattunaicker tribal community at Wayanad. Qualitative in-depth interviews were used for data collection. The thematic analysis was done to understand the key themes and categories. Results: We identified that betel quid chewing among tribes often initiated in young age, with influence of the home environment, parental, peer and spouse related factors. Key themes that emerged were the trajectory of betel quid use, betel quid intake, dependency, access and availability of betel quid in tribal dominant areas. Conclusion: As our study result indicated many features of betel quid dependency, community level screening for identifying the potential cases and provision of treatment services might be required. Future studies to assess proper intervention for betel quid chewing can be undertaken.
{"title":"Factors influencing Betel quid chewing among indigenous tribal population in Wayanad, Kerala: A qualitative study","authors":"A. Sadath, Kurian Jose, Jiji Km, Shibu kumar Tm","doi":"10.30834/kjp.32.1.2019.173","DOIUrl":"https://doi.org/10.30834/kjp.32.1.2019.173","url":null,"abstract":"Background: Indigenous tribes are at higher risk of substance misuse, including betel quid. Available studies in this area focused on health hazards, while socio-behavioural aspects of betel quid practices are less studied, especially among the tribal population in India. \u0000Objectives: The study was conducted to explore the factors influencing betel quid use among indigenous tribes in Wayanad, Kerala \u0000Methods: Using a purposive sampling method, we selected 12 persons with betel quid use form Paniya and Kattunaicker tribal community at Wayanad. Qualitative in-depth interviews were used for data collection. The thematic analysis was done to understand the key themes and categories. \u0000Results: We identified that betel quid chewing among tribes often initiated in young age, with influence of the home environment, parental, peer and spouse related factors. Key themes that emerged were the trajectory of betel quid use, betel quid intake, dependency, access and availability of betel quid in tribal dominant areas. \u0000Conclusion: As our study result indicated many features of betel quid dependency, community level screening for identifying the potential cases and provision of treatment services might be required. Future studies to assess proper intervention for betel quid chewing can be undertaken.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49159273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.30834/kjp.32.1.2019.175
Harish M. Tharayil
At the outset, I wish to briefly draw your attention to one of the international frameworks that play a role in shaping our speciality first. Then I shall tell you a few facts about the mental health scenario in our state. I shall also share with you some insights based on data collected informally from our younger colleagues. Based on all these, I have more questions than answers. I believe these questions and answers should play a crucial role in any plans or proposals that we wish to enact in future. I sincerely hope we can do a successful balancing act to deliver quality services to our population.
{"title":"Delivering mental health services to the people of Kerala -need for a balancing act","authors":"Harish M. Tharayil","doi":"10.30834/kjp.32.1.2019.175","DOIUrl":"https://doi.org/10.30834/kjp.32.1.2019.175","url":null,"abstract":"At the outset, I wish to briefly draw your attention to one of the international frameworks that play a role in shaping our speciality first. Then I shall tell you a few facts about the mental health scenario in our state. I shall also share with you some insights based on data collected informally from our younger colleagues. Based on all these, I have more questions than answers. I believe these questions and answers should play a crucial role in any plans or proposals that we wish to enact in future. I sincerely hope we can do a successful balancing act to deliver quality services to our population.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46848410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-17DOI: 10.30834/KJP.32.1.2019.162
Dilshana Nafisa, K. Nayak, T SafeekhA
The prevalence of posterior circulation stroke is less reported compared to anterior circulation stroke, accounting for one fourth of all ischemic strokes. It commonly presents with neurological deficits like visual deficits, vertigo and sensory-motor deficits rather than merely psychiatric symptoms. Nonetheless, there could be comorbid psychiatric symptoms associated with it. A rare presentation of posterior circulation stroke presenting with psychosis as a primary symptom without any neurological deficit is discussed.
{"title":"Posterior Circulation Stroke –presenting as Psychotic disorder","authors":"Dilshana Nafisa, K. Nayak, T SafeekhA","doi":"10.30834/KJP.32.1.2019.162","DOIUrl":"https://doi.org/10.30834/KJP.32.1.2019.162","url":null,"abstract":"The prevalence of posterior circulation stroke is less reported compared to anterior circulation stroke, accounting for one fourth of all ischemic strokes. It commonly presents with neurological deficits like visual deficits, vertigo and sensory-motor deficits rather than merely psychiatric symptoms. Nonetheless, there could be comorbid psychiatric symptoms associated with it. A rare presentation of posterior circulation stroke presenting with psychosis as a primary symptom without any neurological deficit is discussed.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45698273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-30DOI: 10.30834/kjp.32.1.2019.165
Namita Nazeer, Harish M. Tharayil, Varsha Vidyadharan
Background: Suicide is one of the top ten leading causes of death in the world as well as India. Poisoning is one of the most common modes of attempting suicide. Self-immolation is a devastating form of suicide attempt. Impulsivity has been demonstrated as an important risk factor for suicide. Lethality and intent were found to be interrelated in previous studies. But a comparative study of impulsivity, lethality and intent between self-immolation and poisoning was not found in a literature search. Objectives: To compare socio-demographic characteristics, impulsivity, intent and lethality in those who attempt suicide by self-immolation and poisoning. To find the intercorrelations between intent, impulsivity and lethality. Methods: A cross-sectional comparative study was done among persons attempting suicide by self-immolation (n=40) and poisoning (n=50). Barratt's impulsivity scale, Smith's LSARS (lethality of suicide attempt rating scale) and Beck's suicide intent scale were used to assess impulsivity, lethality and intent, respectively. Percentages, mean, median and range were used to describe the data. Chi-square test, t-test and Pearson correlation were used for statistical analysis. Results and discussion: There were significant associations between occupation, family income and socioeconomic status and mode of suicide attempt. Lethality was higher in self-immolation. Lethality and intent were significantly intercorrelated in both groups. Impulsivity and lethality were negatively correlated in the self-immolation group. Conclusion: Self-immolation is a highly lethal method of attempting suicide. Highly lethal suicide attempts have high intent. Greater the impulsivity, less lethal the attempt is likely to be.
{"title":"A Comparative study of impulsivity, lethality and intent among patients attempting suicide by self-immolation and poisoning","authors":"Namita Nazeer, Harish M. Tharayil, Varsha Vidyadharan","doi":"10.30834/kjp.32.1.2019.165","DOIUrl":"https://doi.org/10.30834/kjp.32.1.2019.165","url":null,"abstract":"Background: Suicide is one of the top ten leading causes of death in the world as well as India. Poisoning is one of the most common modes of attempting suicide. Self-immolation is a devastating form of suicide attempt. Impulsivity has been demonstrated as an important risk factor for suicide. Lethality and intent were found to be interrelated in previous studies. But a comparative study of impulsivity, lethality and intent between self-immolation and poisoning was not found in a literature search. \u0000Objectives: \u0000 \u0000To compare socio-demographic characteristics, impulsivity, intent and lethality in those who attempt suicide by self-immolation and poisoning. \u0000To find the intercorrelations between intent, impulsivity and lethality. \u0000 \u0000Methods: A cross-sectional comparative study was done among persons attempting suicide by self-immolation (n=40) and poisoning (n=50). Barratt's impulsivity scale, Smith's LSARS (lethality of suicide attempt rating scale) and Beck's suicide intent scale were used to assess impulsivity, lethality and intent, respectively. Percentages, mean, median and range were used to describe the data. Chi-square test, t-test and Pearson correlation were used for statistical analysis. \u0000Results and discussion: There were significant associations between occupation, family income and socioeconomic status and mode of suicide attempt. Lethality was higher in self-immolation. Lethality and intent were significantly intercorrelated in both groups. Impulsivity and lethality were negatively correlated in the self-immolation group. \u0000Conclusion: Self-immolation is a highly lethal method of attempting suicide. Highly lethal suicide attempts have high intent. Greater the impulsivity, less lethal the attempt is likely to be.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69653359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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