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Social, cultural and clinical dimensions of suicide and deliberate self-harm

English title Social, cultural and clinical dimensions of suicide and deliberate self-harm
Applicant Weiss Mitchell G.
Number 105913
Funding scheme Project funding (Div. I-III)
Research institution Abt. öff. Gesundheitswesen und Epidemiologie Schweizerisches Tropen- und Public Health-Institut
Institution of higher education University of Basel - BS
Main discipline Neurology, Psychiatry
Start/End 01.10.2004 - 30.09.2007
Approved amount 197'000.00
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Keywords (6)

suicide prevention; deliberate self-harm; suicidology; cultural epidemiology; cross-cultural psychiatry; psychiatric epidemiology

Lay Summary (English)

Lay summary
Recognizing the role of both psychiatric disorders and social situational stressors that motivate suicidal behaviour, research in Basel is examining social, cultural, and clinical contexts of deliberate self-harm. An ethnographic component of this study identified a range of underlying problems, their causes, and triggers. Based on identified categories, the study team developed a locally adapted EMIC interview for cultural epidemiological study of patients at the Psychiatric University Polyclinic of the University Hospital and the University Psychiatric Clinic, Basel.
After pilot interviews, 40 patients were studied in year 2. The study also considers the impact of stigma with reference to underlying problems and the DSH itself. Among psychiatric disorders, major depression has been most frequent (65.0%), followed by substance abuse or dependence (47.5%).
Situational contexts and triggers were notable for interpersonal conflicts, especially with spouses and partners. Although work problems were common underlying problems (42.5%), they were rarely triggers of DSH (5.0%). Findings from the study clarify patients’ understanding of suicidal behaviour with practical guidance for empathic clinical interventions, and community interventions to prevent suicide and promote mental health.
Direct link to Lay Summary Last update: 21.02.2013

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