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 Table of Contents    
LETTER TO EDITOR  
Year : 2011  |  Volume : 53  |  Issue : 1  |  Page : 77
Deliberate self-harm and domestic violence: Some answers needed


1 Department of Psychiatry, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi - 110 095, India
2 National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore - 560 029, India

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Date of Web Publication13-Jan-2011
 

How to cite this article:
Prakash O, Prasad C G. Deliberate self-harm and domestic violence: Some answers needed. Indian J Psychiatry 2011;53:77

How to cite this URL:
Prakash O, Prasad C G. Deliberate self-harm and domestic violence: Some answers needed. Indian J Psychiatry [serial online] 2011 [cited 2019 Nov 21];53:77. Available from: http://www.indianjpsychiatry.org/text.asp?2011/53/1/77/75546


Sir,

Chowdhury and his colleagues [1] have dealt with an important area of emergency psychiatry, that is, deliberate self harm (DSH) and domestic violence. The content of this Bhagawat Award winning article is more relevant to the current scenario where agro-based societies [2] report more DSH attempts. The cultural epidemiology of deliberate self-harm (DSH) is critical [3] in planning for suicide prevention, community mental health, and psychiatric practice. The study is also very important in developing countries such as India, where domestic violence [4] is frequently reported.

However, a few concerns about the study persist. Although the authors have aimed to investigate the risk factors associated with non-fatal DSH, among admitted self-harm attempters in the Sunderban region of West Bengal, their results about the study do not seem to clearly reflect this. The authors have admitted the problem of generalization of the data in their limitations, but the practicality and feasibility of the study among three disjointed block PHCs is not clear. There is a need to highlight more on the assessments and details about raters and their inter-rater reliability. It is difficult to understand the 'ethical permission from the Block Medical Officer' (page 97) [1] rather from the patients / relatives. There is a need to highlight the medicolegal status of DSH attempters. There is a need for more clarifications about the DSH prevention program. There are repetitions of the results in the text that appear in the tables too.

The clinical findings of the cases are omitted in the research article, although they appeared in the conference abstract [5] of the award paper section (Major depressive disorder (14.6%); adjustment disorder (6.7%); no psychiatric problem (60.5%). These findings will definitely give a clearer picture about the study results. There are some typographic errors that appear in the article, e.g. the titles of [Table 3] and [Table 4] [1] interchanged with respect to content appeared in the tables. The points that appear in the discussion section should be cautiously judged with respect to the results obtained, such as harassment by in-laws on the issue of dowry (although only males admitted dowry as a cause of DSH in [Table 1], page 97) [1] .

Undoubtedly we feel that the authors have taken a useful step in this relatively neglected area of research. However, further studies are required on the relationship between domestic violence and DSH.

 
   References Top

1.Chowdhury AN, Brahma A, Banerjee S, Biswas MK. Pattern of domestic violence amongst non-fatal deliberate self-harm attempters: A study from primary care of West Bengal. Indian J Psychiatry 2009;51:96-100.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Arun M, Palimar V, Menezes RG, Babu YP, Bhagavath P, Mohanty MK. Autopsy study of fatal deliberate self harm. Med Sci Law 2007;47:69-73.  Back to cited text no. 2
[PUBMED]    
3.Parkar SR, Dawani V, Weiss MG. Gender, suicide, and the sociocultural context of deliberate self-harm in an urban general hospital in Mumbai, India. Cult Med Psychiatry 2008;32:492-515.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  
4.Babu BV, Kar SK. Domestic violence against women in eastern India: A population-based study on prevalence and related issues. BMC Public Health 2009;9:129.  Back to cited text no. 4
[PUBMED]  [FULLTEXT]  
5.Brahma A. Pattern of domestic violence amongst non-fatal deliberate self-harm attempters: A study from primary care of West Bengal. Indian J Psychiatry 2008;50:6.  Back to cited text no. 5
    

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Correspondence Address:
Om Prakash
Department of Psychiatry, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi - 110 095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.75546

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