A Qualitative Analysis of Experiences of Suicidal Ideation and Suicide Commitment among Females with Major Depressive Disorder in Pakistan

Authors

  • Tania Qamar PhD Scholar, Psychology & Counselling Program, School of Applied Psychology, Social Work and Policy. College of Arts and Sciences, University Utara Malaysia, Malaysia. Author
  • Saralah Devi Mariamdaran Chethiyar University Lecturer, Psychology & Counselling Program, School of Applied Psychology, Social Work and Policy. College of Arts and Sciences, University Utara Malaysia, Malaysia. Author
  • Nabisah binti Ibrahim University Lecturer, Psychology & Counselling Program, School of Applied Psychology, Social Work and Policy. College of Arts and Sciences, University Utara Malaysia, Malaysia. Author

DOI:

https://doi.org/10.48165/sajssh.2021.2607%20

Keywords:

Suicidal Ideation, Suicide Commitment, Major Depressive Disorder, Married Females, Ideographic Phenomenological Data Analysis (IPA)

Abstract

Purpose. Suicide is a global public health problem. Because Asia accounts for 60% of all  suicides worldwide, at least 60 million people are impacted by suicide or commit suicide in  Asia each year. Females are more likely than males to engage in suicidal behaviour, which is  defined as a complete problem of illness and death. The aim of the present research was to  identify experiences of suicidal ideation and suicide commitment among females with major  depressive disorder in Pakistan. Method. A sample of approximately 5 clients with major  depressive disorder were approached from (Captain Mouzam Ali Shaheed Welfare Trust  Hospital, Jhelum) Pakistan. The sample collected through snowball sampling strategy.  Qualitative method of in-depth semi structured interview was conducted in order to get data.  Beck depression inventory and suicide risk screener was used as an assessment measure. Ideographic Phenomenological Data Analysis (IPA) was utilized to examine and recorded the  information in which investigator identified themes. Specific verification method was utilized to measure the credibility of the research results. Results. In outcomes, the main themes  emerged in the current study and figures were drawn in order to explain the different themes. There were seven main themes were emerged in the present research were named as Etiology  of Major Depressive Disorder (MDD), Effects of MDD, Psychosocial Factors, Coping with  MDD, Insight about MDD, Seeking Support and Experience Difficulties During the Treatment  of MDD. Novelty/Originality of The Study. Suicidal thoughts were moderately common  among patients with major depressive illness. Implication. As a result, all clients with major  depressive illness should be screened for suicide thoughts so that treatment can begin as soon  as possible. 

References

Banwari GH, Vankar GK, Parikh MN. Comparison of suicide attempts in schizophrenia and major depressive disorder: an exploratory study. (2013). Asia-Pacific Psychiatry. 5(4):309–315. doi:10.1111/j.1758-5872.2012. 00188.x.

Bhattacharjee, A., & Deb, S. Suicidal tendencies among depressive patients. (2007). Journal of the Indian Academy of Applied Psychology, 33(2), 213–218.

Ben-Zeev D, Young MA, Depp CA. Suicidal tendencies among depressive patients. J Indian Acad Appl Psychology. 33(2):213–218. Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross-sectional study in an urban primary care setting. (2012). BMC Fam Pract. 14:69.

Bhattacharjee, A., & Deb, S. Suicidal tendencies among depressive patients. (2007). Journal of the Indian Academy of Applied Psychology, 33(2), 213–218.

Bazrafshan, M. R., Sharif, F., Molazem, Z., & Mani, A. Cultural concepts and themes of suicidal attempt among Iranian adolescents. (2015). International journal of high-risk behaviors & addiction, 4(1), e22589. https://doi.org/10.5812/ijhrba.22589.

Conference Board of Canada. (2016). Healthy brains at work: employer-sponsored mental health benefits and programs.

Creswell, J. W. (2013). Qualitative Inquiry & Research Design: Choosing among Five Approaches (3rd ed.). Thousand Oaks, CA: SAGE.

Creswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Sage Publications, Inc.

Chaudhry HR, Arshad N, Javed F, Asif A: Frequency of psychological and somatic symptoms in patients with major depressive disorder. (2010). Asian J Psychiatry; 3:152–154.

Dunlop BW, Polychroniou PE, Rakofsky JJ, Nemeroff CB, Craighead WE, Mayberg HS. Suicidal ideation and other persisting symptoms after CBT or antidepressant medication treatment for major depressive disorder. (2019). Psychol Med. 49(11):1869–1878. doi:10.1017/S0033291718002568.

Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. The economic burden of adults with major depressive disorder in the United States (2005 and 2010). (2015). The Journal of clinical psychiatry, 76(2), 0-0.

Guedria-Tekari, A., Missaoui, S., Kalai, W., Gaddour, N., & Gaha, L. Suicidal ideation and suicide attempts among Tunisian adolescents: prevalence and associated factors. (2019). The Pan African medical journal, 34, 105. https://doi.org/10.11604/pamj.2019.34.105.19920.

Gadit AA, Mumford G. Prevalence of depression among households in three capital cities of Pakistan: Need to revise the mental health policy. (2007). PLoS ONE; 2: e209.

Holma KM, Haukka J, Suominen K, et al. Differences in incidence of suicide attempts between bipolar I and II disorders and major depressive disorder. (2014). Bipolar Disord. 16(6):652–661. doi:10.1111/bdi.12195.

Khan MM, Islam S, Kundi AK. Parasuicide in Pakistan: an experience at University Hospital. (1996). Acta Psychiatr Scand. 93:264–267.

Khan MM, Hyder AA: Suicides in the developing world: case study from Pakistan. (2006). Suicide Life Threat Behav; 36:76– 81.

Khan MM: Suicide and attempted suicide in Pakistan. (1998). Crisis; 19:172–176.

Khan AM, Sarhandi I, Hussain J, Iqbal S, Taj R: Impact of terrorism on mental health. (2012). Annals of Pakistan Institute of Medical Sciences; 8:46–49.

Karim S, Saeed K, Rana MH, Mubbashar MH, Jenkins R: Pakistan mental health country profile. (2008). Int Rev Psychiatry; 16:83–92.

Khan Murad M. Suicide on the Indian Subcontinent. (2016). Crisis; 23 (3): 104–107. pmid:12542107.

Kaplan BJ. Kaplan and sadock’s synopsis of psychiatry. Behavioral sciences/clinical psychiatry. (2016). Tijdschr Psychiatr.;58(1):78–79.

Kaur G, Tee G, Ariaratnam S, Krishnapillai A, China K. Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross-sectional study in an urban primary care setting. (2013). BMC Fam Pract. 14:69.

Lee J-I, Lee M-B, Liao S-C, et al. Prevalence of suicidal ideation and associated risk factors in the general population. (2010). J Formosan Med Assoc. 109(2):138–147. doi:10.1016/S0929-6646(10)60034-4.

Muhammad Arshad Khan. 2007."Foreign Direct Investment and Economic Growth: The Role of Domestic Financial Sector," Finance Working Papers 22205, East Asian Bureau of Economic Research.

Martin N Marshall, Sampling for qualitative research, (1996). Family Practice, Volume 13, Issue 6, Pages 522–526, https://doi.org/10.1093/fampra/13.6.522.

Merriam, S.B. Qualitative Research and Case Study Applications in Education. (1998). Jossey Bass Publishers, San Francisco.

Mekonnen D, Kebede Y. The prevalence of suicidal ideation and attempts among individuals attending an adult psychiatry out-patient clinic in Gondar, Ethiopia. (2011). Afr Health Sci.11(1):103–107.

Mirza I, Jenkins R. Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: (2004). a systematic review. BMJ, 328:794.

Naeem F, Ayub M, Javed Z, Irfan M, Haral F, Kingdon D: Stigma and psychiatric illness: a survey of attitude of medical students and doctors in Lahore, Pakistan. (2006). J Ayub Med Coll Abbottabad. 18:46–49.

Niaz U. Human rights abuse in family. (1994). Journal of Pakistan Association of Women's Studies. 3:33–41.

Puyat, J. H., Kazanjian, A., Goldner, E. M., & Wong, H. How often do individuals with major depression receive minimally adequate treatment? A population-based, data linkage study. (2016). The Canadian Journal of Psychiatry, 61(7), 394-404.

Paykel, E. S. Depression in women. (1991). The British Journal of Psychiatry, 158(Suppl 10), 22–29.

Pakistan Death rate. Depression in Women. (2019). The British Journal of Psychiatry, 158(S10), 22–29. https://doi.org/10.1192/S0007125000291952- data, chart". TheGlobalEconomy.com. Retrieved -01-04.

Patton MQ. (2002). Two Decades of Developments in Qualitative Inquiry: A Personal, Experiential Perspective. Qualitative Social Work. 1(3):261-283. doi:10.1177/1473325002001003636.

Qamar, T. and Majeed. S. Parenting Styles, Self-Efficacy, Emotional Intelligence and Academic Achievement in Medical Students. (2020). Pakistan Journal of Physiology. 16(2):59−61.

Rehman, S., Majeed, S. and Qamar, T. Intolerance Uncertainty, Religiosity and Psychological Wellbeing among Adults during COVID-19 Pandemic. GESJ: Education Sciences and Psychology. 2021 | No.1(69), pp. 82-86.

Sokero P. Suicidal ideation and attempt among psychiatric patients with major depressive disorder. (2006).

Safdar, M., Afzal, K., Smith, Z., Ali, F., Zarif, P., & Baig, Z. Suicide by poisoning in Pakistan: Review of regional trends, toxicity and management of commonly used agents in the past three decades. (2021). BJPsych Open, 7(4), E114. doi:10.1192/bjo.2021.923.

Smith, Jonathan and Flowers, Paul & Larkin, Michael. Interpretative Phenomenological Analysis: (2009). Theory, Method and Research.

Shekhani, S.S., Perveen, S., Hashmi, DeS. et al. (2018). Suicide and deliberate self-harm in Pakistan: a scoping review. BMC Psychiatry 18, 44. https://doi.org/10.1186/s12888- 017-1586-6.

Thornicroft, G., Chatterji, S., Evans-Lacko, S., Gruber, M., Sampson, N., Aguilar-Gaxiola, S., & Kessler, R. C. Undertreatment of people with major depressive disorder in 21 countries. (2017). The British Journal of Psychiatry, 210(2), 119-124.

Trivedi MH, Morris DW, Wisniewski SR, et al. Clinical and sociodemographic characteristics associated with suicidal ideation in depressed outpatients. (2013). Canadian J Psychiatry. 58(2):113–122. doi:10.1177/070674371305800209.

Vuorilehto M, Valtonen H, Melartin T, Sokero P, Suominen K, Isometsä E. (2014). Method of assessment determines prevalence of suicidal ideation among patients with depression. European Psychiatry. 29(6):338–344. doi: 10.1016/j.eurpsy.2013.08.005.

World Health Organization (WHO) Depression and other common mental disorders: global health estimates (No. WHO/MSD/MER/2017.2). (2017). World Health Organization

World Health Organization (WHO). (2017). Depression and other common mental disorders: global health estimates (No. WHO/MSD/MER/2017.2). World Health Organization.

World Health Organization. Depression. (2010). Media Centre factsheet.

Zainab, Saima & Fatmi, Zafar & Kazi, Ambreen. Risk factors for depression among married women belonging to higher and lower socioeconomic status in Karachi, Pakistan. JPMA. (2012). The Journal of the Pakistan Medical Association. 62. 249-53.

Downloads

Published

2021-12-04