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Research Interests:
Research Interests:
Research Interests: Primary Care, Mental Health, Primary Health Care, Health Care, Chronic illness, and 15 moreCultural Anthropology, Humans, Diabetes mellitus, Health Services, Qualitative Study, Mental Disorders, Help Seeking, Clinical Sciences, Great Britain, Positive Affect, Health Problems, Coronary heart disease, Public health systems and services research, Typification, and Health Services Accessibility
Background Suicide is a major public health problem worldwide. In the UK suicide is the second most common cause of death in people aged 15-24 years. Self harm is one of the commonest reasons for medical admission in the UK. In the year... more
Background Suicide is a major public health problem worldwide. In the UK suicide is the second most common cause of death in people aged 15-24 years. Self harm is one of the commonest reasons for medical admission in the UK. In the year following a suicide attempt the risk of a repeat attempt or death by suicide may be up to 100 times greater than in people who have never attempted suicide. Research evidence shows increased risk of suicide and attempted suicide among British South Asian women. There are concerns about the current service provision and its appropriateness for this community due to the low numbers that get involved with the services. Both problem solving and interpersonal forms of psychotherapy are beneficial in the treatment of patients who self harm and could potentially be helpful in this ethnic group. The paper describes the trial protocol of adapting and evaluating a culturally appropriate psychological treatment for the adult British South Asian women who self harm. Methods We plan to test a culturally adapted Problem Solving Therapy (C- MAP) in British South Asian women who self harm. Eight sessions of problem solving each lasting approximately 50 minutes will be delivered over 3 months. The intervention will be assessed using a prospective rater blind randomized controlled design comparing with treatment as usual (TAU). Outcome assessments will be carried out at 3 and 6 months. A sub group of the participants will be invited for qualitative interviews. Discussion This study will test the feasibility and acceptability of the C- MAP in British South Asian women. We will be informed on whether a culturally adapted brief psychological intervention compared with treatment as usual for self-harm results in decreased hopelessness and suicidal ideation. This will also enable us to collect necessary information on recruitment, effect size, the optimal delivery method and acceptability of the intervention in preparation for a definitive RCT using repetition of self harm and cost effectiveness as primary outcome measures. Trial Registration Current Controlled Trials 08/H1013/6
Research Interests: Research Design, Self Harm, Suicide, Treatment Outcome, Public Health, and 31 moreController Design, Adolescent, Ethnicity, England, Problem Solving, Prospective studies, Humans, Effect size, Female, Feasibility Studies, Psychological Intervention, Young Adult, Cost effectiveness, Interpersonal Relations, Randomised Controlled Trial, Clinical Sciences, Service provision, Aged, Middle Aged, Suicidal Ideation, Adult, Ethnic Group, Time Factors, Trials, Asian Continental Ancestry Group, Pilot Projects, Suicide Attempt, Outcome Assessment, Treatment as Usual, Psychiatric Status Rating Scales, and cultural characteristics
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... Dr Mohammed Ishrat Husain Academic Foundation year 2 doctor, Royal Survey County Hospital, UK ... studies from the United Kingdom have also suggested that rates of self-harm in young Asian women are higher than in the white population... more
... Dr Mohammed Ishrat Husain Academic Foundation year 2 doctor, Royal Survey County Hospital, UK ... studies from the United Kingdom have also suggested that rates of self-harm in young Asian women are higher than in the white population (Burke, 1976; Merrill & Owens, 1986 ...
Research Interests:
Research Interests:
This study examined trends and influences of variables in the 100 most recent applications of Section 5(2) of the Mental Health Act 1983 in a major teaching hospital in England. Case notes, section-forms, log-books and computerised... more
This study examined trends and influences of variables in the 100 most recent applications of Section 5(2) of the Mental Health Act 1983 in a major teaching hospital in England. Case notes, section-forms, log-books and computerised records were scrutinised. Sixty-four per cent of the cases were converted to Section 2(28%) or Section 3(36%), the remainder we rescinded or lapsed. No demographic, illness characteristic or grade of doctor significantly effected conversion or lapse rate of Section 5(2). The clinical implications of a high rate of non-conversion of Section (2) is clear. Non-psychotic patients may be less likely to be regarded for further Sections when detained under Section 5(4) before detention under Section 5(2), yet no ingle factor determines the outcome of emergency.