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Clinicians' Perspectives on Self-Harm in Pakistan: A Qualitative Study
Tayyeba Kiran1, Nasim Chaudhry1, Penny Bee2
1Pakistan Institute of Living and Learning, Karachi, Pakistan.
This study surveyed Pakistani clinicians on managing self-harm, revealing a critical need for enhanced training in identifying and treating individuals with self-harm behaviors. Improved clinical education is essential for better mental health care.
Area of Science:
- Public Health
- Mental Health Research
- Clinical Psychology
Background:
- Suicide is a global public health crisis with limited data in Pakistan due to legal and social stigma.
- Self-harm and suicide are illegal and socially condemned in Pakistan, creating barriers to care.
- Understanding clinician perspectives is vital for developing effective self-harm management strategies in Pakistan.
Purpose of the Study:
- To explore general practitioners' and hospital physicians' views on managing self-harm in Pakistan.
- To identify challenges, barriers, and appropriate interventions for self-harm care from a clinician's standpoint.
- To inform the development of targeted training programs for healthcare professionals in Pakistan.
Main Methods:
- Qualitative study employing semi-structured interviews with 18 clinicians experienced in treating self-harm.
- Interviews conducted in Urdu, transcribed, translated, and thematically analyzed.
- Study nested within a Randomized Controlled Trial (RCT) of a psychosocial intervention for self-harm.
Main Results:
- Clinicians reported a lack of specific training and expertise in managing self-harm.
- Key themes included challenges in encountering self-harm behaviors and barriers to accessing care.
- Participants offered insights into what constitutes ideal care for individuals who self-harm.
Conclusions:
- This is the first study to investigate clinicians' perspectives on self-harm in Pakistan.
- Highlights a significant need for enhanced medical training in identifying and managing mental health issues, particularly self-harm.
- Emphasizes the importance of addressing clinician knowledge gaps to improve patient outcomes.
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