Nusrat Husain, Nasim Chaudhry, Mohammed Husain and Waquas Waheed
Background: suicide prevention is a priority for health services in England. A high rate of suicide in South Asian women and a dramatic rise in young Afro‐Caribbean's has been…
Abstract
Background: suicide prevention is a priority for health services in England. A high rate of suicide in South Asian women and a dramatic rise in young Afro‐Caribbean's has been reported in the UK.Aims: the aim of this selected review is to present the cultural context of suicidal behavior and possible preventive strategies for the South Asian and Afro‐Caribbean's living in the UK.Methods: relevant data about the cultural context of suicidal behavior in the two ethnic groups is reviewed.Findings: our findings suggest that socio‐cultural factors in women of South Asian origin and social risk factors and situational stress in Afro Caribbean's appears to be related to acts of self‐harm.Conclusions: we could not identify any published studies of effective suicide prevention strategies or on any treatment programmes for the two ethnic minority groups. Addressing the cultural, linguistic and religious need of these groups should be of paramount importance.
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Jane Briddon, Clare Baguley and Martin Webber
This paper highlights the social context of common mental disorders in primary care and the paucity of evidence relating to effective social interventions. It introduces the ABC‐E…
Abstract
This paper highlights the social context of common mental disorders in primary care and the paucity of evidence relating to effective social interventions. It introduces the ABC‐E Model of Emotion, which combines social interventions with psychological therapy, and discusses how the implementation of the new role of graduate primary care mental health worker (GPCMHW) provides an opportunity for holistic practice in helping individuals experiencing mild to moderate mental health difficulties in primary care. It provides a case example of the implementation of the ABC‐E model and makes recommendations for further research including the evaluation of the model and GPCMHW training programmes.
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Carl Bell, Johnny Williamson and Peter Chien
The authors review the call for cultural competence in psychiatric diagnosis and highlight the barrier of ‘monocultural ethnocentrism’ ‐ the tendency to presume that…
Abstract
The authors review the call for cultural competence in psychiatric diagnosis and highlight the barrier of ‘monocultural ethnocentrism’ ‐ the tendency to presume that European‐American standards fit all cultural, racial and ethnic groups. They suggest that clinicians should: familiarise themselves with the history of racism in psychiatry; avoid stereotyping; appreciate the diversity within cultural, racial and ethnic groups; understand that individuals from various cultural, racial and ethnic groups may have had more traumatic experiences; and understand that individuals from the US and UK may have experiences with racism, some of which may cause mental illness. Finally the authors suggest strategies to increase cultural competence.
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This chapter discusses the experiences of black men who encounter the phenomena of a mental health diagnosis, detention and death in a forensic setting in England. Although there…
Abstract
This chapter discusses the experiences of black men who encounter the phenomena of a mental health diagnosis, detention and death in a forensic setting in England. Although there are black women with mental health issues who have also died in forensic settings, the occurrence is significantly higher for men who become demonised as ‘Big, Black, Bad and dangerous’. The author discusses the historical over representation of mental ill health amongst black people in the general community and the plethora or reasons attributed to this. The author then discusses the various points of entry into the criminal justice system, where black men with mental health issues are over represented. The author explores some inquiries into the deaths of black men in custody and the recommendations that were subsequently made, which successive governments have failed to act upon. The author argues that the term ‘Institutional Racism’ is insufficient to explain this phenomenon; and offers her own theoretical interpretation which is a combination of systemic racism influenced by post-colonial conceptualisation
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Margaret Townsend, Jayne Henry and Rachel R. Holt
Knowledge about learning disabilities has found to be limited in both health and social care staff. To improve the treatment of individuals with learning disabilities and mental…
Abstract
Purpose
Knowledge about learning disabilities has found to be limited in both health and social care staff. To improve the treatment of individuals with learning disabilities and mental health problems within the criminal justice system (CJS), Lord Bradley recommends that professionals receive mental health and learning disability awareness training. However, little is known about the impact of training on the knowledge of professionals in the CJS. This study aims to investigate the impact of a 3-h learning disability training session on the knowledge of probation officers.
Design/methodology/approach
Using a repeated measures design, the impact of a 3-h learning disability training session on the knowledge of 12 probation officers was analysed.
Findings
In support of this study’s hypothesis, a repeated measures t-test revealed a significant difference between participants pre-training and post-training learning disability knowledge questionnaire (LDKQ) scores. Participants scored significantly higher on the LDKQ post-training compared to pre-training. A linear regression revealed that years worked in probation did not significantly predict participant’s difference scores.
Research limitations/implications
Limitations of this study and directions for future studies are discussed.
Originality/value
This paper demonstrates that learning disability training can significantly improve the knowledge of probation officers.
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Andrew Tuck, Kamaldeep Bhui, Kiran Nanchahal and Kwame McKenzie
– The purpose of this paper is to calculate the rate of suicide in different religious groups in people of South Asian origin in the UK.
Abstract
Purpose
The purpose of this paper is to calculate the rate of suicide in different religious groups in people of South Asian origin in the UK.
Design/methodology/approach
A cross-sectional, secondary analysis of a national data set. A name recognition algorithm was used to identify people of South Asian origin and their religion. Standardized mortality ratios (SMRs) were calculated using this data and data from the national census. Setting: a population study of all those who died by suicide in England and Wales in 2001. Participants: all cases of suicide and undetermined intent identified by the Office for National Statistics for England and Wales.
Findings
There were 4,848 suicides in the UK in 2001 of which 125 (2.6 percent) were identified as people of South Asian origin by the algorithm. The suicide rate for all people of South Asian origin was 5.50/100,000 compared to 9.31/100,000 for the population of England and Wales. The age SMR for those whose names were of Hindu, Muslim or Sikh origin were 0.88, 0.47 and 0.85, respectively. Female South Asians have lower rates of suicide, than their South Asian male counterparts.
Research limitations/implications
Religious classification by the computerized program does not guarantee religious affiliation. The data set were confined to one year because religion was not collected prior to the 2001 census.
Originality/value
The rates of suicide for South Asian sub-populations in the UK differ by gender and religion.
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This paper provides a critical review of prevention methods in mental health. Information from existing literature, ideologies, theories and clinical practice will be utilised to…
Abstract
This paper provides a critical review of prevention methods in mental health. Information from existing literature, ideologies, theories and clinical practice will be utilised to gain further insight into the kind of prevention strategies that aid and assist black and ethnic minority communities (BME) in understanding the effects of mental illness in their communities. It is hoped that a real world analysis approach can collectively demystify and change the communities' perception of mental illness. For the purpose of this article, the term black and ethnic minority communities (BME) refers to all classification of people as described in the national census categorisation; expect white (Anglo‐Saxon) ‐ British.This classification of BME refers to a tangible quality, or a sense of being, derived from a position of a shared racial or cultural affiliation. The term, service user, refers to those who have had assessment and treatment by mental health services.