Background: According to World Health Organization, proportion of women experiencing either physical or sexual violence ranges between 15% and 17%. In India, one-third of women population in 15 to 49 age group experiences sexual assault at least once in their life, predisposing them to develop psychiatric disorders. Aims and Objectives: To assess prevalence of psychiatry disorders among victims of assault attending tertiary care center. Methodology: It is a retrospective, record-based study which was conducted among 216 victims of assault attending one-stop center. Study was started after obtaining Institutional Ethical Committee clearance and permissions from concerned authorities and confidentiality was maintained throughout the study. Data was analyzed by frequency, proportion, and chi-square tests using SPSS version 16. Results: Out of 216 victims, 50% were physically assaulted and 50% were sexually assaulted. Among 108 sexual assault cases, 81.5% victims were raped, 2.7% were sexually harassed, 1.9% was sexually abused, and 13.9% children were sexually abused. A total of 30.1% had adjustment disorder, 11.6% had dysthymia, 8.3% had mild depression, 5.6% had moderate depression, 0.5% had obsessive-compulsive disorder, 0.5% had psychosis, and 43.5% did not have any psychiatry disorder. Conclusion: Majority of the sexually assaulted victims belonged to age group 16 to 20 years and had adjustment disorder, whereas physically assaulted victims belonged to age group above 36 years and had dysthymia and depression. Special services like medical care, counseling, legal aid, and so on should be provided to victims free of charge. Awareness and sensitization programs should be done through active community participation for the welfare of children and women.

Background: Thyroid dysfunctions, hypothyroidism and hyperthyroidism, can lead to mood disorders like depression and mania. Conversely, depressive disorders are associated with subtle variations in thyroid hormone levels. Objectives: The objective of the study was to examine the prevalence and characteristics of thyroid dysfunction in patients with Depressive disorders. Methodology: A cross-sectional study was conducted on patients diagnosed with depressive disorders who presented to outpatient and inpatient setting in the psychiatry department. Consecutive sampling method was used till the calculated sample size of 82 patients was reached. Diagnosis of depressive disorder was done as per the International Classification of Diseases, 10 th revision (ICD-10). Hamilton depression rating scale (HAM-D) was administered to assess the severity of depressive symptoms. Thyroid Dysfunction was diagnosed based on the morning (8 AM) serum levels of T3, T4 and TSH levels. Data analysis was done using statistical package for the social sciences (version 24), and results were presented as mean and percentages. Results: Among 82 patients with depression, the prevalence of thyroid dysfunction was 15% (12), and subclinical hypothyroidism was the most common type with prevalence of 11% (9), followed by hypothyroidism. There was no significant association between the severity of depressive episode and the type of thyroid dysfunction (x 2 -14.208, df-9, p-.115). Conclusion: Prevalence of thyroid dysfunction is higher in depressive disorders. Regular monitoring of Thyroid functions tests should be considered during follow up to prevent relapse of symptoms.

Background: COVID19 pandemic has deleterious effect on mental health of people around world. Like medical professionals, students of tertiary care center are also at higher risk of developing anxiety related to COVID19. Objectives: To assess severity of COVID19 related anxiety and identify underlying risk factors among students of different courses of tertiary care center. Materials and Methods: A cross-sectional online survey was conducted including 704 students aged above 18 years from different courses of tertiary care center. Study was conducted after obtaining clearance from Institutional Ethical Committee and informed consent was obtained online. Anxiety related to COVID19 was assessed using COVI19 Anxiety Syndrome Scale (COVID19ASS). Statistical analysis for descriptive data was done by using mean and percentage. Results: Study comprised of 50.4% female and 49.6% male students with mean age of 20+4 and 21+3 years respectively. Mean COVID19ASS scores of male and female students was found to be 18.6 (SD=4.3) and 19.7 (SD=3.8) with no statistically significant difference (p value=0.41, x2= 2.87, df- 3). In factor analysis, age group 18- 20 years, students in first year MBBS, first and second year of paramedical/nursing course, postgraduates, history of COVID19 infection in the past, history of either infection or death due to COVID19 in family or friend were significant risk factors for perseveration and avoidance behavior. Conclusion: Students who report of pandemic associated anxiety should be thoroughly interviewed for severity of symptoms. This may help in early identification of mal-adaptive behavior, so that early intervention either pharmacological or psychological therapy can be initiated.

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Abstract:- Background: Deliberate Self Harm (DSH) is a complex event, associated with psychosomatic, biological, social factors and psychiatric disorders. Current literature shows that, there is rise in DSH in psychiatric disorders and it has been recognised as major public health problem in India. So, objective of this study was to assess the underlying risk factors for DSH in patients with Bipolar Affective Disorder (BPAD). Methods: This cross-sectional study was conducted on 150 patients diagnosed with BPAD as per International Classification of Diseases; tenth revision (ICD-10). Semi-structured socio-demographic proforma was used to record basic profile. Deliberate self harm inventory (DSHI) was administered to assess the type of DSH. Young Mania Rating scale and Beck Depression Inventory were used to assess severity of symptoms. Results: Prevalence of DSH in present study was 33%. In socio-demographic profile, younger age group, lower education levels and being single were significant risk factors for DSH (p- value <.001, .016 and <.001 respectively) and among clinical variables, early years of disorder, severe mania, moderate and severe depressive episode in presence of medium to high suicidal intent, family history of mood disorders and co-morbid substance use and medical disorder were significant risk factors for DSH in BPAD with statistical significance (p<.0001). Conclusion: DSH is considered to be the significant predictor of suicide. BPAD is associated with high risk of DSH, which can be present in either depressive or manic episode. Patients with BPAD in early years of illness, should be evaluated thoroughly for risk factors, so that DSH risk can be minimised