Background: Suicidal behaviour is frequently seen in context of depression. Few studies have demonstrated sociodemographic distinction between depression with and without suicidal behaviour. This study compares various psycho-socio-demographic factors associated with depression in context of suicidal behaviour. Materials And Methods: 60 depression patients with suicidal behaviour and 60 depression patients without suicidal behaviour were compared using a specially designed intake proforma, ICD-10 diagnostic criteria for research,Hamilton Rating Scale for Depression-17 (HAMD-17). Results: Depression with suicidal behaviour had more females, married, Hindu, literate, low socioeconomic status, urban locality, nuclear family samples, with earlier age of onset of illness. The total HAM-D scores were signicantly higher in the depression with suicidal behaviour group. Conclusions: Sociodemographic parameters are intricated crucially with suicidality.The present study identies female gender, nuclear family, urban background, unemployment and literacy to be an independent risk factor for suicidality. Suicidal behaviour increases with amount of time spent in depressive illness. Hence socio-demographic factors can be helpful as indicators of suicidal behaviour with depression.
BACKGROUND Non-compliance of psychotropic drugs is among the most common causes of psychotic relapse and the need for rehospitalisation. This study was conducted to get an idea of the factors affecting attitude towards medication compliance, psychotic illness and its relationship with severity of illness and side effects of medication.The objective of this study is to study factors related to non-compliance of psychotropic drugs among the patients with psychotic disorder. MATERIALS AND METHODS200 consecutive non-compliant patients were selected for the study after applying strict inclusion and exclusion criteria. Basic socio-demographic information along with psychiatric diagnosis were recorded in a semi-structured proforma. The different reasons for non-compliance were assessed. RESULTSMost of the subjects were between the age range of 18 -29 years, male, married, having low education up to primary class, of Hindu religion, belonged to nuclear family, did not have family history of mental illness, having duration of illness between 1 -2 years. The commonest psychiatric illnesses leading to non-compliance were BPAD followed by schizophrenia, psychosis NOS and schizoaffective disorder. CONCLUSIONThe most important conclusion drawn from the study is poor drug affordability and lack of awareness about available treatment options of psychiatric illness. Many of the times, patients of remote areas of Madhya Pradesh region with poor infrastructure and local inconvenience found it difficult to continue advised treatment.
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