Participatory Research for Preventing Pesticide-Related DSH and Suicide in Sundarban, India: A Brief Report

ObjectiveThe aim of this research was to involve migrants and other key stakeholders in a participatory dialogue to develop a guideline for enhancing communication in cross-cultural general practice consultations. In this paper, we focus on findings about the use of formal versus informal interpreters because dialogues about these issues emerged as central to the identification of recommendations for best practice.DesignThis qualitative case study involved a Participatory Learning and Action (PLA) research methodology.ParticipantsThe sample comprised 80 stakeholders: 51 from migrant communities; 15 general practitioners (GPs) and general practice staff; 7 established migrants as peer researchers; 5 formal, trained interpreters; and 2 service planners from the national health authority.SettingGalway, Ireland.ResultsThere was 100% consensus across stakeholder groups that while informal interpreters have uses for migrants and general practice staff, they are not considered acceptable as best practice. There was also 100% consensus that formal interpreters who are trained and working as per a professional code of practice are acceptable as best practice.ConclusionsPolicymakers and service planners need to work in partnership with service providers and migrants to progress the implementation of professional, trained interpreters as a routine way of working in general practice.

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“…Guidelines arrived at in this participatory way are rare and increase the implementability of guidelines into practice. 23 24 …”

Section: Discussionmentioning

confidence: 99%

Involving migrants in the development of guidelines for communication in cross-cultural general practice consultations: a participatory learning and action research project

et al. 2015

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“…Similarly, pesticide ingestion is a suicide method that occurs, globally, at a higher rate in rural than urban areas, because of its similar characteristics of familiarity and accessibility. Countries reporting this pattern include China, Greece, India, South Korea, and Vietnam (Cha, Khang, & Lee, 2014; Kastanaki et al, 2010; Nguyen et al, 2010; Patel et al, 2012; Zhang & Li, 2011), among many others, and efforts to restrict pesticide access have been successful in reducing suicidal use of such chemicals (Chowdhury, Banerjee, Brahma, & Biswas, 2013). In addition to safe storage practices, it has been recommended that physicians in rural areas be trained more extensively in the treatment of poisoning (Mishara, 2007).…”

Section: Rural-based Characteristics and Suicidementioning

confidence: 99%

Suicide in rural areas: An updated review of the literature.

Hirsch

Cukrowicz

2014

Journal of Rural Mental Health

174

157

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Suicide is a significant public health concern at a global level and occurs at a greater rate in rural compared with urban areas. A review of the literature on rural suicide indicates that a growing body of empirical, theoretical, and prevention work has been conducted on the topic, with an increasing number of countries represented and articles written. From an ecological perspective, current data and models suggest that our approach to understanding and preventing rural suicide must be multifaceted, addressing the individual level (e.g., traditional risk factors such as psychiatric illness), as well as the microsystem (e.g., family and peer relations), mesosystem (e.g., the interconnectedness between microsystems), exosystem (e.g., the rural community), and macrosystem (e.g., social norms) levels. Geographic and interpersonal isolation, agricultural or otherwise hazardous vocational demands, environmental and governmental policies, availability of means, lack of access to care and rural ideologies appear to contribute to suicide risk. Interventions must be community-driven, culturally acceptable and feasible within the context of available resources to be effective. Prospective research on risk and protective factors for rural suicide is required, as is development, implementation and assessment of interventions that are originated by, implemented in, and sensitive to the needs of rural communities.

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“…Of the final 16 papers included in the systematic review, there were seven qualitative [ 35 – 41 ], seven mixed-methods [ 42 – 48 ] and two quantitative studies [ 49 , 50 ]. The majority of the studies were conducted in HICs, including the United States [ 38 – 40 , 48 – 50 ] and Australia [ 36 , 41 , 44 – 46 ], with two papers originating from LMICs [ 37 , 47 ]. Most studies took place in communities [ 36 – 42 , 44 – 46 , 48 – 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Examination of factors associated with mental health in young people (higher reported depression, anxiety, and self-harm and suicidal behaviours). Prefer to seek help from friends when experiencing emotional problems ( Intermediate social outcome ) 60 Chaniang, 2019 (Thailand) [ 47 ] Journal article Develop, implement and evaluate a suicide prevention programme Community Action research Mixed methods Significant enhancements in the post-test mean scores of suicide knowledge and attitude among adolescent peer leaders, parents and schoolteachers ( Intermediate social outcome ) 40 Chowdhury, 2013 (India) [ 37 ] Journal article Develop a deliberate self-harm suicide prevention programme Community CBPR Qualitative Based on admission data, the project led to a reduction in deliberate self-harm ( Health outcome) 100 Ford-Paz, 2015 (United States) [ 38 ] Journal article Understand limitations of existing targeted suicide prevention programmes; identify sociocultural factors leading to the development of depression in Latino adolescents; generate ideas for culturally tailored depression/suicide prevention interventions Community CBPR Qualitative Culturally tailored suicide prevention interventions may be more effective in reducing depression and suicide in Latino adolescents and utilizing non-mental health professionals and strengths-based strategies may help to decrease depression in at-risk Hispanic young people ( Service outcome ) 100 Gryglewicz, 2014 (United States) [ 39 ] Journal article Provide an example of how to partner with community participants when producing a community-based suicide prevention resource Community CBPR Qualitative Partnership between community participants and researchers promoted a co-learning and empowering environment ( intermediate Social outcome) 100 Holliday, 2018 (United States) [ 40 ] Journal article …”

Section: Resultsmentioning

confidence: 99%

A mixed-methods systematic review of suicide prevention interventions involving multisectoral collaborations

Pearce

Maple

Wayland

et al. 2022

Health Res Policy Sys

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Background Governments and third-sector organizations (TSOs) require support to reduce suicide mortality through funding of suicide prevention services and innovative research. One way is for researchers to engage individuals and services in multisectoral collaborations, to collaboratively design, develop and test suicide prevention services and programmes. However, despite widespread support, to date, it remains unclear as to the extent to which stakeholders are being included in the research process, or if they are, how these partnerships occur in practice. To address this gap, the authors conducted a systematic review with the aim of identifying evidence of multisectoral collaborations within the field of suicide prevention, the types of stakeholders involved and their level of involvement. Methods The authors conducted a strategic PRISMA-compliant search of five electronic databases to retrieve literature published between January 2008 and July 2021. Hand-searching of reference lists of key systematic reviews was also completed. Of the 7937 papers retrieved, 16 papers finally met the inclusion criteria. Because of data heterogeneity, no meta-analysis was performed; however, the methodological quality of the included studies was assessed. Results Only one paper included engagement of stakeholders across the research cycle (co-ideation, co-design, co-implementation and co-evaluation). Most stakeholders were represented by citizens or communities, with only a small number of TSOs involved in multisectoral collaborations. Stakeholder level of involvement focused on the co-design or co-evaluation stage. Conclusion This review revealed a lack of evidence of multisectoral collaborations being established between researchers and stakeholders in the field of suicide prevention research, even while such practice is being espoused in government policies and funding guidelines. Of the evidence that is available, there is a lack of quality studies documenting the collaborative research process. Also, results showed that the inclusion of co-researchers from communities or organizations is defined as co-creation, but further analysis revealed that collaboration was not consistent across the duration of projects. Researchers and practitioners should consider issues of power and equity in multisectoral collaborations and encourage increased engagement with TSOs, to rigorously research and evaluate suicide prevention services.

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Participatory Research for Preventing Pesticide-Related DSH and Suicide in Sundarban, India: A Brief Report

Cited by 11 publications

References 12 publications

Involving migrants in the development of guidelines for communication in cross-cultural general practice consultations: a participatory learning and action research project

Involving migrants in the development of guidelines for communication in cross-cultural general practice consultations: a participatory learning and action research project

Suicide in rural areas: An updated review of the literature.

A mixed-methods systematic review of suicide prevention interventions involving multisectoral collaborations

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