Quality of life of depressed and suicidal patients seeking services from traditional and faith healers in rural Kenya

Musyimi, Christine; Mutiso, Victoria; Nayak, Sameera S.; Ndetei, David M.; Henderson, David C.; Bunders, Joske

doi:10.1186/s12955-017-0657-1

Cited by 24 publications

(17 citation statements)

References 65 publications

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“…The average BSSI score (4.72 vs. 13.1) also decreased between pre-protocol and post-protocol evaluation. The BSSI scores were high (reference scores [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] before the intervention and dropped to average after treatment (reference scores of [4][5][6][7][8][9][10]. No safety issues were observed with the BCC treatment.…”

Section: Resultsmentioning

confidence: 99%

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Amadéo

Nguyễn²,

Teai³

et al. 2020

J Int Med Res

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Objectives To assess understudied, alternative suicide prevention modalities in a mental health care setting. Methods This was a prospective study of patients (n = 140, 68 cases and 72 controls) who were admitted to hospital or who contacted an SOS suicide crisis line for suicidal ideation or attempts. Psychiatric diagnoses (Mini-International Neuropsychiatric Interview) and intensity of anxiety/depression/suicidality (Hamilton Anxiety Rating Scale, Montgomery–Åsberg Depression Rating Scale, and Beck Scale for Suicidal Ideation) were assessed. All intervention group subjects received a crisis card with a crisis line number, interviews with psychologists or volunteers and a telephone call on days 10 to 21, then 6 months later. These subjects also had a choice between two further 4-month interventions: body contact care or mobile intervention team visits. Results The interventions significantly reduced the number of suicide attempts and suicide (3%) at 6 months compared with the control condition (12%). There were fewer losses to follow-up in the intervention group (7.35%) than in the control group (9.72%). Conclusions The results favour the implementation of integrated care and maintaining contact in suicide prevention.

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Section: Resultsmentioning

confidence: 99%

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Amadéo

Nguyễn²,

Teai³

et al. 2020

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…A psychological autopsy study found that low QoL within the month before death was a significant predictor of completed suicide ( 17 ). Musyimi et al ( 18 ) reported that based on their cross-sectional epidemiological survey conducted over a period of 3 months among adult patients seeking care from traditional and faith healers in rural Kenya, regression analysis indicated that depression, suicidal ideation, and being married predicted lower overall QoL controlling for other variables.…”

Section: Introductionmentioning

confidence: 99%

Suicidal Risk, Psychopathology, and Quality of Life in a Clinical Population of Adolescents

et al. 2018

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BackgroundAccording to literature data, psychopathology is associated with both quality of life (QoL) and suicidal risk in adolescents, but the literature does not fully support a direct association between psychopathology and suicidal thoughts and behaviors. The aim of this study was to investigate the possible mediational role of QoL in the relationship between psychopathology and level of suicidal risk in a clinical sample of adolescents.MethodThe authors examined a clinical population of 134 adolescents, aged 13–18 years. Suicidal risk—having any current suicidal ideations and/or previous suicide attempt—was assessed by the Mini International Neuropsychiatric Interview. QoL was evaluated by the adolescent self-rated versions of “Das Intervertar zur Erfassung der Lebensqualität Kindern und Jugendlichen” (ILK: Measure of Quality of Life for Children and Adolescents) and psychopathology was measured by adolescent self-rated versions of the Strengths and Difficulties Questionnaire (SDQ). A mediational model, in which QoL mediated the relationship between psychopathology and suicidal risk controlling for gender and age, was tested by means of regression analyses.ResultsGender and age were both associated with suicidal risk. Self-reported QoL significantly mediated the relationships between emotional problems (=1.846; 95% BCa CI: 0.731–2.577), as well as peer problems (=0.883; 95% BCa CI: 0.055–1.561) and suicidal risk: more emotional and peer problems were associated with lower QoL, which in turn was related to higher level of suicidal risk.ConclusionBased on this study, which aims to make further steps in suicidal prevention, our findings suggest that clinicians should routinely screen the QoL of their patients, especially in adolescents with emotional and peer problems. Furthermore, it is important to focus intervention and treatment efforts on improving the QoL of adolescents with emotional and peer problems.

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“…One study in Nigeria showed that providing traditional healers with basic training led to traditional healers recognising more symptoms of major mental illnesses, better understanding the aetiological concepts of mental illness, reducing the habit of beating their patients as a form of treatment, and increasing their collaborative outlook. 22 More recent collaborative work with traditional healers in Kenya for patients with depression, [23][24][25] and mental health-related task expansion with traditional birth attendants, 26 have shown very positive and inspiring results, and have highlighted this important topic. 27,28 The current study reports on a now well-established collaboration in Addis Ababa, Ethiopia, and focuses on the process for initiating a successful collaboration.…”

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confidence: 99%

Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia

2021

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Background Religious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare. Aims To report the process and feasibility of establishing a collaboration between religious healers and psychiatrists in Addis Ababa, Ethiopia. To gain insight into the collaboration through studies of patient demographics, help-seeking patterns, nature of illness and receptivity of the project. Method This case study describes the process and challenges in establishing a collaborative psychiatric clinic for patients who are simultaneously receiving treatment with holy water, including an examination of basic clinical records of 1888 patients over a 7-year period. Results The collaboration is feasible and has been successfully implemented for 8 years. A majority (54%) of the clinic's patients were seeing biomedical services for the first time. Patients were brought in largely by families (54%); 26% were referred directly by priest healers. Most patients had severe mental illness, including schizophrenia (40%), substance misuse (24%) and mood disorders (30%). A vast majority (92.2%) of patients reported comfort in receiving treatment with holy water and prayers simultaneously with medication, and 73.6% believed their illness was caused by evil spirit possession. Conclusions A cross-system collaborative model is a feasible and potentially valuable model to address biomedical resource limitations. Provider collaboration and mutual learning are ultimately beneficial to patients with severe mental illness. Open-minded acceptance of cultural benefits and strengths of traditional healing is a prerequisite. Further study on outcomes and implementation are warranted.

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Quality of life of depressed and suicidal patients seeking services from traditional and faith healers in rural Kenya

Cited by 24 publications

References 65 publications

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Suicidal Risk, Psychopathology, and Quality of Life in a Clinical Population of Adolescents

Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia

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