Work Package 5 – Evidence Synthesis

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The primary focus of work package 5 is on Evidence Synthesis. Its aim is to provide the best available evidence on self-harm and suicide in Pakistan, and if the evidence is unavailable, then it is mandatory to highlight the areas where further original research is required. Our team is working on a wide range of systematic reviews listed below:

 

Globally, self-harm and suicide is a serious public health problem with long-term harmful effects on individuals, families and communities. The incidences of self-harm and suicide have been increasing worldwide, however, substance use disorder carries a comparatively increased risk for self-harm and suicide as compared to the general population. This review aims to better understand the prevalence and risk factors of self-harm in people with substance misuse to address this global public health problem. The review will include qualitative study designs with participants aged 16-and above, having a problem with substance misuse and self-harm.

In this review, researchers will establish the prevalence of COVID-19 pandemic related distress in association with self-harm. Meta-analysis will be performed for the studies, which will be deemed homogenous by the research to identify their combined effect.

This review aims to determine the prevalence and risk factors of self-harm, suicidal ideation & suicide among prisoners in Low-and-Lower middle-income countries

In family dynamic review, we aim to synthesize the research exploring the impact of family dynamics such as family conflict or tension (between parents, between parents and children, between siblings); family cohesion; family supportiveness; parenting style or behaviour (e.g. authoritarian, authoritative, permissive, neglectful) on self-harm in adolescents aged 10-19 years.

The Asian region is at peak of suicide all over the world, the literature reported the 68 to 97% of suicide are due to psychiatric illness but only 35 to 40% received the diagnosis. This systematic review will explore the prevalence of self-harm and suicide among people with severe mental illnesses in South Asia.

This review aims to understand the relationship between internet use, self-harm and suicidal behaviours in youth in South Asia. To identify any relevant information on the association between internet use and any type of self-harm, suicidal ideation and suicide.

There is a great need to understand the experience and research evidence from other low and lower-middle-income countries to help inform future mental health policies and initiatives in Pakistan where patients with more severe mental and neurological disorders are treated. To achieve this, we plan to examine national mental health policies, and all articles that study or review those policies in significant depth.

This review aims to identify the risk of depressive symptoms and suicidal ideation in immediate family members bereaved by suicide as compared to bereavement by other cause of death and to assess the association between bereavement by suicide and depressive symptoms/suicidal ideation vary between LMIC and High-Income Countries.

This review aims to identify the risk factors for suicidal behaviour and suicidal ideation among women during the perinatal period in LIMIC and to assess the prevalence of suicidal behaviour and suicidal ideation among women during the perinatal period in LIMIC.

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