Browsing by Author "Kar, S.K."
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Item Asian Journal of Psychiatry and Psychiatry in Asia: Time to reconsider human resources to represent cultural diversity in Asia(Elsevier, 2021) Shoib, S.; Gupta, A.K.; Kar, S.K.; Chandradasa, M.; Menon, V.; Ullah, I.; Thuzar, M.; Arafat, S.M.Y.No abstract availableItem Depression and suicidal behavior in South Asia: a systematic review and meta-analysis(Cambridge University Press, 2022) Arafat, S.M.Y.; Saleem, T.; Menon, V.; Ali, S.A.Z.; Baminiwatta, A.; Kar, S.K.; Akter, H.; Singh, R.Background. Estimates of depression in suicidal behavior in South Asia would help to formulate suicide prevention strategies in the region that hasn’t been assessed yet. Objectives. We aimed to systematically assess the prevalence of depression in fatal and nonfatal attempts of suicide in eight South Asian countries. Methods. We searched Medline, Embase, and PsychINFO by specific search terms to identify articles assessing depression in fatal and non-fatal attempts of suicide in South Asian countries published between 2001 and 2020. Two separate meta-analyses were conducted for fatal and non-fatal attempts. Due to the high heterogeneity of studies (96–98%), randomeffects models were used to calculate pooled prevalence rates. Results. A total of 38 studies was identified from five south Asian countries (India [27], Pakistan [6], Sri Lanka [3], Nepal [1], and Bangladesh [1]). The majority of studies (n = 27) were published after 2010. Twenty-two studies reported non-fatal attempts, and sixteen reported suicide. The prevalence of depression among non-fatal attempts ranged from 14% to 78% where the pooled prevalence rate was 32.7% [95% CI 26–39.3%]. The prevalence of depression among suicides ranged from 8% to 79% where the pooled prevalence estimate was 37.3% [95% CI 26.9–47.6%]. Conclusions. This review revealed the pooled prevalence of depression among fatal and nonfatal suicidal attempts in South Asian countries, which seems to be lower when compared to the Western countries. However, a cautious interpretation is warranted due to the heterogeneity of study methods, sample size, and measurement of depression.Item Electroconvulsive therapy in South Asia: Past, present, and future(Elsevier, 2024) Menon, V.; Kar, S.K.; Gupta, S.; Baminiwatta, A.; Mustafa, A.B.; Sharma, P.; Abhijita, B.; Arafat, S.M.Y.The practice of electroconvulsive therapy (ECT) varies both between and within countries. We aimed to review historical and current trends in ECT practices, perceptions, and legislations in South Asia, a region with a high burden of mental illness and suicide. We searched MEDLINE (PubMed) and Google Scholar databases for relevant literature on ECT from each country. Additionally, a team of country-specific investigators performed supplemental searches and contacted key country contacts for relevant information. Relevant data were abstracted under the following headings: ECT practices, perceptions, and legislations. Knowledge gaps and research priorities were synthesized. Modified bitemporal ECT, delivered using brief pulse devices, was most commonly offered across institutions. Schizophrenia, not affective illness, was the most common indication. Electroencephalographic monitoring of seizures was rarely practiced. Thiopentone or propofol was preferred for anesthetic induction, while the favored muscle relaxant was succinylcholine. In India and Sri Lanka, perceptions about ECT were largely favorable; not so in Pakistan and Nepal. Only India and Pakistan had laws that governed any aspect of ECT practice; ECT practice guidelines were available only in India. There is a lack of research on efficacy, ECT in special populations, continuation ECT practices, and interventions to improve ECT-related perceptions. Most regional institutions offered modified brief-pulse ECT, and schizophrenia was the most common indication. Knowledge of and attitude towards ECT varied between countries. There is a need to develop a regional ECT consortium to facilitate uniform training, advocacy efforts, and the development of regional practice guidelines.Item Gender distribution of editors in psychiatry journals of South Asia(lsevier/North-Holland Biomedical Press, 2022) Arafat, S.M.Y.; Amin, R.; Baminiwatta, A.; Hussain, F.; Singh, R.; Kar, S.K.; Mubashir, A.S.No abstract availableItem Prescribing Yoga for Mental Wellness: Need for a Nuanced Approach(Sage Publishing, 2024) Shoib, S.; Chandradasa, M.; Saleem, S.K.; Das, S.; Naqvi, S.A .A.; Kar, S.K.Item Religion, spirituality, and coping among the psychiatric population: a narrative review(Academy Publisher, 2024) Shoib, S.; Das, S.; Gupta, A.K.; Ullah, I.; Javed, S.; Nocera, A.; Kar, S.K.; Chandradasa, M.; de Filippis, R.BACKGROUND AND AIMS: The impact of religiosity and spirituality on mental health is still far to be adequately explored. Evidence-based data gathering papers that bring together various perspectives and facets of religion in the mentally ill population is needed. Therefore, we conducted this review to summarise evidence on the subject and raise awareness. METHODS: We searched the literature using generic terms for ‘mental health and psychiatry’, ‘beliefs’, ‘religion’, ‘religious involvement’, ‘religiosity’, ‘spiritual aspects’, and ‘spirituality’, finally summarising all appropriate references. However, for this narrative revision, we collected papers addressing various perspectives, data, and facets of religion in the mentally ill population, a subject with theoretical and practical implications in mental health. RESULTS: The initial literature search found 21,723 total results: 1,723 from PubMed/Medline and Scopus, and up to 20,000 from Google Scholar, Science Direct, and Web of Science. After removing repetitions and applying inclusion and exclusion criteria, only six studies were included in this review on religion as an adaptive resource, and nine studies on religion, spirituality, and mental health. CONCLUSIONS: Evidence-based studies on the topic are still challenging to develop while maintaining a high scientific value. Notwithstanding this, religion and spirituality can have positive/negative clinical implications depending on how they are managed. Indeed, it can reduce suicidal risk, relieve depressive and anxious symptoms, and improve patients’ and caregivers’ coping and resilience. Nevertheless, it can enhance guilt, worsen/ generate obsessions, and compulsions in the obsessive-compulsive disorder and determine or associate with mystical-religious delusions in the maniacal phase of bipolar disorder.Item Suicide methods in South Asia over two decades (2001-2020)(Avenue Publishing Co, 2021) Arafat, S.M.Y.; Ali, S.A.; Menon, V.; Hussain, F.; Ansari, D.S.; Baminiwatta, A.; Saleem, T.; Singh, R.; Varadharajan, N.; Biyyala, D.; Kar, S.K.; Khan, M.M.BACKGROUND: Suicide is a global preventable public health problem. About a quarter of all suicides in the world occur in South Asia. As means restriction is an important suicide prevention strategy, gaining knowledge of the common suicide methods and their changing trends in each country and region is crucial. AIMS: We aimed to assess the suicide methods in South Asian countries over the last two decades. METHODS: A search was performed in PubMed, PubMed Central, Scopus, and Google Scholar with the search terms. Original articles of quantitative studies, published in the English language, from 2001 to 2020, with full-accessible text, that rank different methods of suicide in eight South Asian countries, were included. RESULTS: A total of 68 studies were found eligible for review. The Maximum number of studies were found from India (n = 38), followed by Bangladesh (n = 12), Pakistan (n = 9), Sri Lanka (n = 6), and Nepal (n = 3). Hanging (n = 40, 55.8%) and poisoning (n = 24, 35.3%) were the two most common suicide methods reported, in that order. Hanging followed by poisoning were the commonest suicide methods in Bangladesh, India, and Pakistan while in Sri Lanka, poisoning was the preferred method to hanging. There is a decline in suicide by poisoning and an increase in suicide by hanging in Sri Lanka, Bangladesh, and India. Although hanging is still the commonest method in Pakistan, the use of firearms is growing in recent years (2011-2020). CONCLUSIONS: There is a steady decline in the incidence of suicides by poisoning following pesticide regulations in South Asian countries. However, there is heterogeneity of study methods, probable under-reporting of suicide, and lack of robust suicide data. KEYWORDS: South Asia; Suicide; hanging; methods; poisoning; suicide prevention.Item V: A TWIST IN THE TALE OF A BRAND(Department of Marketing Management, University of Kelaniya,Sri Lanka., 2017) Kar, S.K.; Samantarai, M.Bajaj Auto Ltd. (BAL)-An Indian auto-maker unveiled its most glorified 150cc commuter bike model ‘Bajaj V’ (named ‘V15’ for limited edition) in a quite simple & no-frill launching event in New Delhi on 1st February 2016. The bike model was presented to audience which comprised of journalists, company executives, bike enthusiasts, business analysts and other invitees. On 26thJanuary 2016- The Republic Day of India, BAL had created lots of buzz about the upcoming brand Bajaj-V through a series of integrated campaigns, especially by airing a teaser video that was created by its agency Leo Burnett India. Probably for the first time in Indian automobile industry, an automobile company was trying to experiment with an innovative concept as model ‘V’ was introduced to the world as one which contained metal sourced from the scrapped INS Vikrant- India’s 1staircraft carrier known for its war time military legacy. A bike someone can ride with pride. The sleek and sturdy design embroiled with an unforgettable logo/ brand mark of a designer ‘V’ on its fuel tank complimented the tagline ‘Part Motorbike, Part War Hero’. Model ‘V’ was outcome of a tightly held covert project for almost two years jointly taken care of by team from Bajaj & agency Leo Burnett. The commuter bike segment in India being most promising, the company had set higher expectations from the launch. The case being analyzed, students can understand whether such promotion and positioning is short lived or it is a ripple that will have a lasting pass along rate for long. They can relate sales outcome to buzz-marketing. Students would appreciate the long term impact on family brand ‘Bajaj’. From a strategic marketing perspective, students would find rationale of a new product launch in a competitive scenario where market is almost saturated. Students can learn how companies try to leverage from heritage value of a brand.