Browsing by Author "Adhikary, SR"
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Publication A prospective study of comorbidity of alcohol and depression(Kathmandu University, 2008) Pradhan, SN; Adhikary, SR; Sharma, SCAbstract Objective: The aim of the work was to study the socio-demographic variables and their co-morbidity to alcohol consumption and presence of depressive symptomatology. Design: This was a prospective cross-sectional study. Materials and methods: The study was carried out in 53 patients, who were admitted in the wards of Kathmandu Medical College Teaching Hospital (KMCTH) with the diagnosis of mental and behavioural disorder due to the use of alcohol according to ICD-10. The patients were taken from 1st February 2006 to 30th December 2006. All patients were rated using Hamilton Depression Rating Scale (HDRS). Comparison of alcohol intake, depressive symptomatology and their associations with various socio-demographic variables were done using standard statistical procedures. Results: The present study has shown that more than 94.3% of the patients were suffering from depressive episode. Among all the patients, 11.3% were suffering from severe depressive episode. Alcohol intake was more signi cantly correlated (p = .002) with Brahmin and Chhetri caste. The other signi cant correlation of alcohol intake and sociodemographic variable was Nuclear family (p=.001). Among these patients the severity of depression was signi cantly (p= .001) associated with duration of alcohol intake. Marital status was another important factor affecting comorbidity of alcohol intake and presence of depressive symptoms (p =.002). Students of 10th to 12th grades of school were found to be using alcohol more often (45.3%). Middle socio-economic status (60.4%) was using alcohol more frequently than other socio- economical classes. Conclusion: Severity of depression and alcohol intake was found to be signi cantly associated with various socio-demographic variables such as caste, family structure, marital status and educational status. Key words: Co-morbidity, ICD-10, Depression, alcohol-related disordersPublication A study of severity of intention of suicide in various psychiatric diagnoses(Kathmandu University, 2009) Pradhan, SN; Adhikary, SRAbstract Background: Suicidal intent has been described as the seriousness or intensity of the patient’s wish to terminate his or her life. Suicide has become an important public health issue throughout the world. It is important to evaluate the intentions of suicide attempts and various psychiatric diagnostic perspectives to understand the multiple dimensions of suicide. Aims: The aim of the work was to study the severity of suicidal intention among suicide attempters in different psychiatric diagnoses and different mode of attempted suicide. Materials and methods: This study was carried out in the patients, who attempted suicide, by various modes, who were admitted in the wards of KMCTH during 1st January 2007 to 30th December 2007. Suicide Intent Scale (SIS) was used in all the cases that had attempted suicide. Results: Total numbers of patients was 43. Mean SIS was 13.88. The results have shown that majority of cases were female 69.8% (n=30) and male were 30.2% (n=13).The commonest mode of suicide was poisoning 83.7% (n=36) in which moderate suicide intent was 58.3% (n=21); mild suicide intent 33.3% (n=12) and severe suicide intent 8.3% (n=3). Pesticide (organophosphorus) ingestion was the commonest mode of suicide 44.4% (n=16), followed by pharmacological drugs 33.3% (n=12). The commonest psychiatric diagnosis was depressive disorders 62.9% (n=27), in which moderate suicide intent was found to be maximum 70.4% (n=19) followed by mild suicide intent 14.8% (n=4) and severe suicide intent 14.8% (n=4). Conclusion: The increasing problem of pesticide poisoning and drug overdose demands strict legal scrutiny in the availability of common means of attempting suicide. Key words: Attempted suicide, Suicide intent scale, Organophosphorous poisoning, psychiatric diagnoses