Browsing by Author "Sapkota, Nidesh"
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Publication Depression among Armed Police Force Soldiers Serving in a Police Headquarter: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Sapkota, Nidesh; Tiwari, Atit; Kunwar, Mandeep; Manandhar, Nisha; Khatri, BharatAbstract Introduction: Depression is a common mental health problem among soldiers worldwide. Depression decreases the efficiency and productivity of the soldiers. The objective of this research is to find out the prevalence of depression among armed police force soldiers serving in a police headquarter. Methods: A descriptive cross-sectional study was done on a total of 314 soldiers serving in the eastern regional armed police force headquarters of Nepal from January 15, 2017 to June 14, 2017 after receiving ethical clearance was taken from the Institutional Review Committee (Reference number: 140/073/074-IRC). Convenience sampling was done. Beck Depression Inventory was used to assess the prevalence of depression. Data were collected and entered in the Statistical Package for the Social Science version 15.0. which was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Among 314 soldiers, 133 (42.36%) (36.89-47.83 at a 95% Confidence Interval) soldiers had depression where, 47 (14.97%) had mild mood disturbance, 33 (10.51%) had borderline depression, 40 (12.74%) had moderate depression, 10 (3.18%) had severe depression and 3 (0.96%) had extreme depression. Conclusions: The prevalence of depression in our study was lower when compared to other studies conducted in similar settings.Publication Development and Use of Suicide Registry for Recording Patient Profile with Self-harm Visiting Tertiary Hospital of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Sharma, Pawan; Bhandari, Anup Raj; Shakya, Rabi; Sapkota, Nidesh; Joshi, Sulochana; Bhattarai, Gaurav; Shah, Bigya; Marahatta, KedarAbstract Introduction: Suicide is a major public health concern globally as well as in Nepal. It is important to have baseline data regarding suicide attempts to develop a prevention strategy. This study aims to describe the methodology used to develop a suicide registry and use it to collect data from patient visiting emergency or psychiatric outpatient department with suicide attempts in a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted retrospectively after obtaining ethical approval (Reference number: drs2005211371) from institutional review committee. Total sampling was done from the database covering the period from October 1, 2017, to September 30, 2023. The database was in the form of suicide registry that was developed after reviewing the existing data of primary health care centres, private hospitals, and tertiary care centers and a series of discussions among mental health experts. Data was entered in Microsoft Excel and analysis was done. Results: Among the 248 patients, there were 109 (43.95%) male and 139 (56.05%) female. There were 209 (84.27%) patients who attempted suicide inside home, poisoning was seen in 90 (36.29%) and 183 (73.79%) had impulsive intention. Out of total patients, 59 (23.79%) had prior communication and 84 (33.87%) had previous attempts, 109 (43.95%) patients had impulsive attempts as diagnosis and 75 (30.24%) had depression. Conclusions: As per the suicide registry, most of the patients attempted suicide inside home and the most common method used was ingestion of poison.