Browsing by Author "Sharma, Pawan"
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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.Publication Prevalence and Associated Factors of Depression in Nepal: A Systematic Review and Meta-analysis(Nepal Medical Association, 2025) Sharma, Pawan; Singh, Swarndeep; Parajuli, Anima; Dhungel, Omkar; Pathak, PankajAbstract Introduction: Depression is a common mental disorder associated with considerable degree of burden. This review aimed to examine the prevalence of depression and associated factors in the Nepalese general population. Methods: The databases Medline (PubMed), Embase, Scopus, Web of Science and NepJOL were searched for identification of peer-reviewed studies reporting the prevalence of depression among non-clinical populations in Nepal along with Google Scholar and citation search. Meta-analysis was conducted using random-effects model to calculate the pooled prevalence estimates. A qualitative synthesis of factors associated with depression was performed. Results: A total of 64 studies comprising a total of 57,553 participants were included. Overall, the pooled prevalence among adult population was 13.75% (95% CI:10.84% to 16.65%). For other population subgroups: 27.49% (95% CI: 17.99% to 32.21%) in children and adolescents, 50.07% (95% CI: 32.82% to 67.33%) in geriatric population, 19.96% (95% CI: 18.00% to 21.91%) in maternal population. There was high degree of heterogeneity (I2 = 99.32). Depression was associated with distinct individual attributes and behaviors, socio-economic circumstances and environmental factors. Conclusions: Approximately one-seventh of the adult population was found to have depression. There were notable variations in the prevalence and associated factors of depression across different population subgroups.