title: Clinical diagnostic and sociocultural dimensions of deliberate self-harm in Mumbai, India.
abstract: Patients' accounts complement psychiatric assessment of deliberate self-harm (DSH). In this study we examined psychiatric disorders, and sociocultural and cross-cultural features of DSH. SCID diagnostic interviews and a locally adapted EMIC interview were used to study 196 patients after DSH at a general hospital in Mumbai, India. Major depression was the most common diagnosis (38.8%), followed by substance use disorders (16.8%), but 44.4% of patients did not meet criteria for an enduring Axis-I disorder (no diagnosis, V-code, or adjustment disorder). Psychache arising from patient-identified sociocultural contexts and stressors complements, but does not necessarily fulfill, criteria for explanatory psychiatric disorders.
authors.affiliation: Department of Psychiatry, KEM Hospital and Seth GS Medical College, Mumbai, India.
authors.forename: Shubhangi R
authors.initials: SR
authors.lastname: Parkar
authors.forename: Varsha
authors.initials: V
authors.lastname: Dawani
authors.forename: Mitchell G
authors.initials: MG
authors.lastname: Weiss
mesh_terms: D000293:Adolescent; D000328:Adult; D002391:Catchment Area, Health; D003430:Cross-Sectional Studies; D003469:Culture; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D012720:Severity of Illness Index; D012959:Socioeconomic Factors