title: Domestic violence, mental illness and suicidal ideation--a study from Lahore, Pakistan.
abstract: BACKGROUND
  Suicidal ideation is an indicator of psychological distress and a proportion of people reporting suicidal ideation attempt or commits suicide. Mental illness of any type is strongly associated with suicidal ideation. Furthermore, the links between exposure to domestic violence and mental health problems are well established. Furthermore, a number of studies have reported an association between domestic violence and suicidal ideation.
  
  
  OBJECTIVE
  To study the link between domestic violence, mental health and suicidal ideation.
  
  
  METHODS
  Using data from a group of 650 Pakistani women, we explored the putative predictors of suicidal ideation using univariate and multiple logistic regression. Significant predictors were then entered into a path analysis in order to evaluate both the direct and indirect effects of domestic violence on the odds of a study participant reporting suicidal ideation. Results Mental disorders were observed to significantly predict suicidal ideation. Ability to negotiate conflict between couples appeared to both directly and indirectly, via mitigation against mental disorder, protect against suicidal ideation.
  
  
  CONCLUSIONS
  The effect of verbal aggression on suicidal ideation appeared to be mostly mediated via its impact on mental health.
authors.affiliation: Tees, Esk & Wear Valley NHS Foundation Trust and University of Durham , UK.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Ayub
authors.forename: Imran
authors.initials: I
authors.lastname: Mushtaq
authors.forename: Salman
authors.initials: S
authors.lastname: Mushtaq
authors.forename: Muhammad Adnan
authors.initials: MA
authors.lastname: Hafeez
authors.forename: Nabeel
authors.initials: N
authors.lastname: Helal
authors.forename: Muhammad
authors.initials: M
authors.lastname: Irfan
authors.forename: Bushra
authors.initials: B
authors.lastname: Hassan
authors.forename: Paul
authors.initials: P
authors.lastname: Tiffin
authors.forename: Farooq
authors.initials: F
authors.lastname: Naeem
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017579:Domestic Violence / Q000523:psychology*; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D010154:Pakistan; D012307:Risk Factors; D059020:Suicidal Ideation; D055815:Young Adult