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Original Article

Author(s): Adam MJ, Nahar JS, Mullick MSI, Akther N, Khan R

PAH Med Col J. Jul 2024; 1(1): 13-18

Abstract

Background: Self-harm is a complex and often neglected public health problem, posing a significant risk factor for 40-50% of people who die by suicide. This problem is common among students in Bangladesh, but there is a severe scarcity of data about its prevalence and pattern.

Objective: This study aimed to determine the prevalence of self-harm among 16- to 18-year-old students in Dhaka city and its relation to psychosocial stressors and psychiatric comorbidities.

Methods: This cross-sectional study was conducted in the Department of Psychiatry, BSMMU, Dhaka, involving students from two colleges. Data were collected in two phases using a self-reported harm inventory scale, the Dhaka Stress Scale for adolescents, and, for those with a history of self-harm, the Development and Well-Being Assessment scale.

Results: 15.87% of respondents had a history of deliberate self-harm, more common among female students (18.57%) than male students. Among those with self-harm, 70% had at least one psychiatric illness, most commonly generalized anxiety disorder (34.0%). Using the Dhaka Stress Scale, 73.0% of students had severe stress levels, with a significant difference in stress levels between the self-harm and non-self-harm groups (p<0.05).

Conclusion: This study emphasizes the importance of qualified student counselors in Dhaka’s colleges and the urgent need for holistic, institute-based mental health initiatives.

Keywords

Self-harm, Psychiatric morbidity, Psychosocial stressors, Adolescents, Mental health

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How to cite: Adam MJ, Nahar JS, Mullick MSI, Akther N, Khan R. Psychiatric Morbidity and Psychosocial Stressors among 16 to 18-year-old Students with Self-Harm in Two Colleges of Dhaka City. PAH Med Col J. Jul 2024; 1(1): 13-18.