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Open Journal of Psychiatry & Allied Sciences
Year : 2018, Volume : 9, Issue : 2
First page : ( 136) Last page : ( 143)
Print ISSN : 2394-2053. Online ISSN : 2394-2061.
Article DOI : 10.5958/2394-2061.2018.00027.7

A cross-sectional comparative study of insomnia, depression, and suicidality between male and female prisoners of Guwahati Central Jail

Raha Bhaktishree1, Sarma Swapanjit2,*, Phookun Hemendra Ram3

1Assistant Professor, Department of Psychiatry, JIMSH, Budge, Kolkata, West Bengal, India

2Consultant Psychiatrist, Institute of Neurosciences, Kolkata, West Bengal, India

3Professor and Head, Department of Psychiatry, Gauhati Medical College, Guwahati, Assam, India

*Correspondence: Dr. Swapanjit Sarma, P17, Jayashree Park Post Office, Kolkata-700034, West Bengal, India. raak84@gmail.

Online published on 18 July, 2018.

Abstract

Background

Female prisoners are consistently reported to suffer more from insomnia, affective disturbances, and higher suicide rates than males.

Objective

To compare the prevalence of insomnia, depression, and suicidality between male and female inmates, and to probe how the internal turmoil and the psychological burden consequent of the committed crime influences these morbid occurrences.

Method

Forty male and 40 female prisoners of Guwahati Central Jail, Assam, India were assessed clinically and Beck Depression Inventory II, Pittsburgh Insomnia Rating Scale, and Columbia Suicide Severity Rating Scale were administered. Appropriate statistical tests for categorical and continuous variables were performed with significance defined as p<0.05.

Results

Prevalence of depression was 62.5 per 100 males and 85 per 100 females (p=0.04), that of insomnia and suicidal ideation were 65% and 72.5% (p<0.01), and ten per cent and 30% for male and female prisoners respectively (p<0.05). The relative risk of suicide was 0.33. Depression, insomnia, and suicidality were significantly associated with longer duration of stay, convict status, presence of physical illness, any substance abuse, and with higher age of their children in female prisoners; whereas, male prisoners had a striking association of the studied morbidities with under trial status and being free from any physical illness.

Conclusions

Although limited in its inability to attribute causality, our study conclusively demonstrated increased prevalence of depression, insomnia, and suicidality in female prisoners. Penal status, duration of stay, comorbid physical illness, substance abuse, and factors related to motherhood negatively influenced the fairer sex in custody.

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Keywords

Affective Symptoms. Crime. Substance Abuse.

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