Suicide rates high amongst South Asian Women (Bhugra & Desai, 2002)
Self harm rates high amongst South Asian Women (Husain et al., 2006)
4 Focus groups
Mental Health Staff
Community Organizations
Service users from Asian Counselling Service
Sikh community group
Qualitative method – Framework Analysis
Participants
Interviews: All Asian: 1 service user, 1 domestic violence worker, 1 community day
centre worker, 1 support worker, 1 GP, 1 Drug & Alcohol worker
1 counsellor, 2 psychiatrists, 1 religious leader, 1 social worker,
1 young persons counsellor
Focus groups:
Community groups: 8 Asian / 7 Caucasian
faith ambassador, community managers, CDW, Support workers, therapists
“… they don’t know how to ask their child ‘are you ok?’ Even though you
might be crying in the corner, it’s not really the thing to do or say ‘I love you’.”
Respect / Shame / Izzat
• mental illness / PD brings shame on family
• less marriagable (self and siblings)
• damage to business
• mental illness/ self harm/ drugs & alcohol
dishonours the parents
• Izzat has embedded concept of sexual
honour
• blame on the family - shaming
“How could you do that to your parents? How could you do that to
anyone else?”
“ being a South Asian woman, the pressure is immense that how you act
how you are it comes back to your family, everything comes back to your
family”
Concepts of Self Harm/ D & A
• madness
• crazy
• disrespectful
• unacceptable - taboo
• Muslim – suicide is a sin (haram – not
permissable)
• react with anger not understanding
• stigma
• denial
• bewilderment
Help Seeking
• collectivist culture
• external racism
• internalized
racism
• cultural
adaptation
• spiritualism
Solutions Generated
• Awareness
media – Asian television
Asian newspapers / magazines
Theatre – schools, community centres
Lunch clubs
Social clubs
Schools
GP training
Religious leaders (? Highly controversial)
Solutions Generated (cont)