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A known risk factor for suicide globally is substance use. Despite being public health problems across the globe, research on the association between suicide and substance use have often ignored the socio-cultural context in which these behaviors play out. This qualitative study examines bereaved persons' perception of the roles of substance use in the lifestyles and the suicides of their deceased relations. We conducted an in-depth qualitative interview with between two to seven close relations of nine men who killed themselves in Ghana in the period 2014 and 2015. A qualitative content analysis of bereaved persons' accounts shows three themes: Behavioral changes connected with substance use, Consequences of substance use and misuse, and Alcohol presence in the suicide act. Thus, novel and excessive alcohol or drug use followed economic, financial, or relational stressors faced by the men. Personal disruption and social disintegration occurring as consequences of continued substance use triggered suicidal behaviors, which in turn appeared to have shaped in particular, use of alcohol as ingredients or tools in the suicide acts itself in some of the suicides. Contextual nuances shaping a dynamic interrelationship between substance use and suicide calls attention to viewing substances as ingredients with shifting functions during the suicidal process. We propose that encouraging emotional disclosure, supporting men with problem-solving skills, and regulating the availability and use of substances through effective alcohol and drug policies may be vital for an integrative public health approach towards suicide prevention in Ghana., Author(s): Johnny Andoh-Arthur [sup.1] , Heidi Hjelmeland [sup.2] , Joseph Osafo [sup.1] , Birthe Loa Knizek [sup.2] Author Affiliations: (1) grid.8652.9, 0000 0004 1937 1485, Psychology Department, School of Social [...]

This study examined mental adjustment to breast cancer, that is, coping strategies. Participants were 130 women undergoing breast cancer treatment in two medical settings in Accra, Ghana. They completed questionnaires assessing mental adjustment to cancer, psychological distress (anxiety and depression), negative religious coping, body change stress, and illness perceptions. Data were analyzed using hierarchical linear regression. Results showed that patients who reported higher depression were more likely to engage in anxious preoccupation (worry and thinking about breast cancer). Higher depression was associated with a greater sense of helplessness/hopelessness. Moreover, patients higher in negative religious coping were more likely to experience a greater sense of helplessness/hopelessness. Illness perception facets of personal control and emotional response were positively associated with fatalism and anxious preoccupation, respectively. The results suggest that screening breast cancer patients for psychological morbidity could help identify patients with increased risks for maladaptive adjustment to the disease. [ABSTRACT FROM AUTHOR]

This article presents a case example of media engagement for public education and counselling on suicide in Ghana. Data were drawn from 11 telephone interviews that assessed the impact a TV program had on persons experiencing suicidal crisis. Qualitative content analysis showed that the program helped to reduce the crisis by offering an empathic identification with suicidal persons. Hope induction and opportunity for seeing options, as well as provision of direct help or links to available help resources also emerged. Given the deep-seated stigma of suicide in Ghana, the media can serve a critical role in anti-stigma suicide campaigns and public education towards effective suicide prevention in Ghana.

This is a qualitative study that employed exploratory design to inquire from 15 participants of Central University (Ghana) about their experience with the COVID-19 pandemic in Ghana. An in-depth interview was conducted, and data were analyzed using thematic analysis. The findings indicate that participants experienced fear expressed in four key domains reported under four key themes thus: Experiencing psychological distress; Burden of economic hardships; Fear of inefficient health system; and Educational disruptions and worries involved in online teaching and learning. The study concludes that the upsurge of COVID-19 has triggered psychological, economic, and educational conundrums that have to be addressed. This paper contributes to the growing body of studies on COVID-19 and effects on lecturers and students. The burgeoning evidence of the mental health distress following COVID-19 should be a wake-up call for universities and Ghana as a whole to invest both in infrastructure and manpower in this area of health care delivery. Vaccine hesitancy research must be conducted to improve upon health educational campaigns. The significant disruption from the pandemic is a fair warning to all stakeholders to make educational e-learning infrastructure resilient against similar future shocks. The implications of the findings for health and educational policies in Ghana are addressed. [ABSTRACT FROM AUTHOR]

We explored the views of members of parliament (MPs) in Ghana on the call to decriminalise attempted suicide. We applied reflexive thematic analysis to Parliamentary Hansards (2017–2020) on calls to decriminalise attempted suicide in Ghana. 11 MPs shared their stance for or against the call. We developed three major themes that entailed, often, opposing views: (1) deterrent effect of the law (against: the law punishes and deters to protect life; for: the law is insensitive and has ironic effects), (2) enforcement of the law (against: leave things as they are, the law is not enforced, anyway; for: crime is not self-inflicted) and (3) prioritisation of suicide prevention (against: focus on more pressing issues, but resource support systems; for: the law and legitimate support systems cannot co-exist). The findings indicate two needs: to extend suicide literacy to Ghanaian MPs, and to initiate a public/private member's bill on attempted suicide decriminalisation. [ABSTRACT FROM AUTHOR]

Engaging non-conventional gatekeepers such as the police presents both promises and perils. Although studies have relied on police data for researching suicide and other sensitive topics in Africa, there is a paucity of literature that explores or reflects on police gatekeeping and its research implications. This paper presents authors' reflections on police gatekeeping in a qualitative suicide study in Accra, Ghana. The main observation is that the process was double-edged. On the one hand, it led to field delays and costs, (mis)apprehensions and positionality problems, and trust building challenges. On the other hand, it vouched for research(er) credibility, provided therapeutic openings, and facilitated the viability of research with the suicide bereaved. Sensitivity to research context, sensitising the police, and reinforcing 'therapeutic-research discourse' with participants, are recommended means for aligning participants' goals to research goals and for achieving therapeutic disclosures.

Non-utilization of mental health resources is a well-documented problem among adolescents and young adults. However, little is known about the psychological help-seeking intentions of young adults in Ghana. The aim of this study was to examine the predictors of psychological help-seeking intentions among university students in Accra, Ghana (N?=?270). Using a cross-sectional survey, data was collected using standardised questionnaires (Attitudes Toward Seeking Professional Psychological Help Scale [ATSPPH], Self-Stigma of Seeking Help [SSOSH], Social Stigma of Receiving Psychological Help Scale [SSRPH] and Perceived Social Support [MSPSS]) from students in a public university on the determinants of intentions of seeking psychological help. Data was analyzed using standard multiple regression. Results indicated that for this population, the intention of seeking psychological help was moderate, but varied according to the year of study. Out of the four (4) predictors, ATSPPH, SSOSH and Perceived Social Support significantly predicted intentions to seeking psychological help. Key findings and practical implications for research and psychological interventions are discussed.