A Nationwide Prevalence of Common Mental Disorders and Suicidality in Nepal: Evidence from National Mental Health Survey, 2019-2020.

Meghnath Dhimal, Sushma Dahal, Kriti Adhikari, Pallavi Koirala, Bihungum Bista, Nagendra Luitel, Sagun Pant, Kedar Marahatta, Suraj Shakya, Pawan Sharma, Sailaja Ghimire, Pradip Gyanwali, Saroj Prasad Ojha, Anjani Kumar Jha
Author Information
  1. Meghnath Dhimal: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  2. Sushma Dahal: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  3. Kriti Adhikari: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  4. Pallavi Koirala: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  5. Bihungum Bista: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  6. Nagendra Luitel: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  7. Sagun Pant: Institute of Medicine, Tribhuvan Univeristy, Kathmandu, Nepal.
  8. Kedar Marahatta: World Health Organziation, Country Office, Nepal.
  9. Suraj Shakya: Institute of Medicine, Tribhuvan Univeristy, Kathmandu, Nepal.
  10. Pawan Sharma: Patan Academy of Health Sciences, Lalitpur, Nepal.
  11. Sailaja Ghimire: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  12. Pradip Gyanwali: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  13. Saroj Prasad Ojha: Institute of Medicine, Tribhuvan Univeristy, Kathmandu, Nepal.
  14. Anjani Kumar Jha: Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.

Abstract

BACKGROUND: Mental Disorders account for a large portion of burden of disease. In Nepal, the prevalence of Mental Disorders has been rising steadily, but national and province level prevalence is not available. This study aims to assess the prevalence of common Mental Disorders and suicidality in Nepal.
METHODS: We conducted nationwide descriptive cross-sectional community-based prevalence study of Mental Disorders and suicidality among adults (aged 18 years and above) and adolescents (aged 13 to 17 years) in Nepal. We included a total of 9200 adults and 5888 adolescents from seven provinces of Nepal by using a multistage Probability Proportionate to Size sampling technique. Mental Disorders and suicidality were assessed using translated and adapted Nepalese version of Mini International Neuropsychiatric Interview (MINI) for disorders, English version 7.0.2 for Diagnostic and Statistical Manual of Mental Disorders,5th Edition (DSM-5). Data were entered in CSPro v7.2. Weighted estimates for different Mental Disorders were calculated.
RESULTS: The overall weighted lifetime prevalence of any mental disorder among adults and adolescents was estimated at 10% and 5.2%, respectively. suicidality was present among 7.2% of the adult and 4.1% of the adolescent participants. Among adult participants, the current prevalence of suicidal thoughts and lifetime suicidal attempts were found to be 6.5% and 1.1%, respectively.
CONCLUSIONS: This survey indicated that mental health problems are major public health concerns in Nepal that should not be overlooked. Hence, a multisectoral approach is needed to address the burden of mental health problems among adults and adolescents in Nepal.

Keywords

MeSH Term

Adolescent
Adult
Cross-Sectional Studies
Health Surveys
Humans
Mental Disorders
Nepal
Prevalence
Suicidal Ideation
Suicide

Word Cloud

Created with Highcharts 10.0.0disordersMentalNepalmentalprevalenceamongadultsadolescentssuicidalitySuicidalityhealthburdenstudyagedyearsusingversionMINI72lifetime2%respectivelyadult1%participantssuicidalproblemsNationalHealthSurveyBACKGROUND:accountlargeportiondiseaserisingsteadilynationalprovincelevelavailableaimsassesscommonMETHODS:conductednationwidedescriptivecross-sectionalcommunity-based181317includedtotal92005888sevenprovincesmultistageProbabilityProportionateSizesamplingtechniqueassessedtranslatedadaptedNepaleseMiniInternationalNeuropsychiatricInterviewEnglish0DiagnosticStatisticalManual5thEditionDSM-5DataenteredCSProv7WeightedestimatesdifferentcalculatedRESULTS:overallweighteddisorderestimated10%5present4adolescentAmongcurrentthoughtsattemptsfound65%1CONCLUSIONS:surveyindicatedmajorpublicconcernsoverlookedHencemultisectoralapproachneededaddressNationwidePrevalenceCommonDisordersNepal:Evidence2019-2020Disorder

Similar Articles

Cited By