Johnny Andoh-Arthur

Prevalence and determinants of depressive symptoms among university students in Ghana.

BACKGROUND Over two million Ghanaians suffer from moderate to mild mental disorders but prevalence levels and determinants among university students remains fairly unknown. A better understanding of depression and its determinants is necessary in developing appropriate interventions in this population group. METHOD A convenient sample of 270 students from a public university (132 males and 138 females) were interviewed using a questionnaire to record socio-demographic variables, HIV risk behaviours. Depressive symptoms were measured using Centre for Epidemiological Studies Short Depression Scale (CES-D 10). Multiple logistic regression was used to identify the determinants. RESULTS The mean age was 22 (SD=2.39). Using a cut-off point of 10 of the CES-D10, the overall prevalence of depression was 39.2%; with 31.1% of mild to moderate depression and 8.1% severe depressive symptoms. Significant predictors included lack of social support, religion not having an impact on life, heavy alcohol consumption and traumatic experiences such as being forced to have sex, physically and sexually abused as a child, and beaten by a sex partner. LIMITATIONS Given the cross-sectional nature of the research, the findings are limited highlighting the need for further research. Also, relying on self-report of symptoms could have influenced the outcome. The use of a single university means that there could be regional differences in depression in other universities. CONCLUSION Depression occurs in a significant number of students. An appropriate intervention must be implemented to help reduce the burden of depression, especially to those found to be at risk.

Attempted Suicide in Ghana: Motivation, Stigma, and Coping

To understand the experiences of suicidal persons in Ghana, 10 persons were interviewed after they attempted suicide. Thematic analysis of data showed that motivation for suicidal behavior included social taunting, hopelessness, and partners infidelity. Suicidal persons reported stigma expressed through physical molestation and social ostracism, which left them traumatized. However, they coped through social support from relations, religious faith, and use of avoidance. Community-wide sensitive education should target reducing stigma and also increase mental health education on suicidal behavior in Ghanaian communities.

“We Now Have a Patient and Not a Criminal”: An Exploratory Study of Judges and Lawyers’ Views on Suicide Attempters and the Law in Ghana

This study explored the views of judges and lawyers of the superior courts of Ghana on the law criminalizing attempted suicide. Qualitative data were collected from 12 experienced legal practitioners of the superior courts (five judges and seven lawyers) using a semi-structured interview schedule. Thematic analysis of the data yielded three main perspectives: In defence of the Law, Advocating a Repeal, and Pro-Health Orientation. Although exploratory, the findings of this study offer cues for stepping up suicide literacy and advocacy programmes toward either a repeal of the law or a reform.

Walking a tightrope: reflections on police gatekeeping roles in suicide research in Ghana

Abstract 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.

Suicide among men in Ghana: The burden of masculinity

ABSTRACT In Ghana, some studies have reported a high rate for both fatal and non-fatal suicidal behaviors among men. The current study aimed at understanding the psychosocial circumstances involved in male suicides. We interviewed between two to seven close relations of each of 12 men who died by suicide. Interpretative phenomenological analysis of data indicates that experiences of shame related to loss of economic control, breach of patriarchal norms, and threats to sexual competence contributed to the suicides. Addressing socioeconomic issues, creating opportunities for men to disclose their emotions, and identifying sources of these emotions may help prevent suicide among men.

Police views of suicidal persons and the law criminalizing attempted suicide in Ghana: A qualitative study with policy implications

The penal code of Ghana condemns suicide attempt. The present study sought to explore the views of the police on persons who attempt suicide and the law criminalizing the act. Qualitative in-depth interviews were used to explore the views of 18 officers of the Ghana Police Service. Data were analyzed using thematic analysis technique. Findings showed that the police officers profiled suicide attempters as needy, enigmatic, ignorant, and blameworthy. Majority (n = 14) of them disagreed with the law and suggested a repeal, whereas only four of them agreed with the law. Regardless of their positions on criminalization, they showed an inclination to help, rather than arrest, when confronted with such persons in line of their duty. Educating the police on suicidal behavior may help to deepen their understanding and help improve the way they handle suicidal persons. This may also strengthen police suicide prevention gatekeeping obligations.

Some Epidemiological Characteristics of Perpetrators and Victims of Incest in Contemporary Ghana: Analysis of Media Reports

ABSTRACT In Ghana, incest is considered sinful, taboo, and illegal. However, recent media reports show that incest has become a daily reality in Ghana. This study is a situational analysis of the pattern of incest in Ghana as reported in the media from January 2008 through July 2015. Qualitative content analysis was conducted on 48 incest news reports in Ghana. The findings showed that father–daughter incest was most frequent across the study period. Forty-seven females aged 3 to 25 years and a male aged 3 years were identified as victims. Generally, the incest lasted between 1 day and 13 years before disclosure. Perpetrators employed psychological and/or physical methods to coerce their victims. Marital difficulties, diabolical control, and seduction by victim featured prominently as alleged motives behind the abuse. The study observes that the recent increase in father–daughter incest warrants an immediate shift of research attention onto men’s mental health in Ghana.

Reasons for attempting suicide: An exploratory study in Ghana

This study examined the reasons for suicide attempts among patients in Ghana. Semi-structured interviews were conducted among 30 informants who had been hospitalized for attempted suicide. Interpretative Phenomenological Analysis (IPA) was used to analyse the transcribed narratives, and five main themes emerged: 1) lack of support; 2) abandonment; 3) shame; 4) existential struggles; and 5) supernatural reasons. There were gender differences with abandonment reported by only women and shame associated with economic difficulties reported only by men. Findings are discussed within the context of a socio-cultural theory of suicide behaviour, and implications for the prevention of suicide and care of suicidal persons are suggested.

Psychologists in Ghana : analysis of the standing register

The maiden register of the Ghana Psychological Council published in September 2015 represents the first national official standing register of psychologists in Ghana. Drawing on this maiden register, this paper presents a seminal analysis of the distribution of psychologists in Ghana in terms of categories of specialisation, gender composition, areas of employment, location of practice, and institutions of training. A copy of the gazette of registered psychologists was obtained from the office of the registrar of the Ghana Psychological Council and quantitative content analysis was conducted on the list of registered mainstream psychologists. Among other things, the analysis shows that there are 166 (largely Ghanaian-trained) psychologists categorised into six main subfields in the country. Females represent the majority in terms of gender composition. Colleges/polytechnics/universities are the main areas of employment; the practising locations of 69.9% of the psychologists are in Accra, with no psychologist registered from the Brong-Ahafo and Upper East regions. Despite the challenges with the maiden register of psychologists in Ghana, the register does provide a good database for reflections on the availability, diversity and distribution of psychologists in Ghana.