AN Morgan, P Whitehorne-Smith, A Coore, L Simms, WD Abel, DT Gilbert
There is a high prevalence of depression among patients with chronic illnesses admitted to the medical wards of the University Hospital of the West Indies. Greater attention should be directed to psychiatric evaluations in the care and treatment of these patients.
Systematic sampling was used to collect data from 382 university students about their substance use, experience of household dysfunction and their level of psychological distress. The relationship between these variables was then analysed.
Authors deconstruct the core elements of the Caribbean Institute on Alcoholism and Other Drug Problems (CARIAD) training programme to demonstrate how it effectively meets the characteristics of a community of practice. The processes used to develop the learning community, and the pedagogic strategies and techniques that foster collaborative knowledge construction and sharing are described.
Alcohol is still the substance most widely used by Jamaican adolescents, followed by tobacco and marijuana. While the average age of initiation has slightly increased for all substances, the prevalence still remains high.
Most of the patients who presented with deliberate self-harm were females (64%), single (82%) and unemployed (72%). Overdose of medication was the main method of harm. There was a significant association between reason for self-harm and psychiatric illness.
P Whitehorne-Smith, K Morgan, W De La Haye, WD Abel
Gender differences in risk and protective factors exist among Jamaican adolescents. Further research needs to be done to determine the extent of these differences, which need to be considered in the development of more effective prevention and intervention programmes.