An analysis of occupation related mental health referrals of paramillitary forces to a tertiary care hospital
Keywords:Paramilitary personnel, Psychiatric morbidity, Mental health burden
Background: The security personnel of our country including Army Personnel, C.I.S.F., Police and other security personnel bear a large amount of physical and psychological stress to maintain law and order situations at different corners of the country at different situations. To assess the Psychiatric Morbidity in C.I.S.F., the course of referrals of Para-military persons to a tertiary care hospital and to evaluate the Mental Health burden in the Para-military set up by virtue of their occupation.
Methods: The study sample included all the consecutive patients referred by CISF Headquarters Hospital to the Mental Health Institute (MHI), S.C.B. Medical College, Cuttack, Odisha, from April 2015 to March 2016. The clinical information is collected from the patient and accompanying personnel from CISF or family members who accompanied the patient. The diagnosis is based on ICD-10 and the final opinion is given by the consultants of Psychiatry after final evaluation of all the reports.
Results: Psychiatric assessment for job fitness (48%) was the dominant cause for referral of PMF staff to MHI. Substance abuse (alcohol) related disorders were the next common cause of referral (20%).
Conclusions: Mental health burden in Para-military bases are substantial which should be taken care of in urgency basis. There is urgent need of posting of Psychiatrists with Clinical Psychologists and Psychiatric Social Worker or a team of the Mental Health Professionals should visit the paramilitary set ups regularly to look into improper diagnosis and review cases.
Verma R, Shaity M, Despande S. An analysis of paramilitary referrals to Psychiatric Services at a Tertiary Care Centre. Ind Psychiatry J. 2013;22:54-9.
Jones E, Hyams KC, Wessely S. Screening for vulnerability to psychological disorders in the military: An historical survey. J Med Screen. 2003;10:40-6.
Mathur P. Perceptions of police stress: An empirical study of stressors and coping response among police personnel in India. Indian J Criminol. 1995;23:9-19.
Valdiya PS, Chaudhury S, Augustine M. Psychosocialstress and psychiatric morbidity. Indian J Clin Psychol. 1992;19:44-8.
Rao GP, Moinuddin K, Sarma PG, Sarma A, Rao P. Srinivasa. A Study of Stress and Psychiatric morbidity in the Central Industrial Security Force. Indian J Psychol Med. 2016;30:39-47.
Saathoff GB, Buckman J. Diagnostic results of psychiatric evaluation of state police officers. Hosp Community Psychiatry. 1990;41:32-49.
Raju MS, Chaudhury S, Sudarsanan S, Salujha SK,Srivastava K. Trends and issues in relation to alcohol dependence in Armed forces. Med J Armed Forces India. 2002;58:143-8.
Madu SN, Poodhun SE. Stress symptoms and substance use among police officials in the central region of Limpopo Province, South Africa. J Soc Sci. 2006;12:213-24.
Ray R. The extent, pattern and trends of drug abuse in India: National survey. United Nations Office on Drugs and Crime, Regional Office for South Asia and Ministry of Social Justice and Empowerment, Government of India: New Delhi; 2004.
Saldanha D, Goel DS. Alcohol and the soldier. Indian J Psychiatry. 1992;34:351-8 .
Chaudhury S, Chakraborty PK, Pande V, John TR, Saini R, Rathee SP. Impact of low intensity conflict operations on service personnel. Industrial Psychiatry J. 2005;14:69-75.
Fox J, Desai MM, Britten K, Lucas G, Luneau R, Rosenthal MS. Mental-health conditions, barriers to care and productivity loss among officers in an urban police department. Conn Med. 2012;76:525-31.
Kaur R, Chodagiri V, Reddi KN. A Psychological Study of Stress, Personality and coping in Police Personnel. Ideas J Psychol. Med. 2013;35:141-47.
Geetha PR, Subhakrishna DK, ChannabasaVanna SM. Subjective wellbeing among Police Personnel. Indian J Psychiatry. 1998;40:172-9.
Arial M, Gonik V, Wild P, Danuser B. Association of work related chronic stressors and psychiatric symptoms in a Swiss sample of police officers; a cross sectional questionnaire study. Int Arch Occup Environ Health. 2010;83:323-31.
Costa M, Junior HA, Olivera J. Stress: Diagnosis of Military Police Personnel in a Brazilian City. Rev Panam Salud Publica. 2007;21:217-22.
Kanble SV, Phalke DB. Study of occupational stress as a risk factor for various morbidities among policemen. J Indian Med Assoc. 2011;109:238-40.
Selokar D, Nimbarte S, Ahana S, Gaidhane A, Wagh V. Occupational stress among police personnel of Wardha city, India. Australas Med J. 2011;4:114-7.
Zukauskas G, Ruksenas O, Burba B, Grigaliuniene V, Mitchell JT. A study of Stress affecting Police Officers in Lithuania. Int J Emerg Ment Health. 2009;11:205-14.
Lucas T, Weidner N, Janisse J. Where does work stress come from? A generalizability analysis of stress in police officers. Psychol Health. 2012;27:1426-47.
Ranta RS. Management of stress and coping behaviour of police personnel through Indian psychological techniques. J Indian Acad Appl Sci. 2009;35:47–53.
Saldhana D, Choudhury S, Pawar AA, Ryali VS, Srivastav K, Sood M, et al. Changing pattern of alcohol abuse in the army before and after AO 3 and 11/2001. Med J Armed Forces India 2007:63:160.
Kohan A, O’Connor BP. Police officer job satisfaction in relation to mood, wellbeing, and alcohol consumption. J Psychol. 2002;136:307-18.