'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis

Authors

  • Vijayalakshmi Poreddi National Institute of Mental Health and Neuro Sciences
  • S. Sai Nikhil Reddy Bangalore Medical College and Research Institute,
  • Sailaxmi Gandhi National Institute of Mental Health and Neuro Sciences
  • Marimuthu P National Institute of Mental Health and Neuro Sciences
  • Suresh BadaMath National Institute of Mental Health and Neuro Sciences

DOI:

https://doi.org/10.17533/udea.iee.v39n3e03

Keywords:

battered women, mental disorders, physical abuse, qualitative research

Abstract

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings.

Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India.

Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals).

Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

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Author Biographies

Vijayalakshmi Poreddi, National Institute of Mental Health and Neuro Sciences

Ph.D. Clinical instructor, College of Nursing. Email: pvijayalakshmireddy@gmail.com. Corresponding author. National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India.

S. Sai Nikhil Reddy, Bangalore Medical College and Research Institute,

MBBS. Bangalore Medical College and Research Institute, Bangalore, India. Email: saithereddy@gmail.com.

Sailaxmi Gandhi, National Institute of Mental Health and Neuro Sciences

Ph.D. Professor, Department of Nursing. Email: sailaxmi63@yahoo.com. National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India.

Marimuthu P, National Institute of Mental Health and Neuro Sciences

Ph.D. Professor, Department of Bio-statistics. Email: p_marimuthu@hotmail.com. National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India.

Suresh BadaMath, National Institute of Mental Health and Neuro Sciences

MD in Psychiatry, Professor, Department of Psychiatry. Email: nimhans@gmail.com. National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India.

References

1. UN. General Assembly, Declaration on the Elimination of Violence against Women, 20 December 1993, A/RES/48/104; 1993 [cited: 24 March 2020]. Available from: https://www.refworld.org/docid/3b00f25d2c.html

2. International Institute for Population Sciences. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS; 2017.

3. Kalokhe A, del Rio C, Dunkle K, Stephenson R, Metheny N, Paranjape A, et al. Domestic violence against women in India: A systematic review of a decade of quantitative studies. Glob. Public Health. 2017; 12(4):498-513.

4. World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneve: World Health Organization; 2013.

5. Spencer C, Mallory AB, Cafferky BM, Kimmes JG, Beck AR, Stith SM. Mental health factors and intimate partner violence perpetration and victimization: A meta-analysis. Psychol. Violence. 2019; 9(1):1-17.

6. Yu R, Nevado-Holgado AJ, Molero Y, D’Onofrio BM, Larsson H, Howard LM, et al. Mental disorders and intimate partner violence perpetrated by men towards women: A Swedish population-based longitudinal study. PLoS Medicine. 2019; 16(12): e1002995.

7. Khalifeh H, Moran P, Borschmann R, Dean K, Hart C, Hogg J, et al. Domestic and sexual violence against patients with severe mental illness. Psychol. Med. 2015; 45(4):875-86.

8. Khalifeh H, Oram S, Osborn D, Howard LM, Johnson S. Recent physical and sexual violence against adults with severe mental illness: a systematic review and meta-analysis. Int. Rev. Psychiatry (Abingdon, England). 2016; 28(5):433-51.

9. WHO. Responding to intimate partner violence and sexual violence against women WHO clinical and policy guidelines; 2013. Available from: http://www.who.int/reproductivehealth/publications/violence/9789241548595/en/

10. Latalova K, Kamaradova D, Prasko J. Violent victimization of adult patients with severe mental illness: a systematic review. Neuropsychiatric Dis. Treat. 2014; 10:1925-39.

11. Islam MM, Jahan N, Hossain MD. Violence against women and mental disorder: a qualitative study in Bangladesh. Trop. Med. Health. 2018;46(1):5.

12. Bhatia MS, Srivastava S, Khyati M, Kaushik R. Prevalence of violencein mentally ill patients visiting outpatient setting in a tertiary care hospital in India. Med. Sci. Law. 2016; 56(2):91-8.

13. Chandra PS, Deepthivarma S, Carey MP, Carey KB, Shalinianant MP. A cry from the darkness: women with severe mental illness in India reveal their experiences with sexual coercion. Psychiatry. 2003; 66(4):323-34.

14. Rose D, Trevillion K, Woodall A, Morgan C, Feder G, Howard L. Barriers and facilitators of disclosures of domestic violence by mental health service users: qualitative study. Br. J. Psychiatry. 2011; 198(3):189-94.

15. Creswell J. Qualitative Inquiry & Research Design: Choosing Among Five Approaches. SAGE Publications; 2013.

16. Shah SH, Rajani K, Kataria L, Trivedi A, Patel S, Mehta K. Perception and prevalence of domestic violence in the study population. Ind. Psychiatry J. 2012; 21(2):137-43.

17. Trevillion K, Hughes B, Feder G, Borschmann R, Oram S, Howard LM. Disclosure of domestic violence in mental health settings: A qualitative meta-synthesis. Int. Rev. Psychiatry (Abingdon, England). 2014; 26(4):430-44.

18. McNutt LA, Carlson BE, Gagen D, Winterbauer N. Reproductive violence screening in primary care: perspectives and experiences of patients and battered women. J. Am. Med. Womens Assoc (1972). 1999; 54(2):85-90.

Published

2021-10-29

How to Cite

Poreddi, V., Reddy, S. S. N., Gandhi, S., P, M., & BadaMath, S. (2021). ’Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis. Investigación Y Educación En Enfermería, 39(3). https://doi.org/10.17533/udea.iee.v39n3e03

Issue

Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS