Violence behind the Closed Door: Depression, Suicidal Ideation and Future Concerns Among its Spectators


  • Saba Khurshid Department Research & Development, Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Hafsa Khalil Toor Department of Psychology, Foundation University, Islamabad Pakistan
  • Farrah Pervaiz Department of Public Health, Armed Forces Post Graduate Medical Institute/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan



Domestic violence, Depression, Suicidal ideation, Wellbeing


Objective: To determine the depression, suicidal ideation, and future concerns among domestic violence spectators.

Study Design: Exploratory study design.

Place and Duration of Study: Shelter Homes and Community Centres, in Rawalpindi/Islamabad Pakistan, from Aug to Nov

Methodology: In-depth interviews with 30 participants aged 12 to 17 years were conducted to assess the future apprehensions and worries of domestic violence spectators. Interviews were recorded and transcribed for thematic analysis. Transcribed data were critically reviewed, and themes were identified. Inter-rater reliability was calculated with the help of Cohen Kappa and was found to be in substantial agreement.

Results: The study findings identified major themes related to psychological issues and future apprehensions among
participants who witnessed domestic violence. Maladaptive relationships with parents and intensification of social problems
such as isolation, self-harm, social withdrawal, suicidal ideation, difficulty in making friends, and apprehensions about the
future relationship with a partner were also perceived as serious future concerns among domestic violence spectators.

Conclusion: Domestic violence takes a toll on the mental and physical well-being of not only its victims but also its spectators. Early detection and prevention of violent exposure are essential to mitigate its long-term psychological impact.


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How to Cite

Khurshid, S., Toor, H. K., & Pervaiz, F. (2023). Violence behind the Closed Door: Depression, Suicidal Ideation and Future Concerns Among its Spectators. Pakistan Armed Forces Medical Journal, 73(6), 1683–1686.



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