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

Authors

  • 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

DOI:

https://doi.org/10.51253/pafmj.v73i6.9633

Keywords:

Domestic violence, Depression, Suicidal ideation, Wellbeing

Abstract

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
2022.

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.

Downloads

Download data is not yet available.

References

Kalokhe AS, Potdar RR, Stephenson R, Dunkle KL, Paranjape A,

Del Rio C, et al. How well does the World Health Organization

definition of domestic violence work for India? PLoS One 2015;

(3): e0120909. https://doi.org/10.1371/journal.pone.0120909.

Shah S. An overview of crimes against women in Pakistan

[Internet]. The News International. 2021 Available at:

https://www.thenews.com.pk/print/869740-an-overview-ofcrimes-against-women-in-pakistan

[Accessed on November 20, 2022].

Meltzer H, Doos L, Vostanis P, Ford T, Goodman R. The mental

health of children who witness domestic violence. Child Family

Soc Work 2009; 14(4): 491-501.

http://dx.doi.org/10.1111/j.1365-2206.2009.00633.x.

Curran LA, BCPC L, CACD C, Trained ELI. 101 trauma-informed interventions: Activities, exercises and assignments to move

the client and therapy forward: PESI Publishing & Media; 2013.

Howell KH, Barnes SE, Miller LE, Graham-Bermann SA.

Developmental variations in the impact of intimate partner

violence exposure during childhood. J Inj Violence Res 2016; 8(1):

–57. https://doi.org/10.5249%2Fjivr.v8i1.663.

Monnat SM, Chandler RF. Long‐term physical health

consequences of adverse childhood experiences. Sociol Quart

;56(4):723-752. https://doi.org/10.1111%2Ftsq.12107.

Castellví P, Miranda‐Mendizábal A, Parés‐Badell O, Almenara J,

Alonso I, Blasco M, et al. Exposure to violence, a risk for suicide

in youths and young adults. A meta‐analysis of longitudinal

studies. Acta Psychiatr Scand 2017; 135(3): 195-211.

https://doi.org/10.1111/acps.12679.

Mushtaque I, Rizwan M, Abbas M, Khan AA, Fatima SM, Jaffri

QA, et al. Inter-Parental Conflict’s Persistent Effects on

Adolescent Psychological Distress, Adjustment Issues, and

Suicidal Ideation During the COVID-19 Lockdown. Omega

(Westport)2021: 302228211054316.

https://doi.org/10.1177/00302228211054316.

USAID. Researching aspects of gender based violence in

Pakistan: Summaries of research studies Islamabad, Pakistan

[Internet]. Available at:

https://af.org.pk/gep/images/Research%20Studies%20(Gender

%20Based%20Violence)/GEP%20Summaries%20final.pdf

[Accessed on November 20, 2022].

Bandura A. Aggression: A Social Learning Analysis. Englewood

Cliffs, NJ: Prentice-Hall, 1973. https://doi.org/10.2307/1227918.

Hindin MJ, Gultiano S. Associations between witnessing

parental domestic violence and experiencing depressive symptoms in Filipino adolescents. Am J Public Health 2006; 96(4):

-663. https://doi.org/10.2105%2FAJPH.2005.069625.

Fuller‐Thomson E, Baird S, Dhrodia R, Brennenstuhl S. The

association between adverse childhood experiences (ACEs) and

suicide attempts in a population‐based study. Child Care Health

Dev 2016; 42(5): 725-734. https://doi.org/10.1111/cch.12351.

Holt SL. An exploration of the impacts that experiencing

domestic violence can have on a child’s primary school education: View of educational staff. Br J Community Justice 2015;

(2): 7-26.

Sachs-Ericsson NJ, Rushing NC, Stanley IH, Sheffler J. In my end

is my beginning: developmental trajectories of adverse

childhood experiences to late-life suicide. Aging Mental Health

; 20(2): 139-65.

https://doi.org/10.1080/13607863.2015.1063107.

Waldman-Levi A, Finzi-Dottan R, Weintraub N. Attachment

security and parental perception of competency among abused

women in the shadow of PTSD and childhood exposure to

domestic violence. J Child Family Stud 2015; 24(1): 57-65.

http://doi.org/10.1007/s10826-013-9813-3.

Nixon KL, Radtke H, Tutty LM. “Every day It takes a piece of

you away”: experiences of grief and loss among abused mothers

involved with child protective services. J Public Child Welfare

; 7(2): 172-93. http://doi.org/10.1080/15548732.2012.715268.

Huang C-C, Vikse JH, Lu S, Yi S. Children’s exposure to intimate

partner violence and early delinquency. J Family Violence 2015;

(8): 953-65. http://doi.org/10.1007/s10896-015-9727-5.

Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF,

Giles WH, et al. Childhood abuse, household dysfunction, and

the risk of attempted suicide throughout the life span: findings

from the Adverse Childhood Experiences Study. JAMA 2001;

(24): 3089-3096. https://doi.org/10.1001/jama.286.24.3089.

Downloads

Published

30-12-2023

Issue

Section

Original Articles

How to Cite

1.
Khurshid S, Toor HK, Pervaiz F. Violence behind the Closed Door: Depression, Suicidal Ideation and Future Concerns Among its Spectators. Pak Armed Forces Med J [Internet]. 2023 Dec. 30 [cited 2024 Nov. 8];73(6):1683-6. Available from: https://pafmj.org/PAFMJ/article/view/9633