GCRF: South Asia Self Harm research capability building initiative (SASHI)

Lead Research Organisation: University of Manchester
Department Name: School of Health Sciences

Abstract

Our vision is to bring together a critical mass of international expertise and research excellence to build capability and capacity to conduct research on Deliberate Self Harm (DSH).

Our main aim is to produce new and robust information to inform the understanding of the nature of DSH in the context of profound social, political and economic challenges in low and middle-income countries (LMIC) such as India and Pakistan.

Research leaders are thinly spread in LMICs, which limits capability building and restricts capacity. There are serious gaps in knowledge about DSH in South Asia. We will meet these challenges in two ways:
- firstly by conducting research
- secondly by providing training.

Research that is collaboratively designed, culturally appropriate and rigorously implemented is one of the best learning tools for building capability. A trained and skilled workforce will continue to build capability and capacity for research. In this partnership, capability building is reciprocal and sustainable. We will share knowledge across the partnership.

The programme of work will include training in different areas such as research methods, systematic reviews, data analysis and research governance. PhD students will benefit from the training. We will design some of the training ourselves and bring in other experts to help. We will draw on the expertise of people with lived experience to develop our work programme.

A lot of different academic disciplines are involved in the programme. We will work together and share our knowledge to support post doctoral researchers and PhD students who will become the research leaders of the future.

Our research programme will develop new evidence and strengthen our understanding of DSH. We will carry out research using quantitative and qualitative methods.

We will develop a flexible and trained research workforce in India and Pakistan to carry out fieldwork safely, efficiently and rigorously in challenging environments. We will work closely with Non-Governmental Organisation (NGO) partners in Pakistan and India.

We will share our findings widely with a range of stakeholders including the local community, international forums and in high impact scientific journals. Our work will inform the development of culturally relevant community and primary-care responses to DSH and suicide in LMIC. Our work will also inform the development of suicide prevention policies, including public health messages and measures.

We will document and evaluate the development of the partnership and knowledge exchange processes, and disseminate the findings on conducting this work.

Our three core datasets (household survey sample, stakeholder sample, and DSH Register) will help us to examine and describe DSH in local context, explore substantive areas of interest in rich detail, answer a number of research questions and inform policy development and community and health service responses. We will find out more about differences and similarities between India and Pakistan and the differences and similarities between South Asia and other regions of the world.

Technical Summary

Our vision is to bring together a critical mass of international expertise and research excellence to build capability and capacity to conduct research on Deliberate Self Harm (DSH).

Our main aim is to produce new and robust information to inform the understanding of the nature of DSH in the context of profound social, political and economic challenges in low and middle-income countries (LMIC) such as India and Pakistan.

Research leaders are thinly spread in LMICs, which limits capability building and restricts capacity. There are serious gaps in knowledge about DSH in South Asia. We will meet these challenges in two ways:
- firstly by conducting research
- secondly by providing training.

Research that is collaboratively designed, culturally appropriate and rigorously implemented is one of the best learning tools for building capability. A trained and skilled workforce will continue to build capability and capacity for research. In this partnership, capability building is reciprocal and sustainable. We will share knowledge across the partnership.

The programme of work will include training in different areas such as research methods, systematic reviews, data analysis and research governance. PhD students will benefit from the training. We will design some of the training ourselves and bring in other experts to help. We will draw on the expertise of people with lived experience to develop our work programme.

A lot of different academic disciplines are involved in the programme. We will work together and share our knowledge to support post doctoral researchers and PhD students who will become the research leaders of the future.

Our research programme will develop new evidence and strengthen our understanding of DSH. We will carry out research using quantitative and qualitative methods.

We will develop a flexible and trained research workforce in India and Pakistan to carry out fieldwork safely, efficiently and rigorously in challenging environments. We will work closely with Non-Governmental Organisation (NGO) partners in Pakistan and India.

We will share our findings widely with a range of stakeholders including the local community, international forums and in high impact scientific journals. Our work will inform the development of culturally relevant community and primary-care responses to DSH and suicide in LMIC. Our work will also inform the development of suicide prevention policies, including public health messages and measures.

We will document and evaluate the development of the partnership and knowledge exchange processes, and disseminate the findings on conducting this work.

Our three core datasets (household survey sample, stakeholder sample, and DSH Register) will help us to examine and describe DSH in local context, explore substantive areas of interest in rich detail, answer a number of research questions and inform policy development and community and health service responses. We will find out more about differences and similarities between India and Pakistan and the differences and similarities between South Asia and other regions of the world.

Planned Impact

The South Asia Self Harm research capability building initiative (SASHI) project aims to have significant impact on individuals who experience DSH, families, communities, health and care providers, policy makers and the international research community. There will be a number of direct and indirect pathways to impact.

Individuals at risk of deliberate self harm (DSH) and suicide and their families: Survivors of DSH are at increased risk of recurrent DSH and suicide. This work will provide new empirical evidence about DSH, including the information about prevalence and immediate and short term outcomes. Together with an understanding of how DSH occurs gained through the qualitative work, we will be able to identify what affects help-seeking behaviour, and social and health factors that might be amenable to intervention. Wider engagement with the local communities will raise awareness and encourage understanding about the antecedents (for example, rural debt, mental illness, life events) and consequences (disability, death) of DSH. We anticipate that this will decrease stigma and increase help seeking. We will achieve this through working with survivors, families and health and care providers to identify the best routes and media for disseminating information. Possible examples include use of social media and local media such as community radio and existing community groups.

Health and Care community: Identifying care needs and describing help seeking behaviour will inform service developments and new service models and approaches aimed at reducing DSH and at providing appropriate aftercare. Reducing the number of episodes of DSH will reduce the burden on secondary and intensive care facilities. We will achieve this by working with provider organisations to create joint action plans informed by our findings. We will produce training material based on the experience of implementing the core elements of the project. In particular we will carefully document the process of developing and implementing the DSH Registers in a manual. The research will improve the care of people following an episode of DSH as this has the potential to prevent further episodes and reduces the risk of suicide. To achieve this, wider engagement with policy makers is essential and we will prepare targeted SASHI Policy Briefings on a regular basis.

Academic communities: Enhancing the skill set of the local academic community will have lasting effects and help to build a strong research community and increase capacity for further research planning and activity such as scoping reviews, feasibility studies, trial platforms and systematic reviews. We will achieve this through knowledge exchange activities, research training and mentoring which will leave sustainable legacies for the local academic communities. Training local fieldworkers drawn from the health worker population has the potential to create a sustainable, flexible and efficient research delivery team for future research projects. The composition of the international team will ensure that our findings will be presented to a wide range of disciplines. Through the expansion of our knowledge and understanding of DSH, the work will lay the foundation for further research and evaluation.

The work will be of direct relevance to other Low and Middle Income Countries (LMIC) and will also be of interest to people working with minority immigrant communities in the UK and services providing support following an episode of DSH. Having an impact lead in each country and a strong internet and social media presence through a web site, briefings, Twitter feed and Blog and copy for local, national and international audience, enables us to reach individuals who experience DSH, families, communities, health and care providers, policy makers and the international research community to affect change to improve the health and wellbeing of communities in LMIC.

Publications

10 25 50
 
Description GCRF Studentship funding ("Women and suicide in South Asia")
Amount £120,000 (GBP)
Organisation United Kingdom Research and Innovation 
Department Global Challenges Research Fund
Sector Public
Country United Kingdom
Start 09/2020 
End 08/2024
 
Description Welsh Clinical Academic Training Fellowship (Emergency Medicine)
Amount £330,000 (GBP)
Organisation Health Education and Improvement Wales 
Sector Learned Society
Country United Kingdom
Start 08/2019 
End 08/2026
 
Description Antecedents and outcomes of debt and self-harm 
Organisation Grassroots Research and Advocacy Movement
Country India 
Sector Charity/Non Profit 
PI Contribution Profs Robinson and Poole, and Dr Murali Krishna have continued to meet with Dr Balasubramanian Founder of SVYM, for example, during their visit to Mysore in May 2018. Dr Murali Krishna has maintained regular contact with SVYM. SASHI researchers included individuals with a particular interest in social factors. Drawing together a multidisciplinary team with experience in in depth case study research and policy analysis and influence provides a strong partnership to take the debt research and impact work forward.
Collaborator Contribution Dr Balasubramanian will help set up a Memoradum Of Understanding (MOU). He will be leading the project evaluating the impact of debt and the recently implemented debt waiver programme on self-harm among farmers in Mysore. GRAAM are an important policy focused NGO with particular expertise around community engagement and social factors. GRAAM have become an important element of our pathways to impact infrastructure in India.
Impact A MOU will be confirmed between SASHI and GRAAM, in 2019. The proposed project on debt will use an innovative case study approach to debt. We will consider in-depth case studies on the antecedents and consequences of debt from the perspective of individuals, families, communities and policy makers. GRAAM included public health, social policy and medicine. This work will be developed in collaboration with the SACR Team in University of Edinburgh and Sri Lanka. The data collection work in India has been delayed due to COVID-19
Start Year 2017
 
Description Cardiff University 
Organisation Cardiff University
Department School of Social Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Impact Social work and Computer Sciences. We submitted an outline grant application.
Start Year 2017
 
Description Developing research collaboration with Apnagharashram for Homeless People 
Organisation Apna Ghar Ashram
Country India 
Sector Charity/Non Profit 
PI Contribution We are bringing research expertise to the partnership to address a gap in work on poverty and women. I have also secured PhD funding from NIHR School for Social Care Research which will focus on homelessness in England so it is timely to have some parallel work in South Asia. My intention is to collaborate with the Stephen Campbell and colleagues in the NIHR PSTRU in Manchester. We also have a link with the TATA foundation and will pursue that as a potential source of funding.
Collaborator Contribution This is a large organisation with the main site in Rajasthan - with 30 other sites across India and one in Pakistan and one in Nepal. There are high levels of mental disorder and learning disability. It is run like a therapeutic community. They are collecting a lot of routine data and are keen to evaluate their services and carry out some analysis of the costs.
Impact Develop plans to apply for joint funding.
Start Year 2019
 
Description Discussion potential roll out of self ham register and further research with All India Institute of Medical Sciences (AIIMS) 
Organisation All India Institute of Medical Sciences Bhubaneswar
Country India 
Sector Hospitals 
PI Contribution We bring research expertise to this developing partnership. I reengaged with a senior AIIMS psychiatrist who had previously expressed interest in rolling out the SASHI self harm register work in Odisha, in the first instance in the AIIMS hospital. I had the opportunity to reengage with the forthcoming Director of Psychiatry at PGI Chandigarh and to meet the Head of Department of Psychiatry in AIIMS Delhi. There is considerable interest in pursuing common areas of research. .
Collaborator Contribution Potential roll out site for self harm register and research partner for further grant applications.
Impact Further meetings are planned to take the work forward
Start Year 2019
 
Description Extension of self harm register work to the Aga Khan hospital in Pakistan 
Organisation Aga Khan University
Country Pakistan 
Sector Academic/University 
PI Contribution Sadia Nafees, one of the SASHI early career researchers went to Pakistan in March 2020 and met with the head of the faculty of the Psychiatry department, Dr Nargis Asad and her research team members. Sadia introduced the SASHI research project and how work from the project potentially may apply to the Aga Khan hospital. At the same time, Catherine Robinson (PI) and Rob Poole (Co-I) built a relationship with Professor Murad Khan from the Aga Khan University hospital. This has now developed into a partnership
Collaborator Contribution Dr Asad was very interested and the possibility of the roll-out of the register and other collaborative work was discussed. The hospital would provide the study site. This is now being formalised as a partnership and the partners will support the development and implementation of the SASHI self-harm register in Aga Khan University hospital in Pakistan. Plans for implementing SASHI SHR in Pakistan have been agreed and a collaboration agreement is being set-up
Impact Committment to follow this up further and work towards some actions has led to detailed plans being worked-up and agreed. A collaboration agreement is being drawn-up.
Start Year 2020
 
Description IIHMR University 
Organisation IIHMR University
Country India 
Sector Academic/University 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application. We have met regularly, including collaborating on a major meeting in Jaipur in February 2019 in collaboration with the WPA
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application. The SASHI Team and members of IIHMR have met regularly, including collaborating on a major meeting in Jaipur in February 2019 in collaboration with the WPA and meetings in late 2019 and early 2020. We have developed some collaborative grant applications.
Impact Psychiatry, Clinical Psychology, Public Health
Start Year 2017
 
Description Indian Institute of Health Management Research Jaipur 
Organisation IIHMR University
Country India 
Sector Academic/University 
PI Contribution We have started to plan a number of pieces of work which relate to global mental health and provision of services and support in rural areas in India. We have explored the gap in services for people with serious mental illness and adults with learning disability. We will continue to explore opportunities to extend our work in collaboration and have started to prepare research questions about supervision of health workers in remote areas, identifying the needs of adults with learning disability and psychological autopsy in rural communities.
Collaborator Contribution IIHMR bring particular expertise related to public health and research on the management of service provision in low and middle income countries. They train graduates in health management and recruit students from a number of countries. Their research interests are closely aligned with the SASHI group and we are working together to increase capacity and capability in research to extend the SASHI research both within India and in other countries in South Asia. IIHMR members will meet with the wider group in December 2018 in the SASHI meetings in Sharjah.
Impact IIHMR were collaborators in a large grant application to extend the scope and reach of the SASHI network. IIHMR includes public health and psychology and health management.
Start Year 2017
 
Description JSS Medical College and Hospital 
Organisation JSS Medical College and Hospital
Country India 
Sector Academic/University 
PI Contribution Discussion about the potential for doctors and other mental health professionals undertaking postgraduate training to work with the SASHI team on their dissertation projects where this work is relevant to self-harm or suicide prevention. Profs C Robinson and Poole met Dr Kushalappa PA Director, Dr B Manjunath, the registrar, Dr Basavanna Gowda Patil, Principal, and Dr Rajesh Raman Head of the Department of Psychiatry at JSS University of Mysore to set up a Memorandum Of Understanding (MOU) in May 2018. Dr Murali Krishna is continuing to work with them for setting up of this MOU. The SASHI team will work with JSS on gaining a better understanding about self-harm and suicide and the pathways and barriers to prevention and support.
Collaborator Contribution Discussion about the JSS Hospital participating in the self-harm register research Prof Rajesh Raman is helping us draft and set up the MOU. He is helping in the preparatory work for setting up of a self-harm register at JSS Hospital Mysore. He will be working jointly with Dr Murali Krishna on a wide range of planned activities for building up self-harm research capacity at JSS University. He will also guide us in the receiving the necessary clearances from the ethics and clinical research committee at the JSS University. He will attend the SASHI meeting at Sharjah in December 2018 to refine the plans about students and self-harm.
Impact Psychiatry, nursing, clinical psychology, medical social work 1. The MOU between the Centre for Mental Health and Society (CFMHAS), Bangor, and JSS university will be signed in December 2018. 2. Dr Murali Krishna, Senior Research Fellow Bangor University and SASHI researcher has been offered an adjunct faculty at the Department of Psychiatry, JSS University. 3. Setting up of the Self harm Register at JSS Hospital in Mysore 4. Jointly develop the SASHI self-harm and mental health project for the student populations in Mysore 5. Dr Shivanand, Associate Professor at the Department of Psychiatry, JSS will register for a PhD programme examining the social and psychosexual determinants of self-harm in Mysore. 6. Dr Megha has registered the mental health and suicidality among the adolescents for her Master's dissertation (MD). To commence from 2019. 7. Dr Sashanth has registered 'the social and clinical determinants of self-harm among older adults in Mysore' for his Master's dissertation (MD). To commence from 2019
Start Year 2017
 
Description JSS University of Mysore 
Organisation JSS University
Country India 
Sector Academic/University 
PI Contribution Profs C Robinson and Poole met Dr Kushalappa PA Director, Dr B Manjunath, the registrar, Dr Basavanna Gowda Patil, Principal, and Dr Rajesh Raman Head of the Department of Psychiatry at JSS University of Mysore to set up a Memorandum Of Understanding (MOU) in May 2018. Dr Murali Krishna is continuing to work with them for setting up of this MOU. The SASHI team will work with JSS on gaining a better understanding about self harm and suicide and the pathways and barriers to prevention and support. JSS are now the main project partner. The collaboration agreement is due to be signed off shortly and Dr Rajesh Rahman will be part of the Co Investigator group.
Collaborator Contribution Prof Rajesh Raman is helping us draft and set up the MOU. He is helping in the preparatory work for setting up of a self-harm register at JSS Hospital Mysore. He will be working jointly with Dr Murali Krishna on a wide range of planned activities for building up self harm research capacity at JSS University. He will also guide us in the receiving the necessary clearances from the ethics and clinical research committee at the JSS University. He will attend the SASHI meeting at Sharjah in December 2018 to refine the plans about students and self harm.
Impact 1. The MOU between the Centre for Mental Health and Society (CFMHAS), Bangor, and JSS university will be signed in December 2018. 2. Dr Murali Krishna, Senior Research Fellow Bangor University and SASHI researcher has been offered an adjunct faculty at the Department of Psychiatry, JSS University. 3. Setting up of the Self harm Register at JSS Hospital in Mysore 4. Jointly develop the SASHI self-harm and mental health project for the student populations in Mysore 5. Dr Shivanand, Associate Professor at the Department of Psychiatry, JSS will register for a PhD programme examining the social and psychosexual determinants of self harm in Mysore. 6. Dr Megha has registered the mental health and suicidality among the adolescents for her Master's dissertation (MD). To commence from 2019. 7. Dr Sashanth has registered 'the social and clinical determinants of self harm among older adults in Mysore' for his Master's dissertation (MD). To commence from 2019
Start Year 2018
 
Description MMCRI Burns Unit 
Organisation Mysore Medical College
Country India 
Sector Academic/University 
PI Contribution Discussion about working together to augment the routinely collected data on the burns unit to enable a burns unit register to be established as part of the SASHI self-harm register research and to also serve the needs of the burns unit. Discussion about the creation of a care pathway between the burns unit and psychiatry and the burns unit and NGOs. Discussion about the role of stigma and substance misuse. Discussion about the role of routinely collected data and follow-up of individuals.
Collaborator Contribution Discussion about working together to augment the routinely collected data on the burns unit to enable a burns unit register to be established as part of the SASHI self-harm register research and to also serve the needs of the burns unit. Discussion about the role of stigma and substance misuse. Discussion about the role of routinely collected data and follow-up of individuals.
Impact Plastic surgery and hospital medicine
Start Year 2018
 
Description MMCRI Community Medicine 
Organisation Mysore Medical College
Country India 
Sector Academic/University 
PI Contribution Discussion about postgraduate trainees working with SASHI to develop research questions about self-harm and suicide prevention in their dissertation research. Discussion about the role of alcohol in self harm and suicide. Discussion about stigma in the role of suicide and self-harm.
Collaborator Contribution Discussion about postgraduate trainees working with SASHI to develop research questions about self-harm and suicide prevention in their dissertation research. Agreed that a member of faculty would work directly with the SASHI team on the SASHI household survey. Agreed that substance misuse and mental illness will be an important focus in SASHI.
Impact public health and community medicine
Start Year 2018
 
Description Meeting to discuss potential research work on human rights in mental health care with the Meditrina Healthcare Psychiatry Hospital, Pakistan 
Organisation Meditrina Centre
Country Pakistan 
Sector Hospitals 
PI Contribution Sadia Nafees, an early career researcher on the SASHI project, met with Consultant Psychiatrist Dr Asma Humayun and her team members (clinicians and researchers) in the Meditrina Healthcare (Psychiatry hospital) in Islamabad.Sadia introduced SASHI and what the project team could bring to a collaboration.
Collaborator Contribution The team in Islamabad is keen to develop some collabrative work and can has offered their local knowledge and research expertise.
Impact A committment to follow up on the meeting and develop a shared research project
Start Year 2020
 
Description Middlesex University 
Organisation Middlesex University
Country United Kingdom 
Sector Academic/University 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application. We are preparing a number of other grant applications
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Impact We submitted an outline grant application.
Start Year 2017
 
Description NIMHANS Developing Funding Applications together 
Organisation National Institute of Mental Health and Neurosciences
Country India 
Sector Hospitals 
PI Contribution We bring research expertise and understanding of the funding requirements.
Collaborator Contribution NIMHANS is a highly respected institution and they can provide access to potential research participants.
Impact Psychiatry, nursing, social work. We discussed firms planed to collaborate on the wider digital agenda (telemedicine initiative) and this work may be of interest to the group in the University of Manchester led by Professor Niels Peak. We met with the Head of Department and Faulty and discussed plans for collaboration.
Start Year 2019
 
Description National Institute of Mental Health & Hospital (NIMH) 
Organisation National Institutes of Health (NIH)
Department National Institute of Mental Health (NIMH)
Country United States 
Sector Public 
PI Contribution Agreed to collaborate to extend the SASHI work in South Asian countries including preparation of a major grant application.
Collaborator Contribution Agreed to collaborate to extend the SASHI work in South Asian countries including preparation of a major grant application.
Impact Psychiatry, Clinical Psychology
Start Year 2017
 
Description PGI Chandigarh 
Organisation Post Graduate Institute of Medical Education and Research (PGIMER)
Country India 
Sector Academic/University 
PI Contribution Discussion about PGI faculty collaborating in SASHI research, particularly in relationship to substance misuse and self-harm and suicide. We discussed creating a memorandum of understanding.
Collaborator Contribution Discussion about PGI faculty collaborating in SASHI research, particularly in relationship to substance misuse and self-harm and suicide. Discussion about sources of funding to extend the SASHI research platform in India.
Impact PGI faculty includes psychiatry, clinical psychology and medical social work
Start Year 2018
 
Description QMUL 
Organisation St Bartholomew's Hospital
Department School of Medicine and Dentistry
Country United Kingdom 
Sector Hospitals 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Impact Psychiatry, Clinical Psychology
Start Year 2017
 
Description RCPsych 
Organisation Royal College of Psychiatrists
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution Agreed to collaborate to extend the SASHI work in South Asian countries including preparation of a major grant application. We have held a series of meetings with their internationalisation lead to advise RCPsych about getting involved in global mental health research, including working with the SASHI network. We have also discussed other global health related research funding streams and about research on supervision in the context of scale-up activity.
Collaborator Contribution Agreed to collaborate to extend the SASHI work in South Asian countries including preparation of a major grant application. We have held a series of meetings with their internationalisation lead to advise RCPsych about getting involved in global mental health research, including working with the SASHI network. We have also discussed other global health related research funding streams and about research on supervision in the context of scale-up activity.
Impact The collaboration with RCPsych has resulted in the submission of one outline proposal and discussion about the potential to collaborate on other research activity related to global mental health, in particular the topic of supervision
Start Year 2017
 
Description Research work with Rajasthan Police 
Organisation Rajasthan Police Academy
Country India 
Sector Public 
PI Contribution We met with the Director General of the Rajasthan police force about the potential to undertake some research and development work about the well-being of members of the police force and suicide and self harm and about potential collaboration with the Police University.
Collaborator Contribution Potential research partner providing access to a large number of police employees.
Impact This collaboration has since developed and a qualitative project is being planned where Police staff will be interviewed. The study will explore perceptions and attitudes around suicide and self-harm of police staff through remote in-depths interviews. The study would be supported by the Rajasthan Police force in general and the Police Academy in Jaipur specifically, and the Green Oak Initiative in Bangaluru.
Start Year 2019
 
Description Self Harm Register Roll out in Rajasthan 
Organisation Sawai ManSingh Medical College and Hospital
Country India 
Sector Academic/University 
PI Contribution We met in 2019 with the Director of Medical Education (who also has state-wide responsibilities) and the Director of Forensics and Toxicology. We discussed the opportunity for the SASHI Self Harm register process (supervised implementation by the SASHI team) to be adopted by the hospital. We met again in February 2020 to firm up plans. We discussed the collaboration on the upcoming MRC programme grant call.
Collaborator Contribution The hospital has an ED and a Trauma Centre. The Director of Forensics manages the routinely collected data about medico-legal cases which are key to SASHI processes. SMS is also a focus for autopsies at a time when death registration in India is being reformed. We also met with the secretary and the minister for Health and Family Welfare in Rajasthan and both support a roll-out of the Self Harm Register across state hospitals. State Minister for Health and Family Welfare will be the signatory on an MOU between the Faculty of Biology, Medicine and Health in the University of Manchester
Impact Initial draft plans for SASHI Self Harm Register roll-out. To have access to this sort of support and infra-structure to roll out the SASHI surveillance system is significant and a major outcome for SASHI. MOU in preparation.
Start Year 2019
 
Description Submission of a GCRF-University grant application with a focus on Social inclusion in deprived tribal communities in India 
Organisation Institute of Public Health Bengaluru
Country India 
Sector Charity/Non Profit 
PI Contribution We developed and submitted a grant application , the application was led by P. Huxley in Bangor. Unfortunately we were unsucessful in this very competitive round. This is a developing partnership and the group is exploring further options.
Collaborator Contribution The organisations provided their knowledge of the local context to the application. This is a collaborative partnership. The proposed work was going to be conducted by partners in India
Impact A grant application was submitted. The partnership is with a University (https://iphindia.org/about-us/) and a TSO (http://www.vgkk.org/).
Start Year 2019
 
Description Submission of a GCRF-University grant application with a focus on Social inclusion in deprived tribal communities in India 
Organisation Vivekananda Girijana Kalyana Kendra
Country India 
Sector Charity/Non Profit 
PI Contribution We developed and submitted a grant application , the application was led by P. Huxley in Bangor. Unfortunately we were unsucessful in this very competitive round. This is a developing partnership and the group is exploring further options.
Collaborator Contribution The organisations provided their knowledge of the local context to the application. This is a collaborative partnership. The proposed work was going to be conducted by partners in India
Impact A grant application was submitted. The partnership is with a University (https://iphindia.org/about-us/) and a TSO (http://www.vgkk.org/).
Start Year 2019
 
Description Submission of a GCRF-University grant application with a focus on service user engagement in self harm and suicide research in South Asia 
Organisation Chhahari Nepal for Mental Health
Country Nepal 
Sector Charity/Non Profit 
PI Contribution We developed and submitted a grant application together, the application was led by A.Krayer in Bangor. Unfortunately we were unsucessful in this very competitive round. This is a developing partnership and the partners are working on a Health System Research Grant.
Collaborator Contribution We developed and submitted a grant application together at the end of 2019. The research was going to take place in India (http://www.graam.org.in/about-us/) and Nepal (https://chhaharinepal.org.np/), with the South Asia partners being equal partners and conducting the field work. Connections with partners in Nepal have developed further and we are currently collaboratively developing a grant proposal
Impact This collaboration is with two NGOs - one in Nepal and one in India. An output is the grant proposal which we submitted the end of 2019.
Start Year 2019
 
Description Submission of a bid for a GCRF funded PhD at University of Manchester on 'Deliberate Self-Harm and Suicide in Women in India' 
Organisation JSS University
Country India 
Sector Academic/University 
PI Contribution An application for a GCRF funded PhD was developed collaboratively with Indian partners who have first hand knowledge and experience of the Indian context. The appication was succesfull and the PhD student, Parvathy Ramesh, has started on her programme of research.
Collaborator Contribution The partners provided their knowledge and experience of the local context to the application. The proposed work will be conducted in close collaboration with partners in India and the PhD student will spend a significant proportion of time in India with partners (dependent on restrictions relating to COVID-19).
Impact A grant application was submitted. Funding was successfully obtained (see Funding section). PhD studentship commenced September 2020
Start Year 2019
 
Description Submission of a bid for a GCRF funded PhD at University of Manchester on 'Responsible Reporting of Deliberate Self-Harm and Suicide in the Indian Media' 
Organisation University of Mysore
Country India 
Sector Academic/University 
PI Contribution An application for a GCRF funded PhD was developed collaboratively with Indian partners who have first hand knowledge and experience of the Indian media. Unfortunately this application was unsuccessful.
Collaborator Contribution The partners provided their knowledge and experience of the local context to the application. If successful the proposed work would have been conducted in close collaboration with partners in India.
Impact A grant application was submitted.
Start Year 2019
 
Description The All India Institute of Speech and Hearing Mysore 
Organisation The All India Institute of Speech and Hearing
Country India 
Sector Academic/University 
PI Contribution Profs Robinson and Poole, and Dr Murali Krishna, had a meeting with Prof S Goswami at the All India Institute of Speech and Hearing, Mysore. This meeting identified AIISH as an important resource for capacity building, and carrying out training and dissemination activities. Further work has involved a joint workshop and successful joint funding application with Dr Ira Leroi (SASHI Co-Investigator)
Collaborator Contribution Prof Goswami is helping us draft and set up a Memorandum of Understanding (MOU) between the Bangor University, University of Manchester, Oxford University, PILL, MMCRI and AIISH, Mysore. He has specifically sought permission for SASHI-India staff to use the state of the art facilities at his institution for training and public engagement activities. Further work has involved a joint workshop and successful joint funding application with Dr Ira Leroi (SASHI Co-Investigator)
Impact 1. MOU between Bangor University, University of Manchester, Oxford University, PILL, MMCRI and AIISH to be drafted by December 2018; 2. AIISH is a premier institution of the Central Ministry of Health and Family Welfare. This provides a direct pathway for the policy impact in India; 3. Resources (e.g. lecture theatres, halls and auditorium, and AV facilities) will be made available for the SASHI team for effectively conducting public engagement, training and scientific dissemination activities in Mysore; 4. Prof Goswami will collaborate with us in conducting the self-harm studies among the immigrant populations in Mysore. 5. Funded research project starting in March 2019
Start Year 2018
 
Description The Department of Anthropology, University of Mysore 
Organisation University of Mysore
Country India 
Sector Academic/University 
PI Contribution Profs. Robinson and Poole, and Dr Murali Krishna had a meeting with Prof. Gangadhar, Head of the Department of Anthropology at University of Mysore. This meeting identified the University of Mysore as an important resource for capacity building, and developing educational and training resources. The potential for SASHI staff to co-supervise MA and MSc students is under discussion.
Collaborator Contribution Prof. Gangadhar is helping us set up a Memorandum Of Understanding (MOU) between the SASHI Collaborators and the University of Mysore. In addition, he has made provision for CFHMAS, Bangor and SASHI India team to use the multimedia resources available at University of Mysore for developing educational training resources.
Impact 1. The MOU between the SASHI Collaborators and the Department of Anthropology, University of Mysore, has been drafted and will be formalised in November 2018 during a knowledge exchange visit. 2. The team and SASHI India team have access to the multimedia studio at University of Mysore for developing educational training resources that can be broadcast to all graduate and postgraduate educational organisations in the State of Karnataka. 3. The Department of Anthropology are considering identifying student undertaking Masters level dissertations to work with the SASHI team.
Start Year 2018
 
Description University of Chester 
Organisation University of Chester
Department Faculty of Health and Social Care
Country United Kingdom 
Sector Academic/University 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application. The SASHI team are involved in some knowledge exchange work to extend their work on self-harm and suicide prevention with particular occupational groups including known to be of high risk for self harm and suicide. The SASHI group bring particular expertise in self-harm research, narrative methods and the use of routinely collected data.
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application. Professor Vimal Sharma chairs the World Psychiatric Association interest group on rural mental health. Professor Sharma developed the Global Mental Health Assessment Tool (GMHAT) for use by non-specialist workers. The GMHAT may become part of the Self Harm Register additional data set.
Impact We submitted an outline grant application. Psychiatry and Nursing are included in the disciplines from University of Chester. We are developing a further grant application in relation to learning disability.
Start Year 2017
 
Description University of Edinburgh and South Asian Clinical Toxicology Research Collaboration 
Organisation South Asian Clinical Toxicology Research Collaboration
Country Sri Lanka 
Sector Charity/Non Profit 
PI Contribution Prof. Eddleston (University of Edinburgh), and the South Asian Clinical Toxicology Research COllaboration (SACR) have become collaborators with the SASHI project. SASHI will use make use of the financial strain measures employed by the team in Sri Lanka in their own data collection, providing further comparative data on financial strain and self-harm.
Collaborator Contribution Access to financial strain measures. Access to existing datasets of self-poisoning events recorded at hospitals in Sri Lanka for the purposes of further secondary analysis.
Impact Addition of financial strain items in the updated SASHI self-harm register (Multi-disciplinary; Psychiatry, Medicine, Sociology, Psychology) Development of protocol for secondary analyses of Sri Lanka hospital data - in progress (Multi-disciplinary; Psychiatry, Medicine, Sociology, Psychology)
Start Year 2020
 
Description University of Edinburgh and South Asian Clinical Toxicology Research Collaboration 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution Prof. Eddleston (University of Edinburgh), and the South Asian Clinical Toxicology Research COllaboration (SACR) have become collaborators with the SASHI project. SASHI will use make use of the financial strain measures employed by the team in Sri Lanka in their own data collection, providing further comparative data on financial strain and self-harm.
Collaborator Contribution Access to financial strain measures. Access to existing datasets of self-poisoning events recorded at hospitals in Sri Lanka for the purposes of further secondary analysis.
Impact Addition of financial strain items in the updated SASHI self-harm register (Multi-disciplinary; Psychiatry, Medicine, Sociology, Psychology) Development of protocol for secondary analyses of Sri Lanka hospital data - in progress (Multi-disciplinary; Psychiatry, Medicine, Sociology, Psychology)
Start Year 2020
 
Description University of Warwick 
Organisation University of Warwick
Department Warwick Medical School
Country United Kingdom 
Sector Academic/University 
PI Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Collaborator Contribution We worked in collaboration to develop an extension to the SASHI work in South Asian countries including preparation of a major grant application.
Impact We submitted an outline grant application.
Start Year 2017
 
Description "Meet the team" SASHI Co-Investigator interviews 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact We have produced a series of brief videos featuring interviews with different SASHI co-investigators (seven in total). The videos were distributed on a monthly basis via social media (twitter, facebook) and were also accessible via the SASHI website. The videos provide information about the nature and goals of the SASHI project, and the work involved, as well as the interests and motivations of the co-investigators.
Year(s) Of Engagement Activity 2018
URL http://sashi.bangor.ac.uk/sashitv/team.php.en
 
Description Academic emergency medicine: a UK perspective by Emily Bebbington 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Twenty doctors from JSS hospital Emergency Department (India) attended the talk which gave insight into the SASHI project and led to discussions about research development at the hospital and region as a whole. This event led to future potential research collaborations with the JSS ED.
Year(s) Of Engagement Activity 2019
 
Description Awareness event in Mysore on self-harm in children and adolescents. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact An awareness program on self-harm was undertaken with teachers who have enrolled for counselling and guidance courses. The participants belonged to various states of South-India. The participants were briefed about the SASHI Project and also given a small presentation on self-harm in children and adolescents. Then the video #youfirstmarksnext was also shown to them. There was a small discussion with the management of the institution on conducting further engagement programs for students who are getting trained to be teachers and they were positive about this.
Year(s) Of Engagement Activity 2018
 
Description Awareness program on Self-Harm for MBBS students 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact On June 3rd 2018, an awareness program on self-harm was run for the 3rd year MBBS (Bachelor of Medicine and Bachelor of Surgery) students of Mysore Medical College & Research Institute. The program focussed on sensitizing the students to the issue of self-harm and also informing the about the facts and myths related to self-harm. The program also focussed on informing the participants about the SASHI project and also the research done in the Mysore district related to self-harm.
Year(s) Of Engagement Activity 2018
 
Description Brief introduction to qualitative research 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact A two hour training event for postgraduates concerning qualitative research, organised based on a request made at a previous event (Improving Mental Health and Wellbeing of Communities, IIHMR University). Feedback from the session was good: 85% rated the training as "good". 90% said the content of the training was "good" or "excellent", and 100% said the trainer was "good" or "excellent". One participant said "Excellent workshop, interdisciplinary and truly enjoyed it."
Year(s) Of Engagement Activity 2019
 
Description British Isles Workshop 16th October 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact 26th British Isles Workshop
Year(s) Of Engagement Activity 2019
 
Description Conference 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact South East Regional Conference on Self Harm and Suicide 'Working together to Prevent Suicide' My presentation "The nature and important of self-harm"
Year(s) Of Engagement Activity 2019
 
Description Consultation Meeting with Health Workers, India 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Discussion involved Introducing SASHI and better understanding self-harm in the context of tribal communities
Year(s) Of Engagement Activity 2018
 
Description Culture and International Mental Health Conference 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact GCRF SASHI team members attended the International conference in Manchester on Culture and International Mental Health. Professor Catherine Robinson the PI and Professor Rob Poole a CI, delivered a presentation on development of the GCRF SASHI project and outlined the findings from some pilot work on the development of Self Harm Registers in South Asia. The idea was to share the project focus with a wider audience and invite comments and identify future partners for research. People were very engaged and networks were developed for future collaboration.
Year(s) Of Engagement Activity 2017
 
Description Decriminalisation of suicide in India" at Offender Health Research Network Wales North Wales conference 22 May 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Third sector organisations
Results and Impact More details required
Year(s) Of Engagement Activity 2019
 
Description Engagement event for school children in Mysore, India, regarding self-harm and mental health 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact Dr murali krishna from the SASHI project team led this engagement event with school children from Mysore and their teachers, promoting mental health and self-harm awareness. The event involved discussion and interaction with the students about mental health suicide and self harm. Students had an opportunity to talk about self-harm behaviour and were told about mental health services and what they provide. The SASHI project was introduced and discussed as part of the event.
Year(s) Of Engagement Activity 2017
 
Description Engagement program with Post-Graduate students (Community Medicine) of Mysore Medical College & Research Institute 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact A need assessment program was undertaken for the Post-Graduate (Community Medicine) students of Mysore Medical College & Research Institute, marking World Suicide Prevention Day (10th September 2018). The program mainly focussed on informing the participants about the SASHI project and also explaining to them the objectives of the project. There was an active discussion about risk factors for self-harm and also a discussion about the myths and facts about self-harm. They informed us that there was no event until then about Self-Harm and the program was beneficial.
Year(s) Of Engagement Activity 2018
 
Description Forging your own path in academic clinical medicine (National) - Workshop by Dr Emily Bebbington 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Thirty junior doctors who are members of the BMA. The workshop included discussions about the practicalities of becoming involved in research, the SASHI project, and potential areas of medical training that could be lobbied to improve academic opportunities. A key outcome was national exposure of the project to junior doctors.
Year(s) Of Engagement Activity 2020
 
Description Forging your own path in academic clinical medicine - Talk by Dr Emily Bebbington 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Ten junior doctors from Bangor Emergency Department. Discussed opportunities for research and details of my PhD project. A key outcome was Increased exposure to research opportunities and SASHI in trainee doctors in North Wales.
Year(s) Of Engagement Activity 2020
 
Description GCRF Advisory Group 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact I presented (alongside three other GROW PIs) a collective presentation on visions for capacity building under the Growing Research Capability call. This detailed our initial plans for capacity building, and what we are aiming to achieve medium to longer term over the life cycle of the project in terms of capacity building. We also participated in a question and answer session with the Strategic Advisory Group about some of the challenges of working in Low and Middle Income Countries (LAMICS).
Year(s) Of Engagement Activity 2017
 
Description GCRF Networking Event, Bangor University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact PI Professor Catherine Robinson and CoI Professor Rob Poole presented an overview of the GCRF-SASHI programme and took part in a question and answer session on securing GCRF funding and creating partnerships for research in LAMICS.
Year(s) Of Engagement Activity 2017
 
Description Health Service Research Summer School Presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact A presentation to the Health Service Summer School on "Partnership and Capacity Building in low and middle income countries: Lessons from the Global Challenge Research Fund South Asia Self Harm Initiative (GCRF SASHI)

Presentation sparked lots of questions and discussions, feedback indicated that participants found it inspiring and very informative
Year(s) Of Engagement Activity 2018
URL https://www.bangor.ac.uk/health-sciences/research/summer-school-2018/index.php.en
 
Description Health Service Research Summer School Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Discussion of participant's research projects/ideas and sharing of knowledge and experience. One of the participants has remained in contact and is pursuing higher training in Public Health Medicine firstly by undertaking a MSc and if a funding application is successful she will go on to undertake a PhD. Her intention is to work closely with the SASHI team and to undertake work on presentations of self-immolation in India. It is anticipated that this work will involve joint supervision from India and the UK.
Year(s) Of Engagement Activity 2018
URL https://www.bangor.ac.uk/healthcaresciences/research/summer-school-2018/timetable.php.en
 
Description Improving Mental Health and Well-being of Communities, IIHMR University Jaipur, 9 Feb 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact A two day workshop and a one day conference for health and social care staff and Non-Governmental Organisations. Catherine Robinson, the SASHI PI, was part of a panel on day one of the workshop and introduced SASHI to the audience. Peter Huxley, Anne Krayer, Murali Krishna and Sumanth Magji (co-investigators and SASHI team members) all spoke at a symposium at the conference about various aspects of SASHI. The symposium panel was chaired by Catherine.
Year(s) Of Engagement Activity 2019
 
Description Invited Plenary 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Australian Institute for Suicide Research and Prevention
Griffith University, Brisbane "Self-harm and Suicide in Young People"
Year(s) Of Engagement Activity 2019
 
Description Invited speaker 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Glasgow Early and Mid-Career Researchers (EMCR) Forum 2019
Year(s) Of Engagement Activity 2019
 
Description Invited speaker 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Australian Institute for Suicide Research and Prevention Griffith University, Brisbane "Self-harm and Suicide in Young People"
Year(s) Of Engagement Activity 2019
 
Description Invited speaker 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Glasgow Invited Plenary Speaker "Restrictions of access to means of suicide as a key suicide prevention measure"Early and Mid-Career Researchers (EMCR) Forum 2019
Year(s) Of Engagement Activity 2019
 
Description Invited speaker 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact European Symposium on Suicide and Suicidal Behaviour (ESSSB) Derry - London Derry 17th September until Saturday 21st September
Year(s) Of Engagement Activity 2019
 
Description Invited speaker 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Working together to Prevent Suicide' South East Regional Conference on Self Harm and Suicide - invited speaker "The nature and importance of self-harm"
Year(s) Of Engagement Activity 2019
 
Description Lancet Psychiatry with CSR 15th October 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Lancet Psychiatry Suicide Research Symposium
Year(s) Of Engagement Activity 2019
 
Description Meeting in Oxford with Murad Khan 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Meeting in Oxford with Catherine Robinson, Rob Poole and Murad Khan (Pakistan) to discuss the project
Year(s) Of Engagement Activity 2018
 
Description Meeting in Oxford with Rob Poole and Catherine Robinson 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Meeting in Oxford with Rob Poole and Catherine Robinson to discuss the grant and with Sudeep Das for filming to be placed on the SASHI website
Year(s) Of Engagement Activity 2018
 
Description Meeting in Oxford with Rob Poole and Catherine Robinson 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Ongoing discussion regarding the Grant
Year(s) Of Engagement Activity 2018
 
Description Mental health and self-harm awareness - Minnesota University 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Awareness program on mental health systems and self-harm in the Indian context with Masters Students from Minnesota University
Year(s) Of Engagement Activity 2018
 
Description Narrative research training for health and social care professionals from India and Pakistan 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 8 professionals attended a two day interactive workshop on narrative interview methods. feedback was extremely positive and the group formed the Narrative Inquiry Interest group. The group will share resources and contribute to meet (by a variety of means, mainly online but also face-to face if possible) at regular intervals. Short-term, the purpose is to increase members confidence to use the methods in their settings and share learning with collagues. Longer-term, the group will aim to develop and submit a proposal.
Year(s) Of Engagement Activity 2018
URL https://www.facebook.com/pill2001/
 
Description Need Assessment for Self-Harm register in India 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact SASHI-india was invited to conduct an awareness programme on self-harm on 5-12-2018. The facillitators were Dr Sumanth and Dr Sudeep Das. Another objective was to discuss the feasibility of keeping a self-harm register at the primary care level.
Year(s) Of Engagement Activity 2018
 
Description One day training on "Understanding Self-Harm" to students at Mysore Medical College and Research Institute 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact This event took place in July with 3rd year medical students studying at Medical College and Research Institute. The presentation included an introduction to statistics related to suicide and self-harm, common myths surrounding self-harm, details of risk and protective factors, and how to support someone who might be suicidal.
Year(s) Of Engagement Activity 2018
 
Description Open house engagement event with Vikram college of Nursing students and staff that focused on self-harm 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact This was an open house engagement event at the College which focused on self-harm, following concerns about increased self-harm rates amongst nurses. The event was an opportunity for the nursing students to talk about self-harm and suicide and think about their options for seeking help and support. The SASHI project was discussed. The event also led to the identification of a SASHI champion amongst the students, who will be able to support future engagement events.
Year(s) Of Engagement Activity 2018
 
Description PI experience - "securing GCRF funding" on 27/07/17 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Bangor University's RCUK & Impact Manager organised a one-day GCRF Networking Session for senior academics in July 2017. The aims of the day were to:
• Engage with GCRF project PIs, panel members and researchers working internationally with a session of talks and posters
• Run an all-day mapping exercise to identify the nature of existing international research and development networks that Bangor staff had
• Gain a better idea of the interdisciplinary opportunities which might be open to the University in relation to global challenges focussed research

I contributed throughout the day, including the delivery of a discrete session on writing proposals to GCRF calls.
Year(s) Of Engagement Activity 2017
 
Description Podcast about mental health with Tracie Harris and Prof. Rob Poole 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact In this podcast SASHI co-Investigator Rob Poole was intervied. Discussion touched on suicide prevention and suicide rates during the COVID-19pandemic.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=pY43sGfgphk
 
Description Poster presentation to ADSSCymru (Llandudno, 29th & 30th June, 2016) and the International Population Data Linkage Conference (Swansea, 24-26 August, 2016). 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact ADSSCymru (Llandudno, 29th & 30th June, 2016) and the International Population Data Linkage Conference (Swansea, 24-26 August, 2016).
Year(s) Of Engagement Activity 2016
 
Description Presentation 'The Decriminalisation of Suicide in India' by Rob Poole  
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Needs content
Year(s) Of Engagement Activity 2019
 
Description Presentation School of Health Sciences Bangor University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Talked about the SASHI work with a specific focus on research issues that need to be considered when conducting research on suicide and self harm in South Asia. This led to questions and discussion and participants told me that they learnt a lot.
Year(s) Of Engagement Activity 2020
 
Description Presentation at QRMH 7 How do health professionals in South India talk about self-harm? A narrative pilot study 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact Presentation of a paper: How do health professionals in South India talk about self-harm? A narrative pilot study. Participants in the session (about 40) came from a diversity of backgrounds and countries and the event created a space for lively and enriching discussions.

In particular contact was made with a representative from an NGO, working in South Asia, with whom we are going to explore further work.

Also, there was a lot of discussion about enabling participation, cultural values and narrative methods and several people came after the talk to discuss the possibility of using narrative methods generally and in different cultural contexts.
Year(s) Of Engagement Activity 2018
 
Description Presentation on Effective suicide prevention is a public health at British Pakistani Psychiatrists Association (BPPA) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation sparked a lot of questions and discussions.
Year(s) Of Engagement Activity 2019
URL https://www.bppa.info/bppa-annual-meeting-9th-and-10th-november-2019/
 
Description Presentation on SASHI to two day conference in Wrexham organised by R&D department of local Health Board 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Industry/Business
Results and Impact The R&D department of Betsi Cadwaladr University Health Board relaunched following reorganisation. The conference was specifically intended to bring together researchers, business and industry. Our presentation was well received and led to closer links with NHS R&D, together with significant interest from health researchers beyong the public sector and mental health.
Year(s) Of Engagement Activity 2018
 
Description Presentation summer research school, Bangor University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact SASHI Co-Is and researchers in training delivered sessions at the two summer school weeks at the School of Health Sciences, Bangor University. Sessions covered:
- introduction to SASHI
- research protocol development
- capacity building theory and practice
- considerations when setting-up a burns register.

The sessions sparked a lot of interest and discussion. A connection with Emily Bebbington was made in the first summer school in 2018. She stayed in touch and met several times with the team. Based on this she submitted a PhD funding application and received funding. Her PhD focuses on setting up a burns register and Catherine Robinson (PI) and Rob Poole (Co-I) are her supervisors. She presented at the Summer school in 2019.
Year(s) Of Engagement Activity 2018,2019
 
Description Prof. Rob Poole on "Captain Hunter's podcast" 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Professor Rob Poole, SASHI co-ivestigator has recorded an interview for Captain Hunter's podast, a US based podcast about political and social issues. In the interview he talks about his work with SASHI and suicide preventions, as well as the social determinants of mental health more broadly.
Year(s) Of Engagement Activity 2021
URL https://captainhunter.podbean.com/?fbclid=IwAR2uj9ny3ep3WDV9jV61FoFVOTodvfBs21S1Og27xRHk_gdeKUlN1TKs...
 
Description RCPsych International Congress in Birmingham 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The Royal College of Psychiatrists have formed a group aimed at developing their involvement in global mental health research and training. The PI and one of the Co-Investigators of SASHI have been invited to join this group. SASHI team members have shared their experiences and expertise in developing partnerships in Low and Middle Income Countries and in doing challenge led research.
Year(s) Of Engagement Activity 2018
 
Description RCPsych Mental Health Awareness Week events, RGP delivering session on 18th May 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This was one of a series of five talks organised by the Royal College of Psychiatry (RCPsych) to mark Mental Health Awareness Week.

Roughly 60 people attended, mostly of whom were RCPsych staff

it created a great deal of interest with the RCPsych and ported the RCPsych involvement in the SASHI Advisory Group.
Year(s) Of Engagement Activity 2018
 
Description Research ethics at JSS Hospital, Mysore, India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact 17 health and research professionals and postgraduate students attended an interactive workshop on research ethics. The aim of the workshop was knowledge exchange between facilitators from the SASHI team and attendees. The workshop sparked much discussion regarding the ways in which ethical risks and issues can be managed in the Indian context. Feedback forms filled out by attendees indicated that the session had increased their understanding of how to identify and deal with ethical risks and issues.
Year(s) Of Engagement Activity 2019
 
Description SASHI Launch 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact A combination of partners and third sector organisations attend the launch of the SASHI Research Project in Manchester. The purpose of the GCRF-SASHI project is to help to find effective responses to deliberate self-harm and suicide in South Asia by building research infrastructure and expertise in India and Pakistan with international attendees. With a few short presentation which sparked questions and discussions.
Year(s) Of Engagement Activity 2017
 
Description SASHI Networking event (6th November) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact This was a three hour afternoon event bringing together clinicians and researchers from India, UK and Pakistan. The event provided a context for discussions on topics linked to SASHI and promoted the development of new collaborative research projects and funding application. Organisations involved included University of Manchester, Bangor University, PILL, University of Chester, Cwm Taf University Health Board, Cardiff University, University of Bradford, Mysore Medical College & research Institute, JSS Medical College, Grassroots Research & Advocacy Movement in Mysore, University of Sap Paulo, NCMH, CAMHS in Bangor, UCL, Edinburgh University, Royal College of Psychiatrists, MIND Cymru, Aga Khan University, and Edge Hill University. There was considerable engagement and discussion within and following the event, including social media activity. Social media engagements on twitter increased the week of the event by 258 engagements, up to 273 from 15 the previous week, including an additional 20 Twitter followers.
Year(s) Of Engagement Activity 2018
URL http://sashi.bangor.ac.uk/news/networking-event-in-manchester-6th-of-november-38753
 
Description SASHI research training for Research Assistants at Public Health Institute, Mysore 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact Training in research methods delivered to assistant psychologists at the Public Health Research Institute, Mysore. The training focused on development of questionnaires and administration of the questionnaire in a standardised manner for women in the community. Basic principles and ethical issues in conducting community research were taught and discussed.
Year(s) Of Engagement Activity 2018
 
Description SSHARE NoW one day conference (Liverpool) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact One day conference on the topic of suicide and self-harm, focused on local research and priorities (Suicide and Self-Harm Research Exercise: North West; SSHARE NoW). SASHI Co-Investigator Peter Taylor was involved in organising the event and facilitating afternoon networking discussions.
Year(s) Of Engagement Activity 2019
 
Description Self-Harm Awareness programme with ASHA workers - India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Awareness programme on self-harm for ASHA (Accredited Social Health Activists) workers. Myths and facts about Self-Harm were discussed. The audience reported that it was beneficial.
Year(s) Of Engagement Activity 2018
 
Description Submisison of abstracts for the 5th Global Symposium on Health Systems Reseach and application for a scholarship which includes further training 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This is part of the capacity building theme of the project. We supported two applicants, who are early career researchers with a clinical background, in developing the research protocol and abstract. If successful in this very competitive process, they will receive a scholarship which not only allows them to attend and present at the conference but also includes additional research training and networking opportunities.
Year(s) Of Engagement Activity 2018
URL http://healthsystemsresearch.org/hsr2018/
 
Description Suicide Awareness Programme and Introduction to SASHI - Police in India 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact The SASHI Team was invited by the District Mental Health Programme of Chamarajanagar District to conduct an awareness programme on self-harm for the police department of the district. The session was a part of the larger awareness programme on Mental Health. The event included an introduction to SASHI Project.
Year(s) Of Engagement Activity 2018
URL http://sashi.bangor.ac.uk/news/awareness-programme-on-self-harm-and-suicide-for-police-department-at...
 
Description Suicide Awareness Programme and Introduction to SASHI, India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact The session involved introducing SASHI project to the participants and then building awareness about self-harm among students. The session was interactive and the teacher participated actively.
Year(s) Of Engagement Activity 2018
 
Description Symposium Presentation at World Psychiatric Association (WPA) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact International perspectives on social factors and mental Health Symposium based on SASHI work chaired by Peter Huxley (CoI):

Presentation by Catherine Robinson (CI): Care for People following Self-Harm: perspectives from health care providers
Presentation by Rob Poole (CoI): Developing Effective Suicide Prevention Strategies in South Asia
Year(s) Of Engagement Activity 2018
URL https://www.wpanet.org/post/world-congress-of-psychiatry-mexico-2018-meet-the-expert-sessions
 
Description Talk on Trauma systems: Prevention to treatment by Emily Bebbington 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Forty doctors from Emergency Departments (EDs) across Karnataka (India) gathered for their monthly regional meeting which I was invited to talk at. We discussed trauma systems in the UK and how they compared to India, current research infrastructure, details of the SASHI project, which sparked debate and potential future visits. An outcome was strengthening links with ED's across Karnataka and exposure to the SASHI project.
Year(s) Of Engagement Activity 2019
 
Description Teaching about SASHI for the public health pathway (Bangor University) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Undergraduate students
Results and Impact Teaching about SASHI for the public health pathway (Bangor University), covering information about self-harm and suicide, including the role of public health initiatives in suicide prevention. Covered importance of surveillance of self-harm. Teaching delivered by Anne Krayer (SASHI co-Investigator)
Year(s) Of Engagement Activity 2020
 
Description Television Programme on SASHI in Mysore 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact On the 29th of May 2018, there was a live telecast of interview of Profs Catherine Robinson and Rob Poole, and the SASHI India team by Yashtel television services that was broadcast to entire city of Mysore. This was over 90 minutes long and the anchor interviewed the team about the aims and objectives of SASHI, relevance of SASHI to Mysore, risk factors for self-harm in India and the plan of work of SASHI in Mysore in the coming years. This was received extremely well and we received plenty of compliments and phone calls from at least 50 to 60 members of public and other educational organisations, and welfare societies wanting to work with/collaborate/or know more about SASHI.
Year(s) Of Engagement Activity 2018
URL https://youtu.be/dQYYzWXziPo
 
Description Training for teachers in Mysore about self-harm in children and adolescents 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Training for teachers of Excel Public School was undertaken. The training mainly focussed on awareness of self-harm among children and adolescents. Risk factors for self-harm among students were discussed. The teachers were informed about SASHI project. The #youfirstmarksnext video made by the SASHI team was shown.
Year(s) Of Engagement Activity 2018
 
Description UN World Day of Social Justice hosted by Social Science Society, Bangor University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact UN World Day of Social Justice hosted by Social Science Society - Talks on Issues in Equality, Mental Health and more, 20th February 2018. Professor Catherine Robinson and Professor Rob Poole presented an overview of the issues related to mental health and poverty and described our work in GCRF SASHI on self harm
Year(s) Of Engagement Activity 2018
 
Description Understanding self harm and suicide in south India - Presentation at Bangor University by Dr Emily Bebbington 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact Thirty students and staff from Bangor University attended this 2 hour workshop at the Health Research Summer School. It sparked questions and debate, and students reported increased understanding of injury prevention principles afterwards. A key outcome was increased knowledge of the SASHI project in the wider university.
Year(s) Of Engagement Activity 2019
 
Description Welsh Clinical Academic Training Fellowship - Talk by Dr Emily Bebbington 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Fifteen junior doctors from acute speciality training scheme across North Wales. We discussed the opportunities for research across Wales and the SASHI project. A key outcome was increased exposure to research opportunities and SASHI in trainee doctors in North Wales.
Year(s) Of Engagement Activity 2019
 
Description Workshop on skills training with carers on managing children with intellectual disabilities, pariculalry those who self-harm 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact Carers attended a workshop on skills training to learn about managing children with intellectual disabilities, with a particular focus on managing self-harm behaviours. At the Government Shadab Institute of Special Children
Year(s) Of Engagement Activity 2018
 
Description YouFirstMarksNext video 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact We compiled a short video outlining the link between exam pressure and student suicide in India. The video included interviews with students, teaching staff, clinicians and SASHI co-investigators. The video is hosted on the SASHI website (942 views as of 28/08/2018) and has been disseminated via social media. The video also caught attention from the media house named '"UDAYAVANI" and shared the video in their social media page which has been viewed by 4000 people and also shared 30 times. Since sharing the video we have been contacted by individuals praising the video and the importance of the subject matter it covers. The video was also entered into the "Art with Impact" competition where it received positive feedback.
Year(s) Of Engagement Activity 2018
URL http://sashi.bangor.ac.uk/sashitv/youfirstmarksnext.php.en
 
Description short piece in the Public Health Network Cymru publication 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact This was a special issue for Mental Health day in September and we presented a brief summary about the research including contact details and web site
Year(s) Of Engagement Activity 2017
URL https://www.publichealthnetwork.cymru/en/get-involved/ebulletins/