@article{dcf4cbf5741042489e151dc9ad66b81f,
title = "Experience of traumatic events in people with severe mental illness in a low-income country: a qualitative study",
abstract = "BACKGROUND: This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting.METHODS: A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers.RESULTS: Many participants reported that exposure to traumatic and stressful events led to SMI, exacerbated SMI symptoms, and increased caregiver stress and distress. In addition, SMI symptoms and caregiver desperation, stress or stigma were also reported to increase the possibility of trauma exposure.CONCLUSIONS: Results suggest it is incumbent upon health professionals and the broader health community to view trauma exposure (broadly defined) as a public health problem that affects all, particularly individuals with SMI.",
author = "Ng, {Lauren C} and Kimberly Hook and Maji Hailemariam and Medhin Selamu and Abebaw Fekadu and Charlotte Hanlon",
note = "Funding Information: The data for the analyses in this paper came from the PRogramme for Improving Mental health carE (PRIME). PRIME was funded by the UK Department for International Development (DfID) [201446] with a grant to AF. The views expressed in this article do not necessarily reflect the UK Government{\textquoteright}s official policies. LN{\textquoteright}s effort on this study was funded by National Institutes of Health (NIH) grants #T32MH093310, #T32MH116140, and K23MH110601. KH{\textquoteright}s effort was funded by NIH grant #T32MH116140. CH receives support from the National Institute for Health and Care Research (NIHR) for the NIHR Global Health Research Group on Homelessness and Mental Health in Africa (HOPE; NIHR134325) and the SPARK project (NIHR200842) using UK aid from the UK Government. The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. CH also receives support from WT grants 222154/Z20/Z and 223615/Z/21/Z. Funding sources had no role in the study other than financial. Publisher Copyright: {\textcopyright} 2023, The Author(s). M1 - 45",
year = "2023",
month = dec,
day = "5",
doi = "10.1186/s13033-023-00616-4",
language = "English",
volume = "17",
journal = "International Journal of Mental Health Systems",
issn = "1752-4458",
publisher = "BioMed Central",
number = "1",
}