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01-02-2021 | Suicide | Original Article

Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool

Authors: Ahmad S. Alzahrani, Abdullah M. Alqahtani, Soha A. Elmorsy, Maher Alhazmi, Hashim A. Mahdi, Baraa Albarakati, Aqeel Alkhiri, Anwar Hakeem

Published in: Journal of Public Health | Issue 1/2021

Abstract

Objectives

To perform Hajj properly, pilgrims have to be in good shape, both physically and psychologically. Those with mental disorders may encounter difficulties in completing Hajj. This study aims to estimate the prevalence of psychiatric disorders among Hajj pilgrims.

Methods

Pilgrims were recruited through multi-stage random sampling for a total duration of 20 days during the 2016 Hajj. Semi-structured interviews were performed that included demographics, medical background, and assessment on the Mini-International Neuropsychiatric Interview (MINI) scale to diagnose psychiatric disorders.

Results

Out of the 513 pilgrims appraised, 37 (7.2%) had one or more psychiatric disorders. The most common psychiatric conditions were major depressive disorders (2.0%), agoraphobia (1.8%), and psychotic disorders (1.4%). Of note, 32 pilgrims (6.2%) posed a suicide risk. Of these pilgrims, 27 (5.3%) were found to have a low suicide risk, three (0.6%) a moderate suicide risk, and two (0.4%) a high suicide risk. Pilgrims with at least one psychiatric disorder, compared to those without any psychiatric disorders, were significantly more likely to be female (p < 0.001), unmarried (p < 0.012), have a suicide risk (p < 0.001), and be on psychiatric medication (p < 0.028).

Conclusion

Psychiatric disorders were found to be widespread among Hajj pilgrims, particularly depressive disorders. Of particular concern, the suicidality risk was also found to be common, although low rates predominated.

Awara MA, Moselhy HF, Elnenaei MO (2018) Late onset first episode psychosis emerging as delusional misidentification of familiar sacred places during a holy pilgrimage: a case report and literature review. J Relig Health 57:2224–2229. https://doi.org/10.1007/s10943-017-0524-8CrossRefPubMed

Egede LE, Zheng D, Simpson K (2002) Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. Diabetes Care 25:464–470CrossRef

Goodwin RD, Davidson KW, Keyes K (2009) Mental disorders and cardiovascular disease among adults in the United States. J Psychiatr Res 43:239–246. https://doi.org/10.1016/j.jpsychires.2008.05.006CrossRefPubMed

Hopkins N, Reicher S (2016) The psychology of health and well-being in mass gatherings: a review and a research agenda. J Epidemiol Glob Health 6:49–57. https://doi.org/10.1016/j.jegh.2015.06.001CrossRefPubMed

Kadri N, Agoub M, El Gnaoui S, Alami KhM, Hergueta T, Moussaoui D (2005) Moroccan colloquial Arabic version of the Mini International Neuropsychiatric Interview (MINI): qualitative and quantitative validation. Eur Psychiatry 20:193–195. https://doi.org/10.1016/j.eurpsy.2004.11.007CrossRefPubMed

Khan SA, Chauhan VS, Timothy A, Kalpana S, Khanam S (2016) Mental health in mass gatherings. Ind Psychiatry J 25:216–221. https://doi.org/10.4103/ipj.ipj_15_17CrossRefPubMedPubMedCentral

Khan ID, Khan SA, Asima B, Hussaini SB, Zakiuddin M, Faisal FA (2018) Morbidity and mortality amongst Indian Hajj pilgrims: a 3-year experience of Indian Hajj medical mission in mass-gathering medicine. J Infect Public Health 11:165–170. https://doi.org/10.1016/j.jiph.2017.06.004CrossRefPubMed

Lester D (2006) Suicide and islam. Arch Suicide Res 10:77–97. https://doi.org/10.1080/13811110500318489CrossRefPubMed

Masood K, Gazzaz ZJ, Ismail K, Dhafar KO, Kamal A (2007) Pattern of psychiatry morbidity during Hajj period at Al-Noor Specialist Hospital. Int J Psychiatry Med 37:163–172. https://doi.org/10.2190/87X8-K561-7162-10XXCrossRefPubMed

Ministry of Hajj and Umrah (2019) The Establishment of Motawifs of Pilgrims of Turkey, Muslims of Europe America and Australia. http://www.haj.gov.sa/english/Businesssector/ArbabAlTawaif/Pages/turusaaus.aspx. Accessed 2 Jan 2019

Mortazavi SM, Torkan A, Tabatabaei A, Shamspour N, Heidari S (2015) Diseases led to refer Iranian pilgrims from Hajj in 2012. Iran Red Crescent Med J 17:e12860. https://doi.org/10.5812/ircmj.12860CrossRefPubMedPubMedCentral

Özen S (2010) Sociodemographic characteristics and frequency of psychiatric disorders in Turkish pilgrims attending psychiatric outpatient clinics during Hajj [Hac süresince psikiyatri poliklinigine basvuran Türk hacilarinda sosyodemografik özellikler ve psikiyatrik hastaliklarin sikligi]. Dicle Tip Derg 37:8–15

Raja W, Aziz A, Hassan TB, Jalil M, Niazi IU, Jawaid N, Tariq M (2017) Disease patterns among Hajj pilgrims attending medical facilities of Pakistan Hajj medical mission 2016 (1437 HIJRI). Pak Armed Forces Med J 67:825–831

Razavi SM, Sabouri-Kashani A, Ziaee-Ardakani H, Tabatabaei A, Karbakhsh M, Sadeghipour H, Mortazavi-Tabatabaei SA, Salamati P (2013) Trend of diseases among Iranian pilgrims during five consecutive years based on a syndromic surveillance system in Hajj. Med J Islam Repub Iran 27:179–185PubMedPubMedCentral

Runeson B, Odeberg J, Pettersson A, Edbom T, Jildevik Adamsson I, Waern M (2017) Instruments for the assessment of suicide risk: a systematic review evaluating the certainty of the evidence. PLoS One 12:e0180292. https://doi.org/10.1371/journal.pone.0180292CrossRefPubMedPubMedCentral

Saxena S, Funk M, Chisholm D (2013) World Health Assembly adopts comprehensive mental health action plan 2013–2020. Lancet 381:1970–1971CrossRef

Shah A, Chandia M (2010) The relationship between suicide and Islam: a cross-national study. J Inj Violence Res 2:93–97. https://doi.org/10.5249/jivr.v2i2.60CrossRefPubMedPubMedCentral

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33; quiz 34–57PubMed

Sindy AI, Baljoon MJ, Zubairi NA, Dhafar KO, Gazzaz ZJ, Deiab BA, Hothali FA (2015) Pattern of patients and diseases during mass transit: the day of Arafat experience. Pak J Med Sci 31:1099–1103. https://doi.org/10.12669/pjms.315.8017CrossRefPubMedPubMedCentral

Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, Silove D (2014) The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol 43:476–493. https://doi.org/10.1093/ije/dyu038CrossRefPubMedPubMedCentral

Strine TW, Mokdad AH, Balluz LS, Gonzalez O, Crider R, Berry JT, Kroenke K (2008) Depression and anxiety in the United States: findings from the 2006 Behavioral Risk Factor Surveillance System. Psychiatr Serv 59:1383–1390. https://doi.org/10.1176/appi.ps.59.12.1383CrossRefPubMed

Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T (2015) The global burden of mental, neurological and substance use disorders: an analysis from the Global Burden of Disease Study 2010. PLoS One 10:e0116820. https://doi.org/10.1371/journal.pone.0116820CrossRefPubMedPubMedCentral

World Heath Organization (WHO) (2013) Mental health action plan 2013–2020. WHO, Geneva

World Health Organization (WHO) (2014) Preventing suicide: a global imperative. WHO, Geneva

Title: Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool
Authors: Ahmad S. Alzahrani
Abdullah M. Alqahtani
Soha A. Elmorsy
Maher Alhazmi
Hashim A. Mahdi
Baraa Albarakati
Aqeel Alkhiri
Anwar Hakeem
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Keywords: Suicide
Suicide
Published in: Journal of Public Health / Issue 1/2021
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-019-01110-3

At a glance: The STEP trials

Springer Medicine

Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool

Abstract

Objectives

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusion

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