Table 1.
Culturally-adapted case vignettes in MHFA training
| A-1. Original Version Jenny is a 15 year old who has been feeling unusually sad and miserable for the last few weeks. She is tired all the time and has trouble sleeping at night. Jenny doesn’t feel like eating and has lost weight. She can’t keep her mind on her studies and her marks have dropped. She puts off making any decisions and even day to day tasks seem too much for her. Her parents and friends are very concerned about her. Jenny feels she will never be happy again and believes her family would be better off without her. She has been so desperate, she has been thinking of ways to end her life |
| A2. Modified version, changes highlighted in bold Rukmini is a 22 year old who has been feeling unusually sad and miserable for the last few weeks. She is tired all the time and has trouble sleeping at night. Rukmini doesn’t feel like eating and has lost weight. She can’t keep her mind on her work and her monthly income dropped. She puts off making any decisions and even day to day tasks seem too much for her. Her husband, parents, and friends are very concerned about her. Rukmini feels she will never be happy again and believes her family would be better off without her. She has been so desperate, she has been thinking of ways to end her life |
| B1. Original Version John is a 15 year old who lives at home with his parents. He has been attending school irregularly over the past year and has recently stopped attending altogether. Over the past 6 months he has stopped seeing his friends and begun locking himself in his bedroom and refusing to eat with the family or to have a bath. His parents also hear him walking about in his bedroom at night while they are in bed. Even though they know he is alone, they have heard him shouting and arguing as if someone else is there. When they try to encourage him to do more things, he whispers that he won’t leave home because he is being spied upon by the neighbor. They realize he is not taking drugs because he never sees anyone or goes anywhere |
| B2. Modified version, changes highlighted in bold Karma is a 25 year old who lives at home with his parents. He has been attending community college irregularly over the past year and has recently stopped attending altogether. Over the past 6 months he has stopped seeing his friends and begun locking himself in his bedroom and refusing to eat with the family or to have a bath. His parents also hear him walking about in his bedroom at night while they are in bed. Even though they know he is alone, they have heard him shouting and arguing as if someone else is there. When they try to encourage him to do more things, he whispers that he won’t leave home because he is being spied upon by the neighbor. They realize he is not taking drugs because he never sees anyone or goes anywhere |