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Peer-reviewedCC BY-NC 4.0BMJ Open

Mental health issues among women experiencing domestic violence and their help-seeking behaviour in the WHO South-East Asian Region: a systematic review protocol

7 affiliations
  1. 1Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
  2. 2Department of Global Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India
  3. 3Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  4. 4Department of Forensic Medicine, MS Ramaiah Medical College, Bengaluru, Karnataka, India
  5. 5Department of Forensic Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
  6. 6Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
  7. 7Deakin University School of Psychology, Burwood, Victoria, Australia

Abstract

Introduction: Domestic violence (DV) is a global health phenomenon that accounts for 33% of the intimate and non-partner violence against women in the WHO South-East Asian Region (SEAR). Despite its profound impact, DV remains largely overlooked due to stigma and misconceptions. It is often acknowledged as a social determinant of suicide yet masked under ‘family issues’. However, reviews addressing this silent epidemic, its associated mental health issues and help-seeking behaviours, including the barriers and facilitators that influence help-seeking among victims of DV, in the WHO SEAR remain underexplored.

Methods and analysis: This protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines, ensuring methodological transparency. It will include studies such as cross-sectional surveys, case‒control studies, cohort studies, qualitative studies and mixed-method studies. Relevant studies will be retrieved from global databases such as CINAHL via EBSCOhost, MEDLINE via PubMed, Embase, Cochrane, Scopus, Web of Science and the ProQuest Medical Library. Two independent reviewers will subsequently screen the studies, with disagreements resolved by a senior reviewer. Data extraction will be performed via a tailored data extraction sheet. The Critical Appraisal Skills Programme tools and the Mixed Methods Appraisal Tool will be used to assess the quality of included studies. The findings of the studies will be narratively summarised, and a meta-analysis will be performed on the basis of homogeneity.

Ethics and dissemination: Ethical approval is not required for this study. The findings will be disseminated through a peer-reviewed journal and at scientific conferences.

Trial registration number: CRD420251041787.

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BibTeX
@article{ngangom2026mental,
  title = {{Mental health issues among women experiencing domestic violence and their help-seeking behaviour in the WHO South-East Asian Region: a systematic review protocol}},
  author = {Karorpati Chanu Ngangom and Varalakshmi Chandra Sekaran and Vijay Shree Dhyani and Anitha S and Manjula Anil Kunder and Vikram Palimar and Samir K Praharaj and Lata Satyen and Ashwini Kumar and Ranjitha S Shetty},
  journal = {BMJ Open},
  year = {2026},
  month = oct,
  doi = {10.1136/bmjopen-2025-112187},
  url = {https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2025-112187},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Mental health issues among women experiencing domestic violence and their help-seeking behaviour in the WHO South-East Asian Region: a systematic review protocol
AU  - Karorpati Chanu Ngangom
AU  - Varalakshmi Chandra Sekaran
AU  - Vijay Shree Dhyani
AU  - Anitha S
AU  - Manjula Anil Kunder
AU  - Vikram Palimar
AU  - Samir K Praharaj
AU  - Lata Satyen
AU  - Ashwini Kumar
AU  - Ranjitha S Shetty
PY  - 2026
DA  - 2026/10/29
JO  - BMJ Open
DO  - 10.1136/bmjopen-2025-112187
UR  - https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2025-112187
AB  - Introduction: Domestic violence (DV) is a global health phenomenon that accounts for 33% of the intimate and non-partner violence against women in the WHO South-East Asian Region (SEAR). Despite its profound impact, DV remains largely overlooked due to stigma and misconceptions. It is often acknowledged as a social determinant of suicide yet masked under ‘family issues’. However, reviews addressing this silent epidemic, its associated mental health issues and help-seeking behaviours, including the barriers and facilitators that influence help-seeking among victims of DV, in the WHO SEAR remain underexplored.  Methods and analysis: This protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines, ensuring methodological transparency. It will include studies such as cross-sectional surveys, case‒control studies, cohort studies, qualitative studies and mixed-method studies. Relevant studies will be retrieved from global databases such as CINAHL via EBSCOhost, MEDLINE via PubMed, Embase, Cochrane, Scopus, Web of Science and the ProQuest Medical Library. Two independent reviewers will subsequently screen the studies, with disagreements resolved by a senior reviewer. Data extraction will be performed via a tailored data extraction sheet. The Critical Appraisal Skills Programme tools and the Mixed Methods Appraisal Tool will be used to assess the quality of included studies. The findings of the studies will be narratively summarised, and a meta-analysis will be performed on the basis of homogeneity.  Ethics and dissemination: Ethical approval is not required for this study. The findings will be disseminated through a peer-reviewed journal and at scientific conferences.  Trial registration number: CRD420251041787.
SN  - 2044-6055
SN  - 2044-6055
ER  -