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The Phenomenon of Ragging: Violence among University students in Sri Lanka
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.ORCID iD: 0000-0001-6329-5377
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Ragging is an initiation ritual carried out in Sri Lankan universities, where new students are harassed by senior students. This practice has severe adverse consequences including depression, increased university dropouts and suicide. Although this is a significant public health problem and a burden on the country, research on ragging is scarce.

This thesis aimed to investigate and gain a deeper understanding of the phenomenon of ragging, through the various perspectives of students and individuals attached to the University of Jaffna, Sri Lanka. The prevalence of Major depressive disorder (MDD) among the students was also examined. 

Paper I, a cross-sectional survey, demonstrated that 59% of the students from the faculties of Medicine and Technology experienced ragging. Health consequences were experienced by 54% and help was mainly sought from friends and family. The student’s faculty and year of study was associated with ragging.

In Paper II, 17 focus group discussions (FGD) were conducted with students representing all faculties. Thematic analysis was employed to navigate through the theoretical lenses of structural violence, intersectionality, and social dominance. Findings revealed students used ragging as an expression of power to initiate order and express dissatisfaction towards social inequalities. Students trivialized violence despite being aware of the dire consequences.

In Paper III, 11 semi-structured interviews and seven FDGs were conducted with staff and work-affiliated individuals at the university. Foucauldian Discourse Analysis and Bandura’s Moral Disengagement theory were utilized to interpret the findings. The main discourses were; Ragging as normal and necessary, Insecurity and fear of reprisal, and Voices of resistance. Participants felt unsupported and in order to survive in this insecure environment, they adapted their moral judgments.

In Paper IV, Patient Health Questionnaires (PHQ-9) were used to screen for MDD among students (n=637), from Faculties of Management, Science and Medicine. MDD was experienced by 31% of students. Among all the student participants, 70% had experienced some form of depression ranging from mild to severe. MDD was associated with the student’s ethnicity.

Interventions targeting both individual and multisectoral levels are needed in order to curb ragging, and create a safe and nurturing environment for all. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2022. , p. 74
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1887
Keywords [en]
hazing; harassment; abuse; violence; university students; public health; South Asia; Students; Depression; Mental health
National Category
Other Medical Sciences
Research subject
Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-488180ISBN: 978-91-513-1661-1 (print)OAI: oai:DiVA.org:uu-488180DiVA, id: diva2:1709810
Public defence
2023-01-18, Sal XI, Biskopsgatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2022-12-21 Created: 2022-11-09 Last updated: 2023-08-18
List of papers
1. Ragging, a Form of University Violence in Sri Lanka-Prevalence, Self-Perceived Health Consequences, Help-Seeking Behavior and Associated Factors
Open this publication in new window or tab >>Ragging, a Form of University Violence in Sri Lanka-Prevalence, Self-Perceived Health Consequences, Help-Seeking Behavior and Associated Factors
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 14, article id 8383Article in journal (Refereed) Published
Abstract [en]

Ragging is an initiation ritual practiced in Sri Lankan universities for generations, although research is scarce. This practice has several adverse consequences such as physical, psychological, and behavioral effects and increased university dropouts. The aim of this study was to investigate the prevalence of different types of ragging: emotional/verbal, physical and sexual ragging, self-perceived health consequences, help-seeking behavior, and factors associated with the experience of ragging. A cross-sectional study was conducted among 623, second- and third-year students from the medical, and technology faculties in Jaffna University. Bivariate associations were assessed using chi-squared tests. Logistic regression was used to evaluate factors associated with any type of ragging. Ragging was experienced by 59% of the students, emotional/verbal ragging being the most common. A total of 54% of students suffered one or more health consequences and mainly sought help from friends and family, with few seeking formal help. Factors associated with any type of ragging were faculty and year of study. This study emphasizes the urgent need to address this public health problem. It is important that there are adequate student support services, planning and implementation of effective interventions, as well as ensuring that existing policies are strengthened, to reduce or eliminate ragging in Sri Lanka.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
hazing, harassment, abuse, violence, university students, public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-482466 (URN)10.3390/ijerph19148383 (DOI)000832241400001 ()35886237 (PubMedID)
Available from: 2022-08-24 Created: 2022-08-24 Last updated: 2022-11-09Bibliographically approved
2. Ragging as an expression of power in a deeply divided society: a qualitative study on students perceptions on the phenomenon of ragging at a Sri Lankan university
Open this publication in new window or tab >>Ragging as an expression of power in a deeply divided society: a qualitative study on students perceptions on the phenomenon of ragging at a Sri Lankan university
2022 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 7, article id e0271087Article in journal (Refereed) Published
Abstract [en]

Initiation rituals such as hazing, bullying, and ragging, as it is referred to in Sri Lanka, is a global phenomenon and has become a serious public health problem. Students are bullied and harassed by senior students causing them to suffer severe adverse consequences including depression, increased university dropouts and suicide. Although this has led to a significant burden on the country, research on ragging is scarce. The aim of this study was to explore the perceptions of students concerning the phenomenon of ragging and to understand how ragging affects student life and culture at the University of Jaffna, Sri Lanka. This paper is based on 17 focus group discussions with male and female students of Sinhalese, Tamil, and Muslim ethnicity. Thematic analysis was employed to navigate through the theoretical lenses of structural violence, intersectionality, and social dominance. The findings revealed how students perceived ragging differently; as an expression of power to initiate order and as a way to express dissatisfaction towards social inequalities occurring within the larger society or to facilitate bonds between university students. Students trivialized violence related to ragging and accepted it as a part of the university subculture despite being aware of the dire consequences. There was a described cyclical nature to ragging whereby victims become perpetrators. The student’s perspective appeared to be a missed opportunity in finding feasible solutions to a societal problem that must take all parties involved, into consideration.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2022
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:uu:diva-488176 (URN)10.1371/journal.pone.0271087 (DOI)35816476 (PubMedID)
Funder
Uppsala University
Available from: 2022-11-09 Created: 2022-11-09 Last updated: 2023-08-17Bibliographically approved
3. ‘I don’t know how we can stop ragging’: a qualitative study on the perceptions of staff and work-affiliated individuals at a Sri Lankan university, on the phenomena of ragging
Open this publication in new window or tab >>‘I don’t know how we can stop ragging’: a qualitative study on the perceptions of staff and work-affiliated individuals at a Sri Lankan university, on the phenomena of ragging
2023 (English)In: Contemporary South Asia, ISSN 0958-4935, E-ISSN 1469-364XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Ragging in Sri Lanka is a longstanding initiation ritual, similar to hazing and bullying. The severe harassment of new students by seniors has led to adverse consequences including depression, university dropouts and suicide. Although, a significant problem, research on ragging is scarce. This research aimed to explore how staff and work-affiliated individuals at Jaffna University resonate around the phenomenon of ragging. Seven focus group discussions and eleven semi-structured interviews were conducted. Foucauldian Discourse Analysis and Bandura’s Moral Disengagement theory were used to interpret the data. Three main discourses reflected the context: ragging as normal and necessary, insecurity and fear of reprisal, and voices of resistance. Participants often felt unsupported and therefore adapted their moral compasses to survive in this insecure environment. These findings demonstrate a fragmented approach to ragging that not only diminished any efforts towards elimination but affected how staff were forced to adjust their behavior to work in this environment. To address ragging, there is a need to adhere to a consistent strategy focusing on increasing awareness and supporting staff by holding accountable those at all levels of the administrative hierarchy in promoting a safe working environment for all.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
ragging, bullying, violence, university staff, public health, Southeast Asia, Foucault, discourse analysis, moral disengagement
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:uu:diva-488178 (URN)10.1080/09584935.2023.2227113 (DOI)001012943100001 ()
Funder
Uppsala University
Available from: 2022-11-09 Created: 2022-11-09 Last updated: 2023-08-17
4. Prevalence of depression among students at a Sri Lankan University: A study using the Patient Health Questionnaire-9 (PHQ-9) during the COVID-19 pandemic
Open this publication in new window or tab >>Prevalence of depression among students at a Sri Lankan University: A study using the Patient Health Questionnaire-9 (PHQ-9) during the COVID-19 pandemic
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 528Article in journal (Refereed) Published
Abstract [en]

Background

The prevalence of mental health disorders is known to be high among university students globally. Currently there are only a few studies on depression among university students in Sri Lanka. The aim of this study was to screen for the prevalence of Major Depressive Disorder (MDD) and other forms of depression, and to evaluate the factors associated with MDD.

Methods

A cross sectional survey using the Patient Health Questionnaire (PHQ-9) was conducted among 637, second-year students from the faculties of Management Studies & Commerce, Science and Medicine at the University of Jaffna, during the Coronavirus (COVID-19) pandemic. Bivariate associations were assessed using chi-squared tests. Logistic regression was used to evaluate factors associated with any type of ragging.

Results

MDD was considered to have been experienced by 31% of the students. From all three faculties, 70% of the students claimed to have experienced some form of depression ranging from mild to severe. The factor associated with MDD was the students’ ethnicity.

Conclusion

Due to the high MDD risk among university students, it is imperative to develop psychosocial interventions to ensure early detection of mental health disorders and provide adequate support to safeguard this vulnerable population.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Major Depressive disorder; mental health; PHQ-9; university students; South Asia; public health; COVID-19
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-488179 (URN)10.1186/s12889-023-15427-y (DOI)000956396600008 ()36941588 (PubMedID)
Available from: 2022-11-09 Created: 2022-11-09 Last updated: 2023-08-28Bibliographically approved

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