Exploring Perceived Causes and Consequences of Substance Abuse in Sikkim

Although Sikkim is known to be one of the most peaceful states in India, there are various issues that have gripped the state. One such issue is the rampant use of alcohol and other substances. The present study explored the possible causes and consequences of substance abuse in Sikkim by using qualitative research approach. In-depth interviews were carried out with 17 individuals 10 male in-patients from Sikkim diagnosed with substance use disorder (SUD), 3 physicians and 2 counsellors dealing with patients with SUD, and 2 first-degree relatives of in-patients suffering from SUD. Results showed that majority of the male in-patients (80%) were indulged in multiple substances. The most common causes for initiation of substances as reported by in-patients, relatives, physicians, and counsellors were: enjoyment, curiosity, relieving stress, drinking culture, and easy availability. They also reported that the consumption of substances led to academic, financial, social and behavioural problems, along with deterioration of health, psychological problems like low self-confidence, isolation and increased sadness. Physicians and counsellors also reported that the majority of the patients seeking treatment also had a family history of SUD. They also reported that the most common reasons for wanting to quit the substances are deteriorating health and wanting to rebuild trust and relationships. The findings of the research suggest that there is an urgent need to conduct a thorough research on trends of substance use in Sikkim and to develop suitable intervention strategies to reduce the increasing rate of Substance Use Disorders in Sikkim.