Attempted suicide in Sri Lanka - An epidemiological study of household and community factors

Journal of Affective Disorders
D W KnipeC Metcalfe

Abstract

An individual's suicide risk is determined by personal characteristics, but is also influenced by their environment. Previous studies indicate a role of contextual effects on suicidal behaviour, but there is a dearth of quantitative evidence from Asia. Individual and community level data were collected on 165,233 people from 47,919 households in 171 communities in rural Sri Lanka. Data were collected on individual (age, sex, past suicide attempts and individual socioeconomic position (SEP)) and household (household SEP, pesticide access, alcohol use and multigenerational households) level factors. We used 3-level logit models to investigate compositional (individual) and contextual (household/community) effects. We found significant variation between households 21% (95% CI 18%, 24%) and communities 4% (95% CI 3%, 5%) in the risk of a suicide attempt. Contextual factors as measured by low household SEP (OR 2.37 95% CI 2.10, 2.67), low community SEP (OR 1.45 95% CI 1.21, 1.74), and community 'problem' alcohol use (OR 1.44 95% CI 1.19, 1.75) were associated with an increased risk of suicide attempt. Women living in households with alcohol misuse were at higher risk of attempted suicide. We observed a protective effect of living in...Continue Reading

Citations

May 6, 2020·Crisis·Jane Brandt SørensenFlemming Konradsen
Mar 30, 2020·BMC Public Health·Jefferson Antonio BuendíaAndres F Zuluaga
Mar 27, 2020·Crisis·Lakshmi VijayakumarElla Arensman
Jul 3, 2021·International Journal of Environmental Research and Public Health·Emelynne Gabrielly de Oliveira SantosIsabelle Ribeiro Barbosa

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