Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals
<strong>Background:</strong> Over 90% of youth suicide deaths occur in low- and middle-income countries. Despite this relatively little is known about risk factors in this context. <br> <strong>Aims:</strong> Investigate risk factors for deliberate self-harm (non-fatal)...
| 主要な著者: | , , , , , , , , , , , , |
|---|---|
| フォーマット: | Journal article |
| 言語: | English |
| 出版事項: |
Sri Lanka Medical Association
2021
|
| _version_ | 1826259967780323328 |
|---|---|
| author | Fernando, K Jayamamanna, S Weerasinghe, M Priyadarshana, C Rohan, R Pearson, M Gunnell, D Dawson, A Hawton, K Konradsen, F Eddleston, M Metcalfe, C Knipe, D |
| author_facet | Fernando, K Jayamamanna, S Weerasinghe, M Priyadarshana, C Rohan, R Pearson, M Gunnell, D Dawson, A Hawton, K Konradsen, F Eddleston, M Metcalfe, C Knipe, D |
| author_sort | Fernando, K |
| collection | OXFORD |
| description | <strong>Background:</strong> Over 90% of youth suicide deaths occur in low- and middle-income countries. Despite this relatively little is known about risk factors in this context.
<br>
<strong>Aims:</strong> Investigate risk factors for deliberate self-harm (non-fatal) in young people in rural Sri Lanka.
<br>
<strong>Methods:</strong> A prospective cohort study of 22,401 individuals aged 12-18 years with complete data on sex, student status, household asset score, household access to pesticides and household problematic alcohol use. Deliberate self-harm was measured prospectively by reviewing hospital records. Poisson regression estimated incidence rate ratios (IRRs) for the association of risk factors with deliberate self-harm.
<br>
<strong>Results:</strong> Females were at higher risk of deliberate self-harm compared to males (IRR 2.05; 95%CI 1.75 – 2.40). Lower asset scores (low compared to high: IRR 1.46, 95%CI 1.12 - 2.00) and having left education (IRR 1.61 95%CI 1.31 – 1.98) were associated with higher risks of deliberate self-harm, with evidence that the effect of not being in school was more pronounced in males (IRR 1.94; 95%CI 1.40 – 2.70) than females. There was no evidence of an association between household pesticide access and deliberate self-harm risk, but problematic household alcohol use was associated with increased risk (IRR 1.23; 95%CI 1.04 – 1.45), with evidence that this was more pronounced in females than males (IRR for females 1.42; 95%CI 1.17 – 1.72). There was no evidence of deliberate self-harm risk being higher at times of school exam stress.
<br>
<strong>Conclusion:</strong> Indicators of lower socioeconomic status, not being in school, and problematic alcohol use in households, were associated with increased deliberate self-harm risk in young people. |
| first_indexed | 2024-03-06T18:58:13Z |
| format | Journal article |
| id | oxford-uuid:12985958-c344-40a5-a24c-145184e85be5 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:58:13Z |
| publishDate | 2021 |
| publisher | Sri Lanka Medical Association |
| record_format | dspace |
| spelling | oxford-uuid:12985958-c344-40a5-a24c-145184e85be52022-03-26T10:08:58ZRisk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individualsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:12985958-c344-40a5-a24c-145184e85be5EnglishSymplectic ElementsSri Lanka Medical Association2021Fernando, KJayamamanna, SWeerasinghe, MPriyadarshana, CRohan, RPearson, MGunnell, DDawson, AHawton, KKonradsen, FEddleston, MMetcalfe, CKnipe, D<strong>Background:</strong> Over 90% of youth suicide deaths occur in low- and middle-income countries. Despite this relatively little is known about risk factors in this context. <br> <strong>Aims:</strong> Investigate risk factors for deliberate self-harm (non-fatal) in young people in rural Sri Lanka. <br> <strong>Methods:</strong> A prospective cohort study of 22,401 individuals aged 12-18 years with complete data on sex, student status, household asset score, household access to pesticides and household problematic alcohol use. Deliberate self-harm was measured prospectively by reviewing hospital records. Poisson regression estimated incidence rate ratios (IRRs) for the association of risk factors with deliberate self-harm. <br> <strong>Results:</strong> Females were at higher risk of deliberate self-harm compared to males (IRR 2.05; 95%CI 1.75 – 2.40). Lower asset scores (low compared to high: IRR 1.46, 95%CI 1.12 - 2.00) and having left education (IRR 1.61 95%CI 1.31 – 1.98) were associated with higher risks of deliberate self-harm, with evidence that the effect of not being in school was more pronounced in males (IRR 1.94; 95%CI 1.40 – 2.70) than females. There was no evidence of an association between household pesticide access and deliberate self-harm risk, but problematic household alcohol use was associated with increased risk (IRR 1.23; 95%CI 1.04 – 1.45), with evidence that this was more pronounced in females than males (IRR for females 1.42; 95%CI 1.17 – 1.72). There was no evidence of deliberate self-harm risk being higher at times of school exam stress. <br> <strong>Conclusion:</strong> Indicators of lower socioeconomic status, not being in school, and problematic alcohol use in households, were associated with increased deliberate self-harm risk in young people. |
| spellingShingle | Fernando, K Jayamamanna, S Weerasinghe, M Priyadarshana, C Rohan, R Pearson, M Gunnell, D Dawson, A Hawton, K Konradsen, F Eddleston, M Metcalfe, C Knipe, D Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title | Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title_full | Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title_fullStr | Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title_full_unstemmed | Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title_short | Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals |
| title_sort | risk factors for deliberate self harm in young people in rural sri lanka a prospective cohort study of 22 000 individuals |
| work_keys_str_mv | AT fernandok riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT jayamamannas riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT weerasinghem riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT priyadarshanac riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT rohanr riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT pearsonm riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT gunnelld riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT dawsona riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT hawtonk riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT konradsenf riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT eddlestonm riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT metcalfec riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals AT kniped riskfactorsfordeliberateselfharminyoungpeopleinruralsrilankaaprospectivecohortstudyof22000individuals |