Abstract
AbstractBackgroundEvidence on the risk factors for repeat self-harm from low- and middle-income countries is scarce and requires urgent attention.AimsWe sought to examine psychosocial correlates of repeat self-harm in Kandy, Sri Lanka.MethodsLogistic regression models (adjusting for age and sex) were used to examine associations between study factors and repeat self-harm among adult patients (N=292) admitted for self-poisoning.ResultsDepression (OR 2.8 95% CI 1.7-4.7), prior psychiatric diagnosis (OR 4.8 95% CI 2.2-10.2), past-year exposure to suicidal behaviour (OR 1.9 95% 1.1-3.3), physical/sexual abuse (OR 3.0 95% CI 1.3-6.9), and psychological abuse (OR 2.3 95% CI 1.3-4.2) were strongly associated with repeat self-harm.ConclusionsIdentification and management of domestic violence and psychiatric morbidity should be part of routine clinical assessments of patients presenting with self-harm.
Publisher
Cold Spring Harbor Laboratory
Reference11 articles.
1. Bandara, P. , Page, A. , Senarathna, L. , Kidger, J. , Feder, G. , Gunnell, D. , Knipe, D. (2020). Domestic violence and self-poisoning in Sri Lanka. Psychological medicine, 1–9. https://doi.org/ https://dx.doi.org/10.1017/S0033291720002986
2. Prevalence and correlates of domestic violence among people seeking treatment for self-harm: data from a regional self-harm register;Emergency medicine journal : EMJ,2019
3. From pesticides to medicinal drugs: time series analyses of methods of self-harm in Sri Lanka
4. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies;PLoS medicine,2013
5. Risk of suicide and repeat self-harm after hospital attendance for non-fatal self-harm in Sri Lanka: a cohort study;The Lancet Psychiatry,2019