当前位置： SCI文献检索 > BMC PUBLIC HEALTH期刊下所有文献 > Non-fatal self-poisoning in Sri Lanka: associated triggers and motivations.

Non-fatal self-poisoning in Sri Lanka: associated triggers and motivations.

Abstract：

BACKGROUND:Attempted or non-fatal self-poisoning is common in Sri Lanka. To date, most preventive strategies have focused on limitation of access to toxic pesticides, which has reduced the rates of fatal self-poisoning. However the ongoing phenomenon of non-fatal self-poisoning indicates the need for exploration of alternate preventive strategies. Self-poisoning in Sri Lanka has been described as impulsive, with little premeditation, but the motivations associated with this act have not been studied in depth. This research describes the triggers and motivations associated with non-fatal self-poisoning in Sri Lanka. It is anticipated that the findings would help guide future preventive strategies. METHODS:Two studies were carried out, at Teaching Hospital Peradeniya, Sri Lanka, each using a different methodology - Study 1 consisted of qualitative semi-structured interviews, and Study 2 was a cross sectional survey. Both studies were conducted among those who had recently attempted self-poisoning, and explored associated triggers and motivations associated with the act of self-poisoning. There was no overlap between participants of the two studies. RESULTS:A total of 24 persons participated in the semi-structured interviews (Study 1), and 921 took part in the cross-sectional survey (Study 2). Interpersonal conflict was the most common trigger prior to the act of non-fatal self-poisoning. A mixture of motivations was associated with the act of self-poisoning, including intent to die, to escape, and difficulty tolerating distress associated with interpersonal conflict. CONCLUSIONS:Development of interpersonal skills and interpersonal problem solving skills, particularly in adolescents and young people, emerges as a key primary preventive strategy. Further, there is value in exploring and helping people to develop more adaptive strategies to cope with emotional distress associated with interpersonal conflict. While distress tolerance and interpersonal skill training strategies used in the West may be considered, it is also important to adapt and develop strategies suited to the local cultural background. Further research is needed to develop and evaluate such strategies, and findings may have implications not only to Sri Lanka but also for other countries in South Asia.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Rajapakse T,Griffiths KM,Christensen H,Cotton S

doi

10.1186/s12889-015-2435-5

subject

Has Abstract

pub_date

2015-11-24 00:00:00

pages

1167

issn

1471-2458

pii

10.1186/s12889-015-2435-5

journal_volume

pub_type

杂志文章

在线工具

Non-fatal self-poisoning in Sri Lanka: associated triggers and motivations.