TY  - JOUR
PY  - 2021//
TI  - Risk factors for deliberate self-harm in young people in rural Sri Lanka: a prospective cohort study of 22,000 individuals
JO  - Ceylon medical journal
A1  - Fernando, Kiyara
A1  - Jayamanna, Shaluka
A1  - Weerasinghe, Manjula
A1  - Priyadarshana, Chamil
A1  - Ratnayake, Rohan
A1  - Pearson, Melissa
A1  - Gunnell, David
A1  - Dawson, Andrew
A1  - Hawton, Keith
A1  - Konradsen, Flemming
A1  - Eddleston, Michael
A1  - Metcalfe, Chris
A1  - Knipe, Duleeka
SP  - 87
EP  - 95
VL  - 66
IS  - 2
N2  - BACKGROUND: 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. AIMS: Investigate risk factors for deliberate self-harm (non-fatal) in young people in rural Sri Lanka. <br><br>METHODS: 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><br>RESULTS: 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><br>CONCLUSION: 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0009-0875
UR  - http://dx.doi.org/10.4038/cmj.v66i2.9469
ID  - ref1
ER  -