Trial reportBMC public health2011
A community-based cluster randomised trial of safe storage to reduce pesticide self-poisoning in rural Sri Lanka: study protocol.
Trial report in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characteristics of non-fatal self-poisoning in Sri Lanka: a systematic review.BMC public health · 2013Pooled it
- Effectiveness of household lockable pesticide storage to reduce pesticide self-poisoning in rural Asia: a community-based, cluster-randomised controlled trial.Lancet (London, England) · 2017Trial
- Is socioeconomic position associated with risk of attempted suicide in rural Sri Lanka? A cross-sectional study of 165 000 individuals.BMJ open · 2017Trial
- A central storage facility to reduce pesticide suicides--a feasibility study from India.BMC public health · 2013Trial
- Experiences and Perceptions of Self-Harm in Rural-Dwelling Adults: A Rapid Review of Qualitative Evidence.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- Article
- Is being a 'left-behind' child associated with an increased risk of self-poisoning in adulthood? Findings from a case-control study in Sri Lanka.BMJ global health · 2021Article
- Using ex-ante economic evaluation to inform research priorities in pesticide self-poisoning prevention: the case of a shop-based gatekeeper training programme in rural Sri Lanka.Tropical medicine & international health : TM & IH · 2020Article
- Emerging pesticides responsible for suicide in rural Sri Lanka following the 2008-2014 pesticide bans.BMC public health · 2020Article
- Risk of suicide and repeat self-harm after hospital attendance for non-fatal self-harm in Sri Lanka: a cohort study.The lancet. Psychiatry · 2019Article
- Socioeconomic position and suicidal behaviour in rural Sri Lanka: a prospective cohort study of 168,000+ people.Social psychiatry and psychiatric epidemiology · 2019Article
- Are left-behind families of migrant workers at increased risk of attempted suicide? - a cohort study of 178,000+ individuals in Sri Lanka.BMC psychiatry · 2019Article
- Estimating the government health-care costs of treating pesticide poisoned and pesticide self-poisoned patients in Sri Lanka.Global health action · 2019Article
- Attempted suicide in Sri Lanka - An epidemiological study of household and community factors.Journal of affective disorders · 2018Article
- Suicide and deliberate self-harm in Pakistan: a scoping review.BMC psychiatry · 2018Article
- A contemporary picture of the burden of death and disability in Indian adolescents: data from the Global Burden of Disease Study.International journal of epidemiology · 2017Article
- Suicide in pediatrics: epidemiology, risk factors, warning signs and the role of the pediatrician in detecting them.Italian journal of pediatrics · 2015Review
- Risk factors associated with purchasing pesticide from shops for self-poisoning: a protocol for a population-based case-control study.BMJ open · 2015Article
- Article
- An investigation into the role of alcohol in self-harm in rural Sri Lanka: a protocol for a multimethod, qualitative study.BMJ open · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors.
Funding
Abstract
backgroundThe WHO recognises pesticide poisoning to be the single most important means of suicide globally. Pesticide self-poisoning is a major public health and clinical problem in rural Asia, where it has led to case fatality ratios 20-30 times higher than self-poisoning in the developed world. One approach to reducing access to pesticides is for households to store pesticides in lockable "safe-storage" containers. However, before this approach can be promoted, evidence is required on its effectiveness and safety. METHODS/
designA community-based cluster randomised controlled trial has been set up in 44,000 households in the North Central Province, Sri Lanka. A census is being performed, collecting baseline demographic data, socio-economic status, pesticide usage, self-harm and alcohol. Participating villages are then randomised and eligible households in the intervention arm given a lockable safe storage container for agrochemicals. The primary outcome will be incidence of pesticide self-poisoning over three years amongst individuals aged 14 years and over. 217,944 person years of follow-up are required in each arm to detect a 33% reduction in pesticide self-poisoning with 80% power at the 5% significance level. Secondary outcomes will include the incidence of all pesticide poisoning and total self-harm. DISCUSSION: This paper describes a large effectiveness study of a community intervention to reduce the burden of intentional poisoning in rural Sri Lanka. The study builds on a strong partnership between provincial health services, local and international researchers, and local communities. We discuss issues in relation to randomisation and contamination, engaging control villages, the intervention, and strategies to improve adherence.
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