ArticleBMJ global health2017
'We lost because of his drunkenness': the social processes linking alcohol use to self-harm in the context of daily life stress in marriages and intimate relationships in rural Sri Lanka.
Article in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 35 citations in OpenAlex.
- Feasibility and acceptability of an adapted WHO alcohol brief intervention: Pilot of a three-armed randomized trial in Sri Lanka.Public health in practice (Oxford, England) · 2026Article
- 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
- Mapping the journey of families navigating problem drinking in South Asia: a scoping review.BMC public health · 2025Article
- A global review of the impact on women from men's alcohol drinking: the need for responding with a gendered lens.Global health action · 2024Review
- Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka - a study protocol.Global health action · 2024Article
- The role of alcohol use in pesticide suicide and self-harm: a scoping review.Social psychiatry and psychiatric epidemiology · 2024Article
- Intimate partner violence, suicide and self-harm in Sri Lanka: Analysis of national data.PloS one · 2024Article
- Evaluating the programme and behavior change theories of a community alcohol education intervention in rural Sri Lanka: a study protocol.Global health action · 2023Article
- Alcohol use, self-harm and suicide: a scoping review of its portrayal in the Sri Lankan literature.Heliyon · 2023Article
- Article
- Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Involvement of alcohol in injury cases in rural Sri Lanka: prevalence and associated factors among in-patients in three primary care hospitals.BMC public health · 2022Article
- Clinical and psychosocial factors associated with domestic violence among men and women in Kandy, Sri Lanka.PLOS global public health · 2022Article
- 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
- Article
- Addressing Psychosocial Vulnerabilities Through Antenatal Care-Depression, Suicidal Ideation, and Behavior: A Study Among Urban Sri Lankan Women.Frontiers in psychiatry · 2021Article
- A qualitative exploration of rural and semi-urban Sri Lankan men's alcohol consumption.Global public health · 2020Article
- Article
- Attempted suicide in Sri Lanka - An epidemiological study of household and community factors.Journal of affective disorders · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionHarmful alcohol use has been found to cause detriment to the consumers and those around them. Research carried out in Sri Lanka has described the socioeconomic consequences to families owing to alcohol consumption. However, the social processes around alcohol use and how it could result in behaviour such as self-harm was unclear. With an outset in daily life stressors in marriages and intimate relationships we explored alcohol use in families with a recent case of self-harm.
methodsQualitative data were collected for 11 months in 2014 and 2015 in the North Central and North Western provinces of Sri Lanka. Narrative life story interviews with 19 individuals who had self-harmed where alcohol was involved and 25 of their relatives were conducted. Ten focus group discussions were carried out in gender and age segregated groups. An inductive content analysis was carried out.
resultsParticipants experienced two types of daily life stressors: non-alcohol-related stressors, such as violence and financial difficulties, and alcohol-related stressors. The alcohol-related stressors aggravated the non-alcohol-related daily life stressors within marriages and intimate relationships, which resulted in conflict between partners and subsequent self-harm. Women were disproportionately influenced by daily life stressors and were challenged in their ability to live up to gendered norms of marriage. Further, women were left responsible for their own
conclusionsThis study found that participants experienced both alcohol-related and non-alcohol-related daily life stressors. These two categories of daily life stressors, gender inequalities and alcohol norms should be considered when planning alcohol and self-harm prevention in this setting. Life situations also reflected larger community and structural issues.
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