ArticleJournal of affective disorders2018
Attempted suicide in Sri Lanka - An epidemiological study of household and community factors.
Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Factors Associated with Suicidal Behavior in Farmers: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The Impact of Physical Activity on Suicide Attempt in Children: A Systematic Review.Children (Basel, Switzerland) · 2025Review
- Risk Factors for Attempted Suicide and Suicide Death Among South-East Asian Women: A Scoping Review.International journal of environmental research and public health · 2024Article
- Intimate partner violence, suicide and self-harm in Sri Lanka: Analysis of national data.PloS one · 2024Article
- Reflections on the trends of suicide in Sri Lanka, 1997-2022: The need for continued vigilance.PLOS global public health · 2024Article
- Prevalence of suicidal ideation and suicide attempts in individuals with psychosis and bipolar disorder in South Asia: systematic review and meta-analysis.BJPsych open · 2023Review
- Incorporating early pregnancy mental health screening and management into routine maternal care: experience from the Rajarata Pregnancy Cohort (RaPCo), Sri Lanka.BMJ global health · 2023Article
- Alcohol use, self-harm and suicide: a scoping review of its portrayal in the Sri Lankan literature.Heliyon · 2023Article
- The Association of Physical and Mental Illness and Self-Harm Resulting in Hospitalization: A Population-Based Study of Older Adults in South Korea.International journal of environmental research and public health · 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
- Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide for Sri Lanka: a Delphi expert consensus study.BMC psychiatry · 2021Article
- Exploration of associations between deliberate self-poisoning and psychiatric disorders in rural Sri Lanka: A case-control study.PloS one · 2021Article
- Risk factors of suicidality among married adults: A cross-sectional survey in Rajshahi City, Bangladesh.PloS one · 2021Observational
- Article
- Social and economic variables related with Paraquat self-poisoning: an ecological study.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
- 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
- Suicidal Ideation and Suicide Attempts in Middle-Aged Women Attending a Primary Care Center: A Cross-Sectional Study in Mexico.Journal of clinical medicine research · 2018Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 3 countries.
Funding
Abstract
backgroundAn individual's suicide risk is determined by personal characteristics, but is also influenced by their environment. Previous studies indicate a role of contextual effects on suicidal behaviour, but there is a dearth of quantitative evidence from Asia.
methodsIndividual and community level data were collected on 165,233 people from 47,919 households in 171 communities in rural Sri Lanka. Data were collected on individual (age, sex, past suicide attempts and individual socioeconomic position (SEP)) and household (household SEP, pesticide access, alcohol use and multigenerational households) level factors. We used 3-level logit models to investigate compositional (individual) and contextual (household/community) effects.
resultsWe found significant variation between households 21% (95% CI 18%, 24%) and communities 4% (95% CI 3%, 5%) in the risk of a suicide attempt. Contextual factors as measured by low household SEP (OR 2.37 95% CI 2.10, 2.67), low community SEP (OR 1.45 95% CI 1.21, 1.74), and community 'problem' alcohol use (OR 1.44 95% CI 1.19, 1.75) were associated with an increased risk of suicide attempt. Women living in households with alcohol misuse were at higher risk of attempted suicide. We observed a protective effect of living in multigenerational households (OR 0.53 95% CI 0.42, 0.65). LIMITATIONS: The outcome was respondent-reported and refers to lifetime reports of attempted suicide, therefore this study might be affected by socially desirable responding.
conclusionsOur study finds that contextual factors are associated with an individual's risk of attempted suicide in Sri Lanka, independent of an individual's personal characteristics.
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