Kinyanda Eugene, Hjelmeland Heidi, Musisi Seggane
Department of Psychology, Norwegian University of Science & Technology, Trondheim, Norway.
Soc Psychiatry Psychiatr Epidemiol. 2004 Apr;39(4):318-25. doi: 10.1007/s00127-004-0748-2.
A study to investigate deliberate self-harm (DSH) in an African context was undertaken in Uganda.
A case-control study in which 100 cases of DSH and 300 controls matched on age and sex were recruited from three general hospitals in Kampala and subjected to a structured interview using a modified version of the European Parasuicide Study Interview Schedule I.
Among the cases, 63% were males, with a male to female ratio of 1.7:1 and a peak age range of 20-24 years. Higher educational attainment, higher socio-economic class and poor housing were significantly associated with DSH. District of current residence, district of birth, religion, ethnicity, marital status, number of children, current living arrangement, area of usual residence, employment status of respondent and partner were not significantly associated with DSH. Pesticides and medications, mainly antimalarials and diazepam, were the main methods of DSH used. The most commonly reported psychiatric disorders were adjustment disorder, acute stress reactions and depression.
DSH in Uganda appears to predominantly afflict the young. Disturbed interpersonal relationships, poverty and loneliness were important factors in the immediate precipitation of this behaviour. The fact that pesticide poisoning is still the predominantly used method in DSH in this area calls for a review of the legislation that controls the sale and availability of these agricultural chemicals.
在乌干达开展了一项关于非洲背景下蓄意自伤（DSH）的研究。
进行了一项病例对照研究，从坎帕拉的三家综合医院招募了100例DSH病例和300例年龄及性别匹配的对照，使用欧洲自杀未遂研究访谈问卷I的修改版进行结构化访谈。
在病例中，63%为男性，男女比例为1.7:1，发病高峰年龄在20 - 24岁。较高的教育程度、较高的社会经济阶层和较差的住房条件与DSH显著相关。当前居住地区、出生地、宗教、种族、婚姻状况、子女数量、当前居住安排、通常居住地区、受访者及其伴侣的就业状况与DSH无显著关联。农药和药物，主要是抗疟药和地西泮，是DSH所采用的主要方式。最常报告的精神障碍是适应障碍、急性应激反应和抑郁症。
乌干达的DSH似乎主要影响年轻人。人际关系困扰、贫穷和孤独是这种行为直接诱发的重要因素。该地区DSH中农药中毒仍是主要方式这一事实，要求对控制这些农用化学品销售和可得性的立法进行审查。
