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印度孙德尔本斯预防与农药相关的蓄意自伤和自杀的参与式研究：简要报告

Participatory Research for Preventing Pesticide-Related DSH and Suicide in Sundarban, India: A Brief Report.

作者信息

Chowdhury Arabinda N, Banerjee Sohini, Brahma Arabinda, Biswas Mrinal K

机构信息

Stuart Road Resource Centre, Northamptonshire Healthcare NHS Foundation Trust, Corby, Northants NN17 1RJ, UK ; Institute of Psychiatry, 7 D. L. Khan Road, Kolkata 700025, India.

出版信息

ISRN Psychiatry. 2013 Apr 23;2013:427417. doi: 10.1155/2013/427417. Print 2013.

DOI:10.1155/2013/427417
PMID:23738218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658416/
Abstract

Deliberate self-harm (DSH) is a major public health problem in the Sundarban region, India. This study is aimed to develop a DSH-suicide prevention programme based on the principles of community-based participatory research (CBPR). Perception and opinion of community about the problem of pesticide-related DSH and suicide were elicited in a series of facilitated focus group discussions in Namkhana block of Sundarban region. Based on their suggestion, a broad preventive programme was launched involving the development of information, education, and communication (IEC) and training modules and training of the stakeholders of the block. Most of the members of each target group found that the IEC materials were culture fair (message is acceptable, understandable, and meaningful in the local context) and very useful. Analysis of Dwariknagar BPHC, DSH admission data showed a definite reduction of DSH incidents after this CBPR approach to prevention was initiated. Similar model of DSH prevention in the other blocks of Sundarban region or in agricultural community may help to reduce the enormous mortality and morbidity from pesticide-related DSH and suicide.

摘要

蓄意自我伤害（DSH）是印度孙德尔本斯地区的一个重大公共卫生问题。本研究旨在基于社区参与式研究（CBPR）原则制定一项DSH自杀预防计划。在孙德尔本斯地区纳姆卡纳街区一系列有引导的焦点小组讨论中，收集了社区对与农药相关的DSH和自杀问题的看法和意见。根据他们的建议，启动了一项广泛的预防计划，包括制定信息、教育和宣传（IEC）以及培训模块，并对该街区的利益相关者进行培训。每个目标群体的大多数成员都认为IEC材料符合文化习惯（信息在当地背景下是可接受、可理解且有意义的）且非常有用。对德瓦里卡纳加尔初级卫生保健中心DSH入院数据的分析表明，在启动这种CBPR预防方法后，DSH事件明显减少。在孙德尔本斯地区的其他街区或农业社区采用类似的DSH预防模式，可能有助于降低与农药相关的DSH和自杀造成的巨大死亡率和发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/e2194d3a751f/ISRN.PSYCHIATRY2013-427417.012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/776591223d2c/ISRN.PSYCHIATRY2013-427417.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/2d76452cf957/ISRN.PSYCHIATRY2013-427417.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/a8b2e63ba8f5/ISRN.PSYCHIATRY2013-427417.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/fb04c51acbbf/ISRN.PSYCHIATRY2013-427417.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/af8fe60566b3/ISRN.PSYCHIATRY2013-427417.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/fc50f0f9b763/ISRN.PSYCHIATRY2013-427417.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/c6fa2d7cfde9/ISRN.PSYCHIATRY2013-427417.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/dff54eee82a2/ISRN.PSYCHIATRY2013-427417.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/bd984ab0323b/ISRN.PSYCHIATRY2013-427417.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/c9759d0afdde/ISRN.PSYCHIATRY2013-427417.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/f1a1670e0633/ISRN.PSYCHIATRY2013-427417.011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/e2194d3a751f/ISRN.PSYCHIATRY2013-427417.012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/776591223d2c/ISRN.PSYCHIATRY2013-427417.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/2d76452cf957/ISRN.PSYCHIATRY2013-427417.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/a8b2e63ba8f5/ISRN.PSYCHIATRY2013-427417.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/fb04c51acbbf/ISRN.PSYCHIATRY2013-427417.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/af8fe60566b3/ISRN.PSYCHIATRY2013-427417.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/fc50f0f9b763/ISRN.PSYCHIATRY2013-427417.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/c6fa2d7cfde9/ISRN.PSYCHIATRY2013-427417.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/dff54eee82a2/ISRN.PSYCHIATRY2013-427417.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/bd984ab0323b/ISRN.PSYCHIATRY2013-427417.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/c9759d0afdde/ISRN.PSYCHIATRY2013-427417.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/f1a1670e0633/ISRN.PSYCHIATRY2013-427417.011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e537/3658416/e2194d3a751f/ISRN.PSYCHIATRY2013-427417.012.jpg

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