Rajapakse T N, Griffiths K M, Cotton S, Christensen H
Faculty of Medicine, University of Peradeniya, Sri Lanka.
Ceylon Med J. 2016 Dec 30(61):154-158. doi: 10.4038/cmj.v61i4.8380.
Attempted or non-fatal self-poisoning is an important public health problem in Sri Lanka. Current evidence from Sri Lanka suggests that this phenomenon is more common among young people, and females, and is associated with a recent interpersonal conflict. International studies indicate that recent non-fatal selfharm is associated with an increased risk of repetition and completed suicide. Prospective follow-up data regarding rates of repetition of self-harm in Sri Lanka is limited.
The aim of this study was to describe the rate of repetition, and rate of suicidal ideation, at one-year follow up among those who have survived an act of selfpoisoning.
Participants who presented to the toxicology unit, Teaching Hospital Peradeniya over a 14-month period, for medical management of non-fatal self-poisoning, were contacted by telephone one-year following the initial presentation.
A total of 949 persons were included in the study, of which 35.3% (n=335) were contactable at one-year follow-up. The rate of repetition of self-harm after one year was 2.5% and 2.7% of participants had suicidal ideation at one-year follow-up.
The rate of repetition of self-harm in Sri Lanka is lower than the rate reported in the West (15%).
在斯里兰卡，蓄意或非致命性自我中毒是一个重要的公共卫生问题。斯里兰卡目前的证据表明，这种现象在年轻人和女性中更为常见，并且与近期的人际冲突有关。国际研究表明，近期的非致命性自我伤害与重复伤害及自杀身亡风险的增加有关。关于斯里兰卡自我伤害重复率的前瞻性随访数据有限。
本研究的目的是描述自我中毒幸存者在一年随访时的重复伤害率和自杀意念率。
在14个月期间前往佩拉德尼亚教学医院毒理学科接受非致命性自我中毒医疗处理的参与者，在首次就诊一年后通过电话进行随访。
本研究共纳入949人，其中35.3%（n = 335）在一年随访时可联系到。一年后自我伤害的重复率为2.5%，2.7%的参与者在一年随访时有自杀意念。
斯里兰卡自我伤害的重复率低于西方报道的比率（15%）。
