Arafat S M Yasir, Mohit M A, Mullick Mohammad S I, Kabir Russell, Khan Murad M
Department of Psychiatry, Enam Medical College and Hospital, Bangladesh.
Department of Psychotherapy, National Institute of Mental Health, Bangladesh.
BJPsych Open. 2020 Dec 16;7(1):e18. doi: 10.1192/bjo.2020.152.
Suicide is an important, understudied public health problem in Bangladesh, where risk factors for suicide have not been investigated by case-control psychological autopsy study.
To identify the major risk factors for suicide in Dhaka, Bangladesh.
We designed a matched case-control psychological autopsy study. We conducted a semi-structured interview with the next-of-kin of 100 individuals who died by suicide and 100 living controls, matched for age, gender and area of residence. The study was conducted from July 2019 to July 2020.
The odds ratios for the risk factors were 15.33 (95% CI, 4.76-49.30) for the presence of a psychiatric disorder, 17.75 (95% CI, 6.48-48.59) for life events, 65.28 (95% CI, 0.75-5644.48) for previous attempts and 12 (95% CI, 1.56-92.29) for sexual abuse.
The presence of a psychiatric disorder, immediate life events, previous suicidal attempts and sexual abuse were found as significant risk factors for suicide in Dhaka, Bangladesh.
自杀在孟加拉国是一个重要但研究不足的公共卫生问题，该国尚未通过病例对照心理解剖研究对自杀风险因素进行调查。
确定孟加拉国达卡自杀的主要风险因素。
我们设计了一项匹配病例对照心理解剖研究。我们对100名自杀死亡者的近亲以及100名活着的对照者进行了半结构化访谈，这些对照者在年龄、性别和居住地区方面进行了匹配。该研究于2019年7月至2020年7月进行。
精神疾病的风险比为15.33（95%可信区间，4.76 - 49.30），生活事件为17.75（95%可信区间，6.48 - 48.59），既往自杀未遂为65.28（95%可信区间，0.75 - 5644.48），性虐待为12（95%可信区间，1.56 - 92.29）。
在孟加拉国达卡，精神疾病、近期生活事件、既往自杀未遂和性虐待被发现是自杀的重要风险因素。
