Thabrew K A S, Ariyasena K D C, Sandarapperuma S A H M, Weerasekara R M K P, Munasinghe M T S, Ranamukhaarachchi S L, Wijayabandara G D V D
Faculty of Science, Sri Lanka Technology Campus (PVT) Ltd, Padukka, Sri Lanka.
Centre for Big Data Research in Health, University of New South Wales, Sydney, Australia.
PLoS One. 2024 Dec 6;19(12):e0312753. doi: 10.1371/journal.pone.0312753. eCollection 2024.
This study utilized the 2019 Women's Wellbeing Survey conducted by the Department of Census and Statistics (DCS) in Sri Lanka to investigate the factors influencing suicidal ideation among married/cohabiting women. The study sample consists of secondary data from 1462 females, who were 15 years or older and currently married or living with a male partner, extracted from WWS 2019. Binary logistic regression was employed to analyze the association between suicidal ideation in married/cohabiting women and various independent variables. Among the respondents, 13.2% of married/cohabiting women reported having suicidal thoughts. Several factors were found to increase the likelihood of such ideation: a partner's extramarital affair, feelings of worthlessness and restlessness, partners consuming alcohol, experience of psychological violence and physical violence by the current partner, physical violence experienced since the age of 15, and childhood sexual violence. Conversely, lower odds of suicidal ideation were observed among women who married/cohabited between the ages of 20-29 compared to those in the 10-19 age category, and among unemployed women. This study emphasizes the urgency of addressing intimate partner violence, childhood sexual abuse, early marriages, and the mental well-being of vulnerable women, as these factors significantly impact their risk of life-threatening issues.
本研究利用了斯里兰卡人口普查与统计局（DCS）开展的2019年女性福祉调查，以调查影响已婚/同居女性自杀意念的因素。研究样本包括从2019年女性福祉调查中提取的1462名15岁及以上、目前已婚或与男性伴侣同居的女性的二手数据。采用二元逻辑回归分析已婚/同居女性自杀意念与各种自变量之间的关联。在受访者中，13.2%的已婚/同居女性报告有自杀念头。研究发现，有几个因素会增加产生这种意念的可能性：伴侣的婚外情、无价值感和不安感、伴侣饮酒、遭受现任伴侣的心理暴力和身体暴力、15岁以来遭受的身体暴力以及童年期性暴力。相反，与10 - 19岁年龄段的女性相比，20 - 29岁结婚/同居的女性以及失业女性出现自杀意念的几率较低。本研究强调了解决亲密伴侣暴力、童年期性虐待、早婚以及弱势女性心理健康问题的紧迫性，因为这些因素会显著影响她们面临危及生命问题的风险。
