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斯里兰卡的家庭暴力实施、受害情况与自我中毒:一项基于医院的病例对照研究方案。

Domestic violence perpetration, victimisation and self-poisoning in Sri Lanka: a protocol for a hospital-based case-control study.

作者信息

Hewa Kankanamge Dilini Vidusha, Rubbo Bruna, Morgan Karen, Cramer Helen, Collard Sharon, Ekanayaka Ramya, Latheef Afra, Athapaththu Anushika, Siddeek Mushfira, Wickramasuriya Imalsha, Knipe Duleeka W, Rajapakse Thilini

机构信息

Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Peradeniya, Central, Sri Lanka

South Asian Clinical Research, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.

出版信息

BMJ Open. 2025 Apr 3;15(4):e089913. doi: 10.1136/bmjopen-2024-089913.

Abstract

INTRODUCTION

Domestic violence is a key risk factor for suicidal behaviour. While there is some evidence on the association between suicide and victimisation, there is a notable paucity of evidence pertaining to the perpetration of domestic violence and its association with suicidal behaviour. The aim of this study is to investigate the association between domestic violence (victimisation and perpetration) and self-poisoning in Sri Lanka.

METHODS AND ANALYSIS

This is a hospital-based case-control study. Cases (n=260) will be individuals admitted to the toxicology ward of the Teaching Hospital Peradeniya, Sri Lanka, for medical management of self-poisoning. We will recruit controls (n=520) from other patients with unrelated conditions or accompanying visitors presenting to the outpatient department of Teaching Hospital Peradeniya. We will use unconditional logistic regression models to investigate the association between domestic violence and self-poisoning.

ETHICS AND DISSEMINATION

We obtained ethics approval from the Ethical Review Committee of the Faculty of Medicine, University of Peradeniya, Sri Lanka. The research assistants will be trained in administering the questionnaire and ensuring participant safety. Results will be disseminated in peer-reviewed articles, local media and at national and international conferences.

摘要

引言

家庭暴力是自杀行为的一个关键风险因素。虽然有一些关于自杀与受侵害之间关联的证据,但关于家庭暴力的实施及其与自杀行为的关联,明显缺乏相关证据。本研究的目的是调查斯里兰卡家庭暴力(受侵害和实施)与自我中毒之间的关联。

方法与分析

这是一项基于医院的病例对照研究。病例(n = 260)将是因自我中毒接受医疗处理而入住斯里兰卡佩拉德尼亚教学医院毒理学病房的个体。我们将从佩拉德尼亚教学医院门诊部的其他无关疾病患者或陪同访客中招募对照(n = 520)。我们将使用无条件逻辑回归模型来研究家庭暴力与自我中毒之间的关联。

伦理与传播

我们获得了斯里兰卡佩拉德尼亚大学医学院伦理审查委员会的伦理批准。研究助理将接受管理问卷和确保参与者安全方面的培训。研究结果将在同行评审文章、当地媒体以及国内和国际会议上发表。

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