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Childhood adversity and self-poisoning: A hospital case control study in Sri Lanka.
Rajapakse, Thilini; Russell, Abigail Emma; Kidger, Judi; Bandara, Piumee; López-López, José A; Senarathna, Lalith; Metcalfe, Chris; Gunnell, David; Knipe, Duleeka.
Afiliación
  • Rajapakse T; Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
  • Russell AE; Centre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, Bristol, United Kingdom.
  • Kidger J; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
  • Bandara P; Translational Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia.
  • López-López JA; Department of Basic Psychology & Methodology, Faculty of Psychology, University of Murcia, Murcia, Spain.
  • Senarathna L; Department of Health Promotion, Faculty of Applied Sciences, Rajarata University of Sri Lanka, Mihinthale, Sri Lanka.
  • Metcalfe C; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
  • Gunnell D; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
  • Knipe D; National Institute of Health Research Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, United Kingdom.
PLoS One ; 15(11): e0242437, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33211766
ABSTRACT

INTRODUCTION:

Adverse childhood experiences (ACE) have been recognized as an important risk factor for suicidal behaviour among adults, but evidence from low and middle-income countries is lacking. This study explored associations between ACE and hospital admission due to non-fatal self-poisoning in Sri Lanka.

METHODS:

This was a case-control study. Adults admitted to a tertiary care hospital for medical management of self-poisoning were included as cases, and age and sex matched controls were recruited from the outpatient department. ACE were measured using the World Health Organization's Childhood Adversity Scale. Logistic regression models adjusting for age, sex, ethnicity, and religion were used to quantify the association between ACE and self-poisoning.

RESULTS:

The study included 235 cases and 451 controls. Cases were 2.5 times (95% CI 1.8, 3.6) more likely to report an ACE than controls and had higher ACE scores. Childhood physical abuse (OR 4.7, 95% CI 1.2, 19.0) and emotional abuse or neglect (OR 3.7, 95% CI 1.3, 10.1, and 3.7, 95% CI 2.3, 6.0 respectively), increased the risk of self-poisoning in adulthood, as did witnessing household violence (OR 2.2, 95% CI 1.4, 3.4), growing up in a household with a mentally ill or suicidal household member (OR 2.1, 95% CI 1.2, 3.4), and experiencing parental death/separation/divorce (OR 3.1, 95% CI 2.0, 4.9) as a child.

CONCLUSIONS:

Reducing exposures to ACEs should be a priority for prevention of suicide and self-harm in Sri Lanka. Innovative methods to increase support for children facing adversity should be explored.
Texto completo: Disponible Colección: Bases de datos internacionales Contexto en salud: ODS3 - Salud y Bienestar Tema en salud: Meta 3.8: Alcanzar cobertura universal de salud / Meta 3.2: Evitar muertes en recién nacidos y niños menores de 5 años Base de datos: MEDLINE Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Idioma: Inglés Revista: PLoS One Asunto de la revista: Ciencia / Medicina Año: 2020 Tipo del documento: Artículo País de afiliación: Sri Lanka

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Texto completo: Disponible Colección: Bases de datos internacionales Contexto en salud: ODS3 - Salud y Bienestar Tema en salud: Meta 3.8: Alcanzar cobertura universal de salud / Meta 3.2: Evitar muertes en recién nacidos y niños menores de 5 años Base de datos: MEDLINE Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Idioma: Inglés Revista: PLoS One Asunto de la revista: Ciencia / Medicina Año: 2020 Tipo del documento: Artículo País de afiliación: Sri Lanka