Reaching for the bottle of pesticide - A cry for help. Self-inflicted poisonings in Sri Lanka
Reaching for the bottle of pesticide - A cry for help. Self-inflicted poisonings in Sri Lanka
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DOI：
10.1016/j.socscimed.2005.08.020
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发表时间：
2006-04-01
影响因子：
5.4
通讯作者：
Peiris, P
中科院分区：
文献类型：
--
作者：
Konradsen, F;van der Hoek, W;Peiris, P
这项在斯里兰卡进行的长期研究探讨了166名斯里兰卡人自己造成的农药中毒背后的复杂性。使用或威胁使用杀虫剂进行自残已经成为对压力事件的一种反应，也是对特定个人或外部世界的一种强有力的信息，传达出疑虑、愤怒、悲伤、绝望、沮丧，或者只是一种操纵局面的方式，以达到自己的优势。就社区一级的自我伤害对家庭环境的影响而言，酒精滥用的影响尤其重要。此外，“恋爱”、包办婚姻以及家庭环境中的身体虐待、性虐待或心理虐待等问题，也被许多自残者或其亲属视为服毒的原因。显然，生活在经济或社会心理压力条件下的冲动个体容易获得致命杀虫剂，再加上治疗设施不足和推广计划有限，可能是致命的混合。应当实施一项旨在减少毒性最强的农药的可得性和改进病例管理的战略，因为这可能减少农药造成的死亡，尽管不太可能对发病次数产生影响。为受家庭暴力和男性酗酒困扰的家庭提供支持，对于改善最弱势群体的生活质量和减少长期自残事件的数量至关重要。(c) 2005 Elsevier Ltd版权所有。
This long-term study in Sri Lanka explored the complexities behind self-inflicted pesticide poisonings by 166 Sri Lankans. Using or threatening to use pesticides for self-harm has become a response to stressful events and a powerful message towards a specific individual, or to the outside world in general, conveying misgiving, anger, sadness, hopelessness, frustration, or simply a way to manipulate a situation to one's own advantage. The effects of alcohol misuse are especially important in understanding self-harm at the community level in terms of the impact they have on the domestic environment. Also, issues around "love affairs," arranged marriages and domestic physical, sexual or psychological abuse in the domestic environment are referred to by many self-harmers or their relatives as a reason for ingesting poison. Clearly, easy access to lethal pesticides by impulsive individuals often living under economically or psychosocially stressful conditions, combined with insufficient treatment facilities and limited outreach programs, can be a deadly blend. A strategy aimed at reducing the availability of the most toxic pesticides and improving case management should be implemented, as it is likely to reduce death from pesticides although unlikely to impact on the number of episodes. Support to families plagued by domestic violence and male alcohol misuse is essential to improve the quality of life for the most vulnerable and to reduce the number of self-harm episodes in the long-term. (c) 2005 Elsevier Ltd. All rights reserved.