Is socioeconomic position associated with risk of attempted suicide in rural Sri Lanka? A cross-sectional study of 165 000 individuals.
Is socioeconomic position associated with risk of attempted suicide in rural Sri Lanka? A cross-sectional study of 165 000 individuals.
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DOI：
10.1136/bmjopen-2016-014006
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发表时间：
2017-03-22
期刊：
影响因子：
2.9
通讯作者：
Metcalfe C
中科院分区：
文献类型：
--
作者：
Knipe DW;Gunnell D;Pieris R;Priyadarshana C;Weerasinghe M;Pearson M;Jayamanne S;Dawson AH;Mohamed F;Gawarammana I;Hawton K;Konradsen F;Eddleston M;Metcalfe C
在高收入国家，较低的社会经济地位（SEP）与自杀行为风险增加有关，但在低收入和中等收入国家，这种关联尚不清楚。我们调查了SEP与自杀未遂的关联在一个横断面调查165 233斯里兰卡人。 在家庭（资产、社会地位（家庭成员的最高职业）、国外就业和年轻（≤40岁）女户主家庭）和个人（教育和职业）层面收集了可持续就业数据。 记录了受访者报告的过去一年自杀未遂的数据。随机效应逻辑回归模型，占集群，被用来调查SEP与自杀未遂的关联。据报告，上一年有398个家庭企图自杀（每10万人中有239人）。 资产较少（OR 3.2，95% CI 2.4至4.4）和日薪工人（即不安全/低收入工作; OR 2.3，95% CI 1.6至3.2）作为最高职业增加了家庭内自杀未遂的风险。在个人层面上，日薪工人与农民相比，自杀未遂的风险更高。最强的关联是教育水平低（OR 4.6，95% CI 2.5至8.4），男性的关联性比女性强。我们发现，在斯里兰卡农村，SEP较低的指标与自杀未遂的风险增加有关。需要对自杀企图进行客观测量的纵向研究来证实这种关联。NCT 01146496;预结果。
Lower socioeconomic position (SEP) is associated with an increased risk of suicidal behaviour in high-income countries, but this association is unclear in low-income and middle-income countries. We investigated the association of SEP with attempted suicide in a cross-sectional survey of 165 233 Sri Lankans. SEP data were collected at the household (assets, social standing (highest occupation of a household member), foreign employment and young (≤40 years) female-headed households) and individual level (education and occupation). Respondent-reported data on suicide attempts in the past year were recorded. Random-effects logistic regression models, accounting for clustering, were used to investigate the association of SEP with attempted suicide. Households reported 398 attempted suicides in the preceding year (239 per 100 000). Fewer assets (OR 3.2, 95% CI 2.4 to 4.4) and having a daily wage labourer (ie, insecure/low-income job; OR 2.3, 95% CI 1.6 to 3.2) as the highest occupation increased the risk of an attempted suicide within households. At an individual level, daily wage labourers were at an increased risk of attempted suicide compared with farmers. The strongest associations were with low levels of education (OR 4.6, 95% CI 2.5 to 8.4), with a stronger association in men than women. We found that indicators of lower SEP are associated with increased risk of attempted suicide in rural Sri Lanka. Longitudinal studies with objective measures of suicide attempts are needed to confirm this association. NCT01146496; Pre-results.