Antecedents, clinical and psychological characteristics of a large sample of individuals who have self-harmed recruited from primary care and hospital settings in Pakistan.
Antecedents, clinical and psychological characteristics of a large sample of individuals who have self-harmed recruited from primary care and hospital settings in Pakistan.
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DOI：
10.1192/bjo.2023.581
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发表时间：
2023-11-13
期刊：
影响因子：
5.4
通讯作者：
Husain, Nusrat
中科院分区：
文献类型：
--
作者：
Husain, Muhammad Omair;Chaudhry, Nasim;Kiran, Tayyeba;Taylor, Peter;Tofique, Sehrish;Khaliq, Ayesha;Naureen, Amna;Shakoor, Suleman;Bassett, Paul;Zafar, Shehla Naeem;Chaudhry, Imran B.;Husain, Nusrat
自杀是全世界死亡的主要原因之一，大多数自杀死亡发生在低收入和中等收入国家。评估巴基斯坦自残后到卫生服务机构就诊的个人的人口学和临床特征。本研究是对巴基斯坦一项大型多中心预防自残随机对照试验参与者的横断面基线分析。从巴基斯坦五个主要城市的初级保健诊所、急诊科和综合医院共招募了901名有自残史的参与者。完成贝克自杀意念量表（BSI）、贝克抑郁量表（BDI）、贝克绝望量表（BHS）和自杀企图自伤访谈量表。大多数参与者是20多岁的女性（n = 544, 60.4%）。与男性相比，女性受教育程度较低，失业率较高，BSI、BDI和BHS的严重程度得分较高。人际冲突是导致自残的最常见原因，其次是社区和医院的经济困难。自杀是自残最常见的动机（N = 776, 86.1%）。社区就诊患者的自杀意图比例更高（社区：N = 318, 96.9% vs医院：N = 458, 79.9%; P < 0.001）。据报道，最常见的自残方式是摄入农药和有毒化学品。年轻女性是这一人口中的主要人口群体，她们更有可能到社区环境中寻求帮助。自杀意图作为自我伤害和使用潜在致命方法的动机，可能表明这一人群自杀风险很高。
Suicide is one of the leading causes of mortality worldwide, and the majority of suicide deaths occur in low- and middle-income countries. To evaluate the demographic and clinical characteristics of individuals who have presented to health services following self-harm in Pakistan. This study is a cross-sectional baseline analysis of participants from a large multicentre randomised controlled trial of self-harm prevention in Pakistan. A total of 901 participants with a history of self-harm were recruited from primary care clinics, emergency departments and general hospitals in five major cities in Pakistan. The Beck Scale for Suicide Ideation (BSI), Beck Depression Inventory (BDI), Beck Hopelessness Scale (BHS) and Suicide Attempt Self Injury Interview assessment scales were completed. Most participants recruited were females (n = 544, 60.4%) in their 20s. Compared with males, females had lower educational attainment and higher unemployment rates and reported higher severity scores on BSI, BDI and BHS. Interpersonal conflict was the most frequently cited antecedent to self-harm, followed by financial difficulties in both community and hospital settings. Suicide was the most frequently reported motive of self-harm (N = 776, 86.1%). Suicidal intent was proportionally higher in community-presenting patients (community: N = 318, 96.9% v. hospital: N = 458, 79.9%; P < 0.001). The most frequently reported methods of self-harm were ingestion of pesticides and toxic chemicals. Young females are the dominant demographic group in this population and are more likely to attend community settings to seek help. Suicidal intent as the motivator of self-harm and use of potentially lethal methods may suggest that this population is at high risk of suicide.
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影响因子：
3.1
作者：
Radhakrishnan R;Andrade C
通讯作者：
Andrade C
影响因子：
8.1
作者：
Jordans, M.;Rathod, S.;Lund, C.
通讯作者：
Lund, C.
2002 - 2016年，香港重复非致命自我伤害的患病率和危险因素：一项基于人群的队列研究。
DOI：
10.1016/j.lanwpc.2020.100027
发表时间：
2020-09
期刊：
The Lancet regional health. Western Pacific
影响因子：
--
作者：
Chai Y;Luo H;Yip PSF
通讯作者：
Yip PSF
影响因子：
6.4
作者：
Madge, Nicola;Hawton, Keith;Arensman, Ella
通讯作者：
Arensman, Ella
影响因子：
9.5
作者：
Grover, Sandeep;Sarkar, Siddharth;Avasthi, Ajit
通讯作者：
Avasthi, Ajit