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A review of the changing patterns of suicide and deliberate self-harm in Sri Lanka

机译：斯里兰卡自杀和故意自我伤害的变化模式回顾

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BackgroundIn the mid 1990s, Sri Lanka had the second highest rate of suicide in the world, due to ingestion of pesticides. Since then, Sri Lanka has seen significant changes in the rates of suicide and self-harm by attempted or non-fatal self-poisoning.?AimsThe objective of this article is to examine the changes in rates and modes of suicide and attempted self-poisoning in Sri Lanka, from 1995 to the present, and discuss the significance of these changing patterns.?MethodsElectronic searches were carried out in Pubmed, using the following key words; suicide, deliberate self-harm, poisoning, attempted suicide and Sri Lanka.?ResultsSince 1995 the rate of suicide in Sri Lanka has declined, with the annual suicide rate falling from 47.0 per 100,000 in 1995 to 19.6 per 100,000 in 2009. Self-poisoning still remains the most common method of suicide, with a relatively small increase in suicide by other methods, such as hanging. But after 1995, there has been increased hospital admissions due to attempted self-poisoning, with more medication overdoses.?ConclusionThe fall in suicide rates in Sri Lanka is a positive outcome of preventive measures taken, including restriction of access to toxic pesticides. These need to be continued, together with increased focus on management of psychological contributory factors, such as depression and alcohol use disorders. At the same time, innovative and culturally appropriate preventive strategies are needed to address the increasing public health problem of attempted self-poisoning.
机译：背景技术1990年代中期，由于摄入农药，斯里兰卡的自杀率位居世界第二。从那时起，斯里兰卡通过未遂或非致命性自毒中毒的自杀率和自残率发生了显着变化。目的本文旨在研究自杀和未遂中毒的自杀率和方式的变化。从1995年至今在斯里兰卡，并讨论了这些变化模式的意义。方法在Pubmed中进行了电子搜索，使用了以下关键词：结果：自1995年以来，斯里兰卡的自杀率一直在下降，年自杀率从1995年的每10万人中的47.0降至2009年的每10万人中的19.6。仍然是最常见的自杀方法，而其他方法（例如吊死）自杀的比例相对较小。但是在1995年之后，由于企图进行自我中毒导致医院住院人数增加，药物用药过量。结论结论斯里兰卡自杀率下降是采取预防措施的积极结果，包括限制使用有毒农药。这些工作需要继续进行，同时还要更加重视心理因素的管理，例如抑郁症和饮酒障碍。同时，需要创新的和文化上适当的预防策略，以解决企图自我中毒的日益严重的公共卫生问题。

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