Suicide prevention through means restriction: Impact of the 2008-2011 pesticide restrictions on suicide in Sri Lanka
Publication Date
March 06, 2017
Authors
Duleeka W. Knipe, Shu Sen Chang, Andrew Dawson, Michael Eddleston, et al
Volume
12
Issue
3
Pages
e0172893
DOI
https://dx.plos.org/10.1371/journal.pone.0172893
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0172893
Scopus
85014624155
Mendeley
http://www.mendeley.com/research/suicide-prevention-through-means-restriction-impact-20082011-pesticide-restrictions-suicide-sri-lank
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Mendeley | Further Information

{"title"=>"Suicide prevention through means restriction: Impact of the 2008-2011 pesticide restrictions on suicide in Sri Lanka", "type"=>"journal", "authors"=>[{"first_name"=>"Duleeka W.", "last_name"=>"Knipe", "scopus_author_id"=>"54416008400"}, {"first_name"=>"Shu Sen", "last_name"=>"Chang", "scopus_author_id"=>"35232386600"}, {"first_name"=>"Andrew", "last_name"=>"Dawson", "scopus_author_id"=>"7202697676"}, {"first_name"=>"Michael", "last_name"=>"Eddleston", "scopus_author_id"=>"56730281300"}, {"first_name"=>"Flemming", "last_name"=>"Konradsen", "scopus_author_id"=>"7003563579"}, {"first_name"=>"Chris", "last_name"=>"Metcalfe", "scopus_author_id"=>"56769142800"}, {"first_name"=>"David", "last_name"=>"Gunnell", "scopus_author_id"=>"7006194937"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"614670088", "pmid"=>"28264041", "doi"=>"10.1371/journal.pone.0172893", "issn"=>"19326203", "scopus"=>"2-s2.0-85014624155", "sgr"=>"85014624155", "isbn"=>"1111111111"}, "id"=>"ef70b40d-a9eb-3035-aa5c-4d62968129ef", "abstract"=>"OBJECTIVE: To investigate the effect of 3-year phased bans of the pesticides dimethoate and fenthion in 2008-2010, and paraquat in 2009-2011, on suicide mortality in Sri Lanka.\nMETHODS: Age-standardised overall, sex-specific, and method-specific suicide rates were calculated using Sri Lankan police data (1989-2015). Using negative binomial regression models, we estimated the change in the rate and number of suicide deaths in post-ban years (2011-15) compared to those expected based on pre-ban trends (2001-10).\nFINDINGS: Overall suicide mortality dropped by 21% between 2011 and 2015, from 18.3 to 14.3 per 100,000. The decline in pesticide suicides during this same period was larger than for overall suicides: from 8.5 to 4.2 per 100,000, a 50% reduction. This was accompanied by a smaller concurrent rise in non-pesticide suicide mortality with a 2% increase (9.9 to 10.1 per 100,000). In 2015, the ratio between the observed and expected pesticide suicide rates was 0.49 (95% confidence interval [CI] 0.40, 0.62), corresponding to an estimated 937 (95% CI 574, 1389) fewer pesticide suicides than expected from pre-ban suicide rates. Findings were similar in sensitivity analyses using 2008 or 2012 as commencement of the post intervention period.\nCONCLUSION: Bans of paraquat, dimethoate and fenthion in Sri Lanka were associated with a reduction in pesticide suicide mortality and in overall suicide mortality despite a small rise in other methods. This study provides further evidence for the effectiveness of pesticide regulation in limiting the availability of highly hazardous pesticides and thereby reducing the number of global suicides", "link"=>"http://www.mendeley.com/research/suicide-prevention-through-means-restriction-impact-20082011-pesticide-restrictions-suicide-sri-lank", "reader_count"=>21, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Librarian"=>1, "Researcher"=>2, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Master"=>6, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Librarian"=>1, "Researcher"=>2, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Master"=>6, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Environmental Science"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>9, "Neuroscience"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Psychology"=>1, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>3}

Scopus | Further Information

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