Abstract: Background: Suicidal behaviours, ranging from suicidal ideation to suicidal acts, such as quasi-suicide, attempted suicide, and completed suicide, are very common and have reached a very wide range. In addition, this is a complex issue. Therefore, it must be investigated from multiple levels. Objective: This study focused on assessing suicidality with different dimensions among adults in the Batticaloa district of Sri Lanka (BDSL). Methodology: A cross-sectional study was carried out with 237 male and female patients of medical wards of Base Hospital, Kaluwanchikudy (BHK), from 1st January to 31st May 2019. A two-stage cluster sampling method was applied. Structured Interviewer Administered Questionnaire (SIAQ) and the Revised Suicide Behaviour Questionnaire (SBQR) are used to obtain the determinants of the various dimensions of suicide. Statistical software (SPSS 25.0) was used to analyze the data, and p-value < 0.05 was considered significant for all analyses. Descriptive statistical analysis and Multi-Level Analysis (MLA) was performed. Ethical approval was obtained from the Ethical Review Committee, Faculty of Health - Care Sciences, Eastern University, Sri Lanka. Results: 21.5% of the participants had at least one relative who attempted suicide, and almost all of them died. Few patients (6.8%) in this survey had attempted suicide and were lucky to get rid of the deadly outcome. Among these suicide attempts, the majority (73.5%) answered that their lives are vital to surviving these attempts. Variance in the total score for the suicide behaviour questionnaire is estimated as = 7.13, and the between-individual patient's variance is calculated as =2.52, and thus the total variance is 7.13 + 2.52 = 9.65. Overall mean value on the total score for suicide behaviours questionnaire across three different levels (No, definitely not, Maybe and Yes definitely) of choices of the question: would any of your problems be solved if you committed suicide? is estimated as 6.95, which was statistically significant. Conclusions: Three different levels of responses (No, definitely not, Maybe and Yes definitely) significantly varied for the scores of Suicide Behaviours Questionnaire-Revised (SBQ-R)-Overview. Overall, there was 29.4 times greater variance observed in three different choices (three different levels) for Q15 than the variance among individual patients regarding the total score for the suicide behaviour questionnaire with statistical significance.
Keywords: Adults, Batticaloa, Sri Lanka, Suicides, Multi-Level Analysis.
Title: A Multi - Level Analysis on Assessment of Different Dimensions of Suicidality among Adults in Batticaloa District, Sri Lanka
Author: Kartheepan, K
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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