Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women's health and domestic violence against women

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDEVRIES, Karen
dc.contributor.authorWATTS, Charlotte
dc.contributor.authorYOSHIHAMA, Mieko
dc.contributor.authorKISS, Ligia
dc.contributor.authorSCHRAIBER, Lilia Blima
dc.contributor.authorDEYESSA, Negussie
dc.contributor.authorHEISE, Lori
dc.contributor.authorDURAND, Julia
dc.contributor.authorMBWAMBO, Jessie
dc.contributor.authorJANSEN, Henrica
dc.contributor.authorBERHANE, Yemane
dc.contributor.authorELLSBERG, Mary
dc.contributor.authorGARCIA-MORENO, Claudia
dc.contributor.groupauthorWHO Multicountry Study Team
dc.date.accessioned2017-11-27T16:33:58Z
dc.date.available2017-11-27T16:33:58Z
dc.date.issued2011
dc.description.abstractSuicidal behaviours are one of the most important contributors to the global burden of disease among women, but little is known about prevalence and modifiable risk factors in low and middle income countries. We use data from the WHO multi-country study on women's health and domestic violence against women to examine the prevalence of suicidal thoughts and attempts, and relationships between suicide attempts and mental health status, child sexual abuse, partner violence and other variables. Population representative cross-sectional household surveys were conducted from 2000-2003 in 13 provincial (more rural) and city (urban) sites in Brazil, Ethiopia, japan, Namibia, Peru, Samoa, Serbia, Thailand and Tanzania. 20967 women aged 15-49 years participated. Prevalence of lifetime suicide attempts, lifetime suicidal thoughts, and suicidal thoughts in the past four weeks were calculated, and multivariate logistic regression models were fit to examine factors associated with suicide attempts in each site. Prevalence of lifetime suicide attempts ranged from 0.8% (Tanzania) to 12.0% (Peru city): lifetime thoughts of suicide from 7.2% (Tanzania province) to 29.0% (Peru province), and thoughts in the past four weeks from 1.9% (Serbia) to 13.6% (Peru province). 25-50% of women with suicidal thoughts in the past four weeks had also visited a health worker in that time. The most consistent risk factors for suicide attempts after adjusting for probable common mental health disorders were: intimate partner violence, non-partner physical violence, ever being divorced, separated or widowed, childhood sexual abuse and having a mother who had experienced intimate partner violence. Mental health policies and services must recognise the consistent relationship between violence and suicidality in women in low and middle income countries. Training health sector workers to recognize and respond to the consequences of violence may substantially reduce the health burden associated with suicidal behaviour.
dc.description.indexMEDLINE
dc.identifier.citationSOCIAL SCIENCE & MEDICINE, v.73, n.1, p.79-86, 2011
dc.identifier.doi10.1016/j.socscimed.2011.05.006
dc.identifier.issn0277-9536
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/23332
dc.language.isoeng
dc.publisherPERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartofSocial Science & Medicine
dc.rightsrestrictedAccess
dc.rights.holderCopyright PERGAMON-ELSEVIER SCIENCE LTD
dc.subjectIntimate partner violence
dc.subjectSexual violence
dc.subjectChildhood sexual abuse
dc.subjectSuicidal behaviour
dc.subjectWomen
dc.subjectGender
dc.subjectDeveloping countries
dc.subject.otherintimate-partner violence
dc.subject.otheradverse childhood experiences
dc.subject.othermental-health
dc.subject.otherrisk-factors
dc.subject.otherdeveloping-countries
dc.subject.otherprevalence
dc.subject.otherideation
dc.subject.otherabuse
dc.subject.otherprevention
dc.subject.otherbehavior
dc.subject.wosPublic, Environmental & Occupational Health
dc.subject.wosSocial Sciences, Biomedical
dc.titleViolence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women's health and domestic violence against women
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryEtiópia
hcfmusp.affiliation.countrySuíça
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoet
hcfmusp.affiliation.countryisoch
hcfmusp.author.externalDEVRIES, Karen:London Sch Hyg & Trop Med, London WC1H 0DP, England
hcfmusp.author.externalWATTS, Charlotte:London Sch Hyg & Trop Med, London WC1H 0DP, England
hcfmusp.author.externalYOSHIHAMA, Mieko:Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
hcfmusp.author.externalKISS, Ligia:London Sch Hyg & Trop Med, London WC1H 0DP, England
hcfmusp.author.externalDEYESSA, Negussie:Addis Abbaba Univ, Addis Ababa, Ethiopia
hcfmusp.author.externalHEISE, Lori:London Sch Hyg & Trop Med, London WC1H 0DP, England
hcfmusp.author.externalJANSEN, Henrica:World Hlth Org, Geneva, Switzerland
hcfmusp.author.externalBERHANE, Yemane:Addis Abbaba Univ, Addis Ababa, Ethiopia
hcfmusp.author.externalGARCIA-MORENO, Claudia:World Hlth Org, Geneva, Switzerland
hcfmusp.citation.scopus400
hcfmusp.contributor.author-fmusphcLILIA BLIMA SCHRAIBER
hcfmusp.contributor.author-fmusphcJULIA GARCIA DURAND
hcfmusp.description.beginpage79
hcfmusp.description.endpage86
hcfmusp.description.issue1
hcfmusp.description.volume73
hcfmusp.origemWOS
hcfmusp.origem.pubmed21676510
hcfmusp.origem.scopus2-s2.0-79959588287
hcfmusp.origem.wosWOS:000293263500010
hcfmusp.publisher.cityOXFORD
hcfmusp.publisher.countryENGLAND
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