1 Department of Immunology and Microbiology, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, Københavns Universitet2 Department of Anthropology, Faculty of Social Sciences, Københavns Universitet3 Institut for Antropologi, Department of Anthropology, Faculty of Social Sciences, Københavns Universitet4 Section of Global Health, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet5 unknown6 Section of Global Health, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet7 Institut for Antropologi, Department of Anthropology, Faculty of Social Sciences, Københavns Universitet
a protocol for a multimethod, qualitative study
INTRODUCTION: Sri Lanka has one of the highest suicide and self-harm rates in the world and although alcohol has been found to be a risk factor for self-harm in Sri Lanka, we know little about the connection between the two. This paper comprises a protocol for a qualitative study investigating alcohol's role in self-harm in rural Sri Lanka at three levels: the individual, community and policy level. The analysis will bring new understanding of the link between alcohol and self-harm in Sri Lanka, drawing on structural, cultural and social concepts. It will equip researchers, health systems and policy makers with vital information for developing strategies to address alcohol-related problems as they relate to self-harm. METHODS AND ANALYSIS: To capture the complexity of the link between alcohol and self-harm in the Anuradhapura district in the North Central Province in Sri Lanka, qualitative methods will be utilised. Specifically, the data will consist of serial narrative life-story interviews with up to 20 individuals who have non-fatally self-harmed and where alcohol directly or indirectly was involved in the incidence as well as with their significant others; observations in communities and families; six focus group discussions with community members; and key-informant interviews with 15-25 stakeholders who have a stake in alcohol distribution, marketing, policies, prevention and treatment as they relate to self-harm. ETHICS AND DISSEMINATION: The study has received ethical approval from the Ethical Review Committee of the Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka. A sensitive data collection technique will be used and ethical issues will be considered throughout the study. RESULTS: The results will be disseminated in scientific peer-reviewed articles in collaboration with Sri Lankan and other international research partners.
B M J Open, 2014, Vol 4, Issue 10, p. 1-8
Alcohol Drinking; Humans; Qualitative Research; Risk Factors; Rural Population; Self-Injurious Behavior; Sri Lanka; Suicide; The Faculty of Health and Medical Sciences; Selfharm; Qualitative methods