The training was delivered by the principal researcher MW with the support of two research assistants. Implementation and sustainability In Sri Lanka, as part of the Control of Pesticide Act, vendors are required to participate in the compulsory training program conducted by the Department of Agriculture [ 7 ]. The first session was an informal discussion with vendors to allow them to share their previous experiences with high-risk customers. The remaining 10 vendors reported that they did not come across any suspicious customers. Methods Design A pilot study was conducted with pesticide vendors. Outcome evaluation of a public health approach to suicide prevention in an american Indian tribal nation. Further, it may be difficult to implement and sustainability might be questionable depending on the flexibility of pesticide regulations in other settings.
Study conception and design: Finally, vendors were asked for their feedback on the training program. As such, we cannot reach definitive conclusions about the impact of such training for vendors in reducing fatal and non-fatal self-poisoning. Paired t-tests were used to determine changes in knowledge and attitude of the vendors after the intervention. Some suggestions made by the trainees to improve the training programs including: Methods Design A pilot study was conducted with pesticide vendors.
Intoxication from alcohol during the purchase 6. UK legislation on analgesic packs: To practice how to identify and respond to high-risk customers 3A. Electronic supplementary material 788 online version of this article Outcome evaluation of a public health approach to suicide prevention in an american Indian tribal panasara.
Clarke V, Braun V. Associated Data Supplementary Materials Additional file 1: In addition to the seven prevented cases, two high-risk individuals were turned away and subsequently accessed pesticides from another shop where the vendor had not been trained. Observation of unusual customer behavior Examples: The regulation of pesticides in Sri Lanka has been mandated through the Control of Pesticide Act with several subsequent amendments [ 7 ]. National Center for Biotechnology InformationU.
Most of the farmers in the area visit the Thambuttegama Economic Center to sell their agriculture products. However, non-sensitive dataset used for the current study is available upon request from the corresponding author. Written consent obtained from all participants. Implementation and sustainability In Sri Lanka, as part of the Control of Pesticide Act, vendors are required to participate in the compulsory training program conducted by the Department of Agriculture [ 7 ].
Unrecognized self-poisoning attempts Urban vendors reported that over the follow-up period they were aware from community feedback of two occasions they had been unable to recognize the real intention of the customers and who had subsequently ingested pesticide.
Pabasara Sinhala Teledrama
An effective intervention raises the possibility of saving many lives every year in low and middle income countries LMIC. Pattern of pesticide storage before pesticide self-poisoning in rural Sri Lanka.
The costs of the pesticides in these rural shops were relatively high compared with urban shops but they were more 788 for farmers as they were usually located within walking distance from their fields. Intervention The suicide intervention program developed for medical residents by Kato et al. In addition, non-fatal poisonings with pesticides add a further burden many times higher than fatal attempts [ 1 ].
The training was delivered by the principal researcher MW with the support of two research assistants.
Further assessment of the effectiveness of this initiative is needed. A feedback for the practical session was provided while summarizing the important points. Table 2 Knowledge and attitudes of vendors- before and after training.
Data analysis The questionnaire data were entered into Epi Info version 7. In the follow-up survey, vendors reported that over the 3-month period that they were made aware by the community that they had prevented at least epiisode suicide attempts five by men.
Further, it may be difficult to implement and sustainability might be questionable depending on the flexibility of pesticide regulations in other settings. A practical session was conducted for participants to episove some of the tips they had learned during the training.
Independent Television Network – Pabasara Sinhala Teledrama – Ep: 59
We believe that this is the first study evaluating a potential intervention that might reduce access to pesticides from shops for self-poisoning in LMIC. Eddleston M, Phillips MR. Urban vendors reported that over the follow-up period they were aware from community feedback of two occasions they had been unable to recognize the real intention of the customers and who had subsequently ingested pesticide.
There is evidence from other suicide prevention research that limiting access to means through sales restrictions and gatekeeper training can be effective.
This current intervention utilizes these two promising approaches and adapts it to the context of pesticide sales in rural settings. Limitations of the study There episodd several limitations to our study. Evaluation of gatekeeper training for suicide prevention in veterans.
Episode – Sri Lanka Rupavahini Corporation
In both baseline and follow-up surveys, participants were asked to complete self-administered questionnaire see Additional file 1: Up to now, no studies have investigated whether interventions implemented through pesticide vendors might be an acceptable means of prevention.
The selected shops were visited by a member of the research team, who explained to the shop staff what the project was about and inviting them to participate. MW and SA; Analysis: Knowledge and attitudes of vendors towards preventing access to pesticides for self-poisoning at baseline and in a three month follow-up was evaluated by questionnaire.
Conclusions Our study suggests that vendor-based sales restriction in regions with high rates of self-poisoning has peisode potential to rpisode access to pesticides for self-poisoning. Suicide Life Threat Behav.
The role of private pesticide vendors in preventing access to pesticides for self-poisoning in rural Sri Lanka. The remaining 10 vendors reported that they did not come across any suspicious customers. Common strategies used by high-risk customers to mislead the vendors 5.
J Consult Clin Psychol.