Suicidal expression among school-attending adolescents in a middle-income sub-Saharan country.

Détails

Ressource 1Télécharger: BIB_145F4796196B.P001.pdf (168.68 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_145F4796196B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Suicidal expression among school-attending adolescents in a middle-income sub-Saharan country.
Périodique
International Journal of Environmental Research and Public Health
Auteur⸱e⸱s
Wilson Michael L., Dunlavy Andrea C., Viswanathan Bharathi, Bovet Pascal
ISSN
1660-4601 (Electronic)
ISSN-L
1660-4601
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
9
Numéro
11
Pages
4122-4134
Langue
anglais
Notes
Publication types: Journal Article
Résumé
We investigated correlates for suicidal expression among adolescents in the Seychelles. Data on 1,432 students (52% females) were derived from the Global School-based Health Survey. Participants were divided into three groups: those with no suicidal behavior (N = 1,199); those with suicide ideation/SI (N = 89); and those reporting SI with a plan to carry out a suicide attempt/SISP (N = 139), each within a 12-month recall period. Using multinomial logistic regression, we examined the strength of associations with social, behavioral and economic indicators while adjusting for covariates. Sixteen percent of school-attending adolescents reported a suicidal expression (10% with a plan/6.2% without). Those reporting SI were younger (relative risk ratio RRR = 0.81; CI = 0.68-0.96), indicated signs of depression (RRR = 1.69; CI = 1.05-2.72) and loneliness (RRR=3.36; CI =1.93-5.84). Tobacco use (RRR = 2.34; CI = 1.32-4.12) and not having close friends (RRR = 3.32; CI = 1.54-7.15) were significantly associated with SI. Those with SISP were more likely to be female (RRR = 0.47; 0.30-0.74), anxious (RRR = 3.04; CI = 1.89-4.88) and lonely (RRR = 1.74; CI = 1.07-2.84). Having no close friends (RRR = 2.98; 1.56-5.69) and using tobacco (RRR = 2.41; 1.48-3.91) were also strongly associated. Having parents who were understanding was protective (RRR = 0.50; CI = 0.31-0.82). Our results suggest that school health promotion programs may benefit from targeting multiple factors associated with suicidal expression. More research, particularly multilevel designs are needed to identify peer and family influences which may modify associations with suicidality.
Pubmed
Web of science
Open Access
Oui
Création de la notice
23/01/2013 15:24
Dernière modification de la notice
20/08/2019 13:43
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