Adolescent suicide attempts in three diverse island nations: patterns, contextual differences and demographic associations

BMC Research Notes

Michael Lowery Wilson¹  Masood Ali Shaikh¹  Jinrong Fu²  Olumide Abiodun³ 

[1] Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, P.O. Box 22499, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, Dar es Salaam, Tanzania;Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, P.O. Box 22499, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, Dar es Salaam, Tanzania;Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany;ICT University, 1 Avenue Dispensaire Messassi, Zoatoupsi, Yaounde, Cameroon;

关键词: Adolescent health;    Epidemiology;    Self-harm;    Global health;    Mental health;    School health;   

DOI  :  10.1186/s13104-021-05804-4

来源: Springer

【 摘 要 】

ObjectiveMost epidemiological studies on suicidal behavior have been focused on high-income country settings. This study examine factors associated with suicidal behaviors among school-attending adolescents in three island nations. In this secondary analysis of the publicly available 2015 nationally representative GSHS data, we tested demographic, social, and behavioral attributes using multivariable logistic regression to association with suicide attempts.ResultsWithin the recall period, 13.6% of participants reported having attempted suicide one or more times in the Cook Islands, 10.8% in Curaçao, and 9.8% in East Timor. In the Cook Islands, suicide ideation (AOR = 19.42, 95% CI = 9.11–41.41), anxiety (AOR = 2.51, 95% CI = 1.08–5.82), physical bullying (AOR = 3.3, 95% CI = 1.10–9.91), and cigarette smoking (AOR = 3.82, 95% CI = 1.38–10.54) were associated with suicide attempts. For Curaçaoo, suicide ideation (AOR = 7.88, 95% CI = 5.20–11.95) and suicide planning (AOR = 7.01, 95% CI = 4.24–11.60) were statistically significant. While for East Timor, suicide ideation (AOR = 4.59, 95% CI = 2.14–9.88), suicide planning (AOR = 3.36, 95% CI = 1.76–6.29), bullying victimization (AOR = 2.69, 95% CI = 1.02–7.12), and serious injuries (AOR = 2.22, 95% CI = 1.31–3.74) were statistically significant. Suicide attempt is relatively common in each of the three island nations. The socioeconomic context of adolescents might play a significant role in moderating suicidal behavior. Therefore, prevention efforts should be grounded in view of geographic, demographic, and socioeconomic contexts of the populations at risk.

【 授权许可】

CC BY