Socio-demographic, economic and mental health problems were risk factors for suicidal ideation among Kenyan students aged 15 plus.

Socio-demographic, economic and mental health problems were risk factors for suicidal ideation among Kenyan students aged 15 plus.
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DOI:
10.1016/j.jad.2022.01.055
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发表时间:
2022-04-01
影响因子:
6.6
通讯作者:
Mamah, Daniel
Mamah, Daniel
中科院分区:
医学2区
文献类型:
--
作者:
Ndetei, David M.;Mutiso, Victoria N.;Weisz, John R.;Okoth, Consolate A.;Musyimi, Christine;Muia, Esther N.;Osborn, Tom L.;Sourander, Andre;Wasserman, Danuta;Mamah, Daniel

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约三分之一有自杀意念的青少年会有自杀计划,约60%有自杀计划的青少年会有自杀企图。本研究的目的是研究不同类型的自杀意念和危险因素在肯尼亚青年。我们研究了9742名高中生,大学生和大学生使用以下自我管理的工具:- 研究人员设计的社会人口调查问卷,精神病诊断筛选问卷(PDSQ),以记录精神疾病和各种类型的自杀想法在过去两周,华盛顿早期识别中心情感和精神病工具,以评估压力,情感和精神病,财富指数调查表,以记录学生家庭的家庭物品经济指标。我们使用描述性统计、单变量分析、双变量逻辑回归分析,将p值小于0.05的变量输入广义线性模型,使用logit链接来识别独立预测因子。不同类型自杀意念的总检出率为22.6%,其中抑郁症检出率为20.0%,情感性、精神病性和应激性自杀意念检出率分别为10.4%、8.7%和26.0%。女性、抑郁症、压力、情感性和精神病性、高中文化程度是自杀意念的显著预测因素(p < 0.05)。这是一项横断面研究,仅关注自杀想法以及相关的经济因素和心理健康障碍。它没有研究自杀行为。未来的研究需要研究从自杀想法到自杀企图的进展以及与该进展相关的因素。
About a third of youth with suicidal ideation develop suicidal plans and about 60% of youth with suicidal plans make suicidal attempts. This study aimed to study different types of suicidal ideation and the risk factors in Kenyan youth. We studied a total of 9742 high school, college and university students using following self-administered instruments: - a researcher design socio-demographic questionnaire, Psychiatric Diagnostic Screening Questionnaire (PDSQ) to document psychiatric disorders and various types of suicidal ideas in previous two weeks, Washington Early Recognition Center Affectivity and Psychosis tool to assess stress, affectivity and psychosis, Wealth index questionnaire to document economic indicators based on household items for the families of the students. We used descriptive statistics, univariate analysis, bivariate logistic regression analysis and variables with a p-value of less than <.05 were entered into generalized linear models using logit links to identify independent predictors. The overall prevalence of different types of suicidal ideation was (22.6%), major depression was found in 20.0%, affectivity, psychosis and stress was found in 10.4%, 8.7% and 26.0% respectively. Female gender, major depression, stress, affectivity and psychosis and being in high school were significant (p < 0.05) predictors of suicidal ideation. This was a cross sectional study that focused only on suicidal ideas and associated economic factors and mental health disorders. It did not study suicidal behavior. Future studies are needed to study the progression from suicidal ideas to suicidal attempts and the factors associated with that progression.
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