Suicidal expression among school-attending adolescents in a middle-income sub-Saharan country.
Suicidal expression among school-attending adolescents in a middle-income sub-Saharan country.
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DOI：
10.3390/ijerph9114122
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发表时间：
2012-11-13
影响因子：
--
通讯作者：
Bovet P
中科院分区：
文献类型：
--
作者：
Wilson ML;Dunlavy AC;Viswanathan B;Bovet P
我们调查了塞舌尔青少年自杀表达的相关性。1，432名学生（52%为女性）的数据来自全球学校健康调查。参与者被分为三组：没有自杀行为的人（N = 1，199）;有自杀意念/SI的人（N = 89）;以及报告SI并计划进行自杀企图/SISP的人（N = 139），每个人都在12个月的回忆期内。使用多项逻辑回归，我们检查了与社会，行为和经济指标的关联强度，同时调整协变量。16%的在校青少年报告了自杀的表达（10%有计划/6.2%没有）。报告SI的患者年龄较轻（相对危险度RR = 0.81; CI = 0.68-0.96），表现出抑郁（RR = 1.69; CI = 1.05-2.72）和孤独（RR =3.36; CI =1.93-5.84）的症状。吸烟（RRR = 2.34; CI = 1.32-4.12）和没有亲密朋友（RRR = 3.32; CI = 1.54-7.15）与SI显著相关。SISP患者多为女性（RRR = 0.47; 0.30-0.74）、焦虑（RRR = 3.04; CI = 1.89-4.88）和孤独（RRR = 1.74; CI = 1.07-2.84）。没有亲密的朋友（RRR = 2.98; 1.56-5.69）和吸烟（RRR = 2.41; 1.48-3.91）也有很强的相关性。父母理解是保护性的（RRR = 0.50，CI = 0.31-0.82）。我们的研究结果表明，学校健康促进计划可能会受益于针对与自杀表达相关的多种因素。需要更多的研究，特别是多层次的设计，以确定同行和家庭的影响，可能会修改协会与自杀。
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.
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影响因子：
1.9
作者：
Franić T;Kardum G;Marin Prižmić I;Pavletić N;Marčinko D
通讯作者：
Marčinko D
影响因子：
17.7
作者：
McGee, R;Williams, S;Nada-Raja, S
通讯作者：
Nada-Raja, S
影响因子：
7.6
作者：
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通讯作者：
Emerson, Mark R.
影响因子：
3.5
作者：
Araya, Mesfin;Chotai, Jayanti;de Jong, Joop T. V. M.
通讯作者：
de Jong, Joop T. V. M.
影响因子：
3.7
作者：
Rudatsikira, Emmanuel;Siziya, Seter;Muula, Adamson S
通讯作者：
Muula, Adamson S