Prevalence and associated factors for suicidal behaviours (ideation, planning, and attempt) among high school adolescents in Lagos, Nigeria
Prevalence and associated factors for suicidal behaviours (ideation, planning, and attempt) among high school adolescents in Lagos, Nigeria
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DOI：
10.1007/s00787-019-01462-x
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发表时间：
2019-12-19
影响因子：
6.4
通讯作者：
Oladipo, Eniola O.
中科院分区：
文献类型：
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作者：
Adewuya, Abiodun O.;Oladipo, Eniola O.
为了规划有效的基于学校的青少年自杀预防策略，需要有效的流行病学数据。本研究的目的是估计尼日利亚拉各斯中学青少年当前（1 个月）自杀行为（意念、计划和尝试）的流行率和相关因素。从47所公立高中招募了9441名青少年（4684名男性和4757名女性），平均年龄为15.61岁（SD 1.49），问卷内容包括社会人口、家庭、学校、身体健康和心理健康相关变量。还评估了过去 1 个月的自杀行为（意念、计划和尝试）。自杀意念的加权 1 个月患病率为 6.1% (95% CI 5.5-6.7)，自杀计划为 4.4% (95% CI 3.8-4.9)，自杀企图为 2.8% (95% CI 2.4-3.2)。与自杀行为显着相关的因素包括女性、不与母亲住在一起、母亲饮酒、目睹家庭暴力、过去和现在的学业困难、在学校没有亲密的朋友以及与同龄人和老师的关系存在问题。此外，慢性身体疾病、抑郁、焦虑、行为障碍和精神病样经历也与青少年自杀行为有关。我们已经表明，很大比例的青少年有自杀行为，这与人口、家庭、学校、身体健康和心理健康相关的因素有关。我们相信，在规划可纳入学校心理健康服务的自杀预防服务时，我们的研究结果非常重要
To plan effective school-based adolescent suicide prevention strategies, there is need for valid epidemiology data. The aim of this study was to estimate the current (1 month) prevalence and associated factors of suicidal behaviours (ideation, planning, and attempt) amongst secondary school adolescents in Lagos, Nigeria. A total of 9441 adolescents (4684 males and 4757 females) with mean age 15.61 years (SD 1.49) recruited from 47 public senior secondary schools self-completed questionnaire consisting of sociodemographic, family, school, physical health, and mental health-related variables. Suicidal behaviours (ideation, planning, and attempt) in the past 1 month were also assessed. The weighted 1-month prevalence for suicidal ideation was 6.1% (95% CI 5.5-6.7), suicidal planning was 4.4% (95% CI 3.8-4.9), and suicidal attempt was 2.8% (95% CI 2.4-3.2). The factors significantly associated with suicidal behaviours included being female, not staying with the mother, maternal drinking, witnessing domestic violence, past and present academic difficulties, having no close friend in school and having problems relating with peers and teachers. Also, presence of chronic physical illnesses, depression, anxiety, behavioural disorders, and psychotic-like experiences were associated with adolescent suicidal behaviour. We have shown that a substantial percentage of adolescent have suicidal behaviours, and that there were demographic, family, school, physical health, and psychological health-related factors. We believe that our findings will be important when planning suicide prevention services that could be incorporated into the school mental health services