Prevalence of suicide ideation among adolescents and young adults in rural Bangladesh
Prevalence of suicide ideation among adolescents and young adults in rural Bangladesh
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DOI：
10.1080/00207411.2017.1304074
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发表时间：
2017-01-01
影响因子：
2
通讯作者：
Macassa, Gloria
中科院分区：
文献类型：
--
作者：
Begum, Afroza;Rahman, A. K. M. Fazlur;Macassa, Gloria
自杀是世界范围内主要的死亡原因。然而，青少年自杀行为是一个被忽视的公共卫生问题，特别是在孟加拉国等低收入国家。本研究旨在评估农村社区青少年自杀意念的流行程度，并探讨与自杀意念相关的因素。2013年，从孟加拉国农村社区随机抽取了2476名14至19岁的青少年，进行了一项横断面调查。在Raiganj分区使用了世卫组织/Supremise调查问卷的改编版本来收集数据。两个阶段的筛选被用来确定自杀意念的案例。研究发现，在青少年中，自杀意念的终生患病率为5%。有自杀意念的青少年中，女性66人(52.8%)，未婚103人(82.4%)，学生92人(73%)。自杀意念在统计学上与年龄、教育、职业、与父母或其他人同住以及拥有房产显著相关。年龄18~19岁、有中学学历(SSC)、中学学历(HSC)或更高学历、从事临时工、有房、未与父母同住者的OR值分别为2.31(CI 1.46~3.65)、2.38(CI 1.51~3.77)、4.15(CI 2.41~7.14)、0.28(CI 0.13~0.60)、0.14(CI 0.05~0.35)、1.80(CI 1.07~3.03)。在青少年中，终生自杀意念的流行率中等偏高。年龄、教育程度、职业、房屋拥有率和与父母同住在统计学上与自杀意念显著相关。在孟加拉国，设计和实施有效的基于社区的青少年自杀预防计划是很重要的。
Suicide is a leading cause of death world-wide. However, adolescent suicidal behavior is a neglected public health issue, especially in low-income countries such as Bangladesh. The study was conducted to estimate the prevalence of suicidal ideation among adolescents in a rural community and to examine factors associated with suicidal ideation. A cross-sectional survey was carried out in 2013 among 2,476 adolescents aged 14-19 years, selected randomly from a rural community of Bangladesh. An adapted version of the WHO/SUPRE-MISS questionnaire was used to collect data in the Raiganj sub-district. A two stage screening was performed to identify the suicidal ideation cases. It was found that the lifetime prevalence for suicidal ideation was 5 percent among adolescents. The majority of the adolescents with suicidal ideation were females 66 (52.8%), unmarried 103 (82.4%), and students 92 (73%). Suicidal ideation was statistically significantly associated with age, education, occupation, living with parents or others, and house ownership. Respondents who were aged 18-19 years, had secondary school certificate (SSC) and secondary school certificate (HSC) or higher education, were day laborers, had own house, and do not lived with parents had odds ratios of 2.31 (CI 1.46-3.65), 2.38 (CI 1.51-3.77), 4.15 (CI 2.41-7.14), 0.28 (CI 0.13-0.60), 0.14(CI 0.05-0.35), and 1.80 (CI 1.07-3.03), respectively. Among adolescents, the prevalence of life-time suicidal ideation was moderately high. Age, education, occupation, house ownership, and living with parents were statistically significantly associated with suicidal ideation. It is important to design and implement effective community based suicide prevention programs for adolescents in Bangladesh.