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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
environmental science
Suicidal expression among school-attending adolescents in a middle-income sub-Saharan country
International Journal of Environmental Research and Public Health, Volume 9, No. 11, Year 2012
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Description
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. © 2012 by the authors; licensee MDPI, Basel, Switzerland.
Authors & Co-Authors
Lowery Wilson, Michael
Tanzania, Dar es Salaam
Peercorps Trust Fund
Dunlavy, Andrea C.
Tanzania, Dar es Salaam
Peercorps Trust Fund
Viswanathan, Bharathi
Seychelles, Mahe
Ministry of Health Seychelles
Bovet, Pascal
Seychelles, Mahe
Ministry of Health Seychelles
Switzerland, Lausanne
Institut Universitaire de Médecine Sociale et Préventive Lausanne
Statistics
Citations: 43
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.3390/ijerph9114122
ISSN:
16617827
e-ISSN:
16604601
Research Areas
Mental Health
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Seychelles
Participants Gender
Female