Tuesday, December 15, 2015

Factors Associated with Suicidal Ideation and Suicide Attempt among School-Going Urban Adolescents in Peru

The study examines the prevalence of suicidal ideation and suicide attempt, and associated factors among school-going urban adolescents in Peru. 

A cross-sectional survey was conducted in a sample of 916 secondary school adolescents in 2014. A structured questionnaire adapted from Global School-based Student Health Survey was used to obtain information. Data were analyzed using logistic regression models at 5% level of significance. Overall, 26.3% reported having suicidal ideation, and 17.5% reported having attempted suicide during the past 12 months. 

Multivariate logistic regression analysis showed that female sex, being in a fight, being insulted, being attacked, perceived unhappiness, smoking and sexual intercourse initiation were significantly associated with increased risk of suicidal ideation, while female sex, being in a fight, being insulted, being attacked, perceived unhappiness, alcohol and illicit drug use were related to suicide attempt. The prevalence of suicidal ideation and suicide attempts observed in the survey area is relatively high. Female adolescents are particularly vulnerable to report suicidal ideation and suicide attempt. 

Interventions that address the issue of violence against adolescents, fighting with peers, health risk behaviors particularly initiation of smoking, alcohol and illicit drug use and encourage supportive role of parents may reduce the risk of suicidal behaviors.

Table 2

Characteristics of the study population and prevalence of suicidal ideation and suicide attempt, Peru, 2014.
VariablesNumber%
Demographic Factors
Sex
Female49153.6
Male42546.4
Age (in years)
12–1443046.9
15–1848653.1
Socio-Environmental Factors
In fight (n = 916)31334.2
Insulted (n = 896)37041.3
Attacked (n = 916)24326.5
Family member as physical attacker (n = 916)16417.9
≥3 days school absenteeism (n = 903)768.4
Parental understanding (n = 898)
Never/rarely/sometimes58264.8
Spending time with parents (n = 898)
Never/rarely/sometimes44749.8
Parental homework checking (n = 902)
Never/rarely/sometimes58665.0
Psychological Factors
Body weight dissatisfaction (n = 916)41445.2
Self-rated poor/fair health (n = 916)30233.0
Perceived unhappiness (n = 916)829.0
Behavioral Factors
Smoking (n = 909)23025.3
Alcohol consumption (n = 896)44149.2
Illicit drugs use (n = 896)637.0
Sexual intercourse (n = 907)17619.4
Forced sex (n = 176)179.7
Condom use (n = 176)9151.7
Multiple sexual partners (n = 176)9252.3
Suicidal Behaviors
Suicidal ideation (n = 916)24126.3
Suicide attempt (n = 916)16017.5
Psychological counseling (n = 916)12613.8

Full article at:  http://goo.gl/UaZ8Vt

By:   Bimala Sharma,1,2,3 Eun Woo Nam,1,2,3,* Ha Yun Kim,1,3 and Jong Koo Kim1,4
1Yonsei Global Health Center, Yonsei University, 1 Yonseidae-gil, Wonju City, Gangwon-do, 220-710, Korea; E-Mails: moc.liamg@amrahsalamib(B.S.);  moc.revan@3509yhk (H.Y.K.);  rk.ca.iesnoy@412kjmik (J.K.K.)
2Institute for Poverty Alleviation and International Development, Yonsei University, 1 Yonseidae-gil, Wonju City, Gangwon-do, 220-710, Korea
3Department of Health Administration, Graduate School, Yonsei University, 1 Yonseidae-gil, Wonju City, Gangwon-do, 220-710, Korea
4Department of Family Medicine, Wonju College of Medicine, Yonsei University, Wonju City, Gangwon-do, 220-710, Korea
*Author to whom correspondence should be addressed; E-Mail: rk.ca.iesnoy@manwe; Tel.: +82-33-760-2413; Fax: +82-33-760-2519.
 

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