This study aimed to
investigate the correlations between early initiation (<12 years) of smoking
cigarettes, alcohol use, and drug use (cannabis) with suicidal ideation and
suicide attempts in school-aged adolescents in four Pacific Island countries in
Oceania. The sample included 6540 adolescents (≤13 to ≥16 years old) from
Kiribati, Samoa, Solomon Islands, and Vanuatu.
Bivariate and multivariable
analyses were conducted to assess the association between pre-adolescent
substance use initiation and suicidal ideation and suicide attempts. Results
indicate a prevalence of 25.8% suicidal ideation in the past 12 months (ranging
from 17.2% in Vanuatu to 34.7% in Kiribati) and 34.9% suicide attempts in the
past 12 months (ranging from 23.5% in Vanuatu to 62.0% in Samoa).
The
prevalence of early cigarette smoking initiation was 15.7%, early alcohol
initiation 13.8%, and early drug use initiation was 12.9%. Students who
reported pre-adolescent substance use initiation, compared with non-substance
users, were more likely reporting suicidal ideation and suicide attempts.
The
concurrent initiation of cigarette smoking, alcohol, and drug use should be
targeted in early prevention programmes in order to prevent possible subsequent
suicidal behaviours.
Full article
at:
- 1ASEAN Institute for Health Development, Mahidol University, Salaya 73170, Thailand. karl.pel@mahidol.ac.th.
- 2Department of Research & Innovation, University of Limpopo, Turfloop 0727, South Africa. karl.pel@mahidol.ac.th.
- 3HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria 0002, South Africa. karl.pel@mahidol.ac.th.
- 4ASEAN Institute for Health Development, Mahidol University, Salaya 73170, Thailand. supaprom@yahoo.com.
- 5Department of Research & Innovation, University of Limpopo, Turfloop 0727, South Africa. supaprom@yahoo.com.
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