Muula A S, Kazembe L N, Rudatsikira E, Siziya S
Department of Community Health, College of Medicine, University of Malawi, Blantyre, Malawi.
Tanzan Health Res Bull. 2007 Sep;9(3):202-6. doi: 10.4314/thrb.v9i3.14331.
A cross sectional study was conducted to estimate the prevalence and correlates of suicidal ideation among in-school adolescents in Zambia. Backward logistic regression analysis was conducted to assess the association between relevant predictor variables and suicidal ideation within the last 12 months. A total of 1970 in-school adolescents who participated in the Zambia Global School-Based Health Survey in 2004 responded to the question on suicidal ideation. Overall, 54.0% were males, 40.8% were current drinkers, and 35.9% ever smoked marijuana (cannabis). Altogether 31.3% reported suicidal ideation in the past 12 months (males = 31.1%; females = 31.4%). Being male (OR = 1.05; 95%CI 1.03, 1.05): being <14 years old (OR = 1.21; 95%CI 1.19, 1.23), having been drunk (OR = 1.28; 95%CI 1.27, 1.29). worried (OR= 1.05; 95%CI 1.04, 1.06), sad or hopeless in the past 12 months (OR = 1.02; 95%CI 1.01, 1.03) and ever used marijuana (OR = 1.18; 95%CI 1.17, 1.19) were positively associated with suicidal ideation. Loneliness appeared to be protective (OR = 0.92; 95%CI 0.91, 0.92). All the results, except for ever smoked marijuana and ever been drunk, may have been biased due to non-response to the question on suicidal ideation. A series of cross sectional studies should be conducted to monitor changes in behavioural factors among others ever smoked marijuana and ever been drunk in order to broaden our understanding of factors that may be causing adolescents to seriously consider committing suicide.
开展了一项横断面研究，以估计赞比亚在校青少年自杀意念的患病率及其相关因素。进行了向后逻辑回归分析，以评估相关预测变量与过去12个月内自杀意念之间的关联。共有1970名参与2004年赞比亚全球学校健康调查的在校青少年回答了关于自杀意念的问题。总体而言，54.0%为男性，40.8%为当前饮酒者，35.9%曾吸食大麻。共有31.3%的人报告在过去12个月中有自杀意念（男性=31.1%；女性=31.4%）。男性（比值比=1.05；95%置信区间1.03，1.05）、年龄<14岁（比值比=1.21；95%置信区间1.19，1.23）、曾醉酒（比值比=1.28；95%置信区间1.27，1.29）、在过去12个月中感到担忧（比值比=1.05；95%置信区间1.04，1.06）、悲伤或绝望（比值比=1.02；95%置信区间1.01，1.03）以及曾使用过大麻（比值比=1.18；95%置信区间1.17，1.19）与自杀意念呈正相关。孤独似乎具有保护作用（比值比=0.92；95%置信区间0.91，0.92）。除曾吸食大麻和曾醉酒外，所有结果可能因未回答自杀意念问题而存在偏差。应开展一系列横断面研究，以监测行为因素的变化，尤其是曾吸食大麻和曾醉酒等行为因素，以便加深我们对可能导致青少年 seriously consider committing suicide的因素的理解。
原文中“seriously consider committing suicide”直译为“认真考虑自杀”，但结合语境这里可能想表达“认真考虑实施自杀行为”，可根据实际需求调整表述。
