Chan L F, Mohamad Adam B, Norazlin K N, Siti Haida M I, Lee V Y, Norazura A W, Ek Zakuan K, Tan Susan M K
Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
Biostatistics Unit, National Clinical Research Centre, Kuala Lumpur, Malaysia.
J Adolesc. 2016 Oct;52:162-9. doi: 10.1016/j.adolescence.2016.08.006. Epub 2016 Aug 27.
Pregnant adolescents are a high-risk population for suicide. However, a knowledge gap still exists on how sexual and religious knowledge, attitudes and practices (KAP) influence suicidal ideation (SI) in teenage pregnancy. We aim to explore the interplay between psychiatric diagnoses, sociodemographic factors and KAP of sexual and religious issues as risk factors of SI among 114 pregnant Malaysian adolescents from 6 rehabilitation centers and a tertiary hospital. Single sexual partner was an independent predictor of SI, suggesting the role of less sexual experience as a risk factor for SI after controlling for major depression. Participants who were unsure versus those who agreed with the statement that most religions' viewed sex outside marriage as wrong had a lower risk of SI after controlling for major depression. Pregnant adolescents with a single sexual partner were significantly associated with current SI. Ambivalence towards religious prohibitions on premarital sex may protect against suicidal ideation.
怀孕青少年是自杀的高危人群。然而，关于性与宗教知识、态度和行为（KAP）如何影响青少年怀孕中的自杀意念（SI），仍然存在知识空白。我们旨在探讨精神疾病诊断、社会人口学因素以及性与宗教问题的KAP之间的相互作用，这些因素是来自6个康复中心和一家三级医院的114名马来西亚怀孕青少年中SI的风险因素。单一性伴侣是SI的独立预测因素，这表明在控制了重度抑郁后，性经验较少作为SI风险因素的作用。在控制了重度抑郁后，对“大多数宗教认为婚外性行为是错误的”这一说法不确定的参与者与同意这一说法的参与者相比，SI风险较低。有单一性伴侣的怀孕青少年与当前的SI显著相关。对宗教禁止婚前性行为的矛盾态度可能预防自杀意念。
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