School of Public Health, Georgia State University, P.O. Box 3984, Atlanta, GA 30302, USA.
Department of Psychiatry, University of Nairobi, University Way, Nairobi 00100, Kenya.
Int J Environ Res Public Health. 2018 Feb 9;15(2):298. doi: 10.3390/ijerph15020298.
The purpose of this study is to examine the factors associated with suicidal ideation among youth living in the slums of Kampala, Uganda. Analyses are based on cross-sectional survey data, collected in 2014, of a convenience sample ( = 1134) of urban service-seeking youth participating in a Uganda Youth Development Link drop-in center. Logistic regression analyses were computed to determine the psychosocial factors associated with suicidal ideation. Among youth participants, 23.54% ( = 266) reported suicidal ideation in the past year. In the multivariable analysis, suicidal ideation was associated with being female (OR: 1.61; 95% CI: 1.15, 2.25), reporting one (OR: 1.51; 95% CI: 1.05, 2.18) or two deceased parents (OR: 1.55; 95% CI: 1.03, 2.35), ever living on the streets (OR: 2.65; 95% CI: 1.86, 3.79), problem drinking (OR: 1.83; 95% CI: 1.19, 2.80), sexually transmitted infection (OR: 1.59; 95% CI: 1.14, 2.21), ever being raped (OR: 1.49; 95% CI: 1.01, 2.20), and experiencing physical child abuse (OR: 2.40; 95% CI: 1.75, 3.27). Our findings underscore many unmet needs in this vulnerable population. However, strategies that specifically seek to address problem drinking-a modifiable risk factor for suicidal ideation-may be particularly warranted in this low-resource setting.
本研究旨在探讨乌干达坎帕拉贫民窟青年自杀意念的相关因素。分析基于 2014 年对乌干达青年发展联系（Uganda Youth Development Link）一个便捷样本（n = 1134）的横断面调查数据，该样本是参与乌干达青年发展联系（Uganda Youth Development Link）一个服务中心的城市青年。采用 logistic 回归分析确定与自杀意念相关的社会心理因素。在青年参与者中，23.54%（n = 266）报告在过去一年中有自杀意念。在多变量分析中，自杀意念与女性（OR：1.61；95%CI：1.15，2.25）、报告有一位（OR：1.51；95%CI：1.05，2.18）或两位已故父母（OR：1.55；95%CI：1.03，2.35）、曾流落街头（OR：2.65；95%CI：1.86，3.79）、饮酒问题（OR：1.83；95%CI：1.19，2.80）、性传播感染（OR：1.59；95%CI：1.14，2.21）、曾遭强奸（OR：1.49；95%CI：1.01，2.20）和遭受身体虐待（OR：2.40；95%CI：1.75，3.27）有关。我们的研究结果强调了这一脆弱人群中存在的许多未满足的需求。然而，在这种资源匮乏的环境中，特别寻求解决饮酒问题（自杀意念的一个可改变风险因素）的策略可能是特别必要的。
