Amare Tadele, Meseret Woldeyhannes Solomon, Haile Kelemua, Yeneabat Tebikew
Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Department of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Psychiatry J. 2018 Jun 11;2018:7631453. doi: 10.1155/2018/7631453. eCollection 2018.
Suicide is a major public health problem and is common among adolescents worldwide. The true extent of the problem in Ethiopia is difficult to ascertain as suicides and suicidal behavior are significantly underreported and understudied.
We assessed the prevalence and factors associated with suicide ideation and suicide attempt among adolescent high school students in Dangila Town, Ethiopia.
This school-based cross-sectional study was conducted from April to May 2015 in Dangila Town. Data were collected from adolescent high school students using pretested, self-administered Amharic-language questionnaire. We conducted bivariable and multivariable logistic regression to identify the independent factors associated with suicide ideation and attempt.
A total of 573 of 603 sampled students participated in the study (95% response rate). The mean (±SD) age of the respondents was 17.52 (±0.97) years. The minimum and maximum ages were 15 and 19 years, respectively. The prevalence of suicide ideation and attempt was 22.5% and 16.2%, respectively. School absenteeism [AOR 4.30, 95% CI (2.03, 9.10)] and poor social support [AOR 5.58, 95% CI (2.25, 13.84)] were positively associated with suicide ideation. Poor social support [AOR 4.55, 95% CI (1.40, 14.77)] and being physically hurt [AOR 4.25, 95% CI (1.77, 10.20)] were positively associated with suicide attempt. Unlike previous studies of adolescents in low-income countries, we find no association between gender or alcohol use and suicidal thoughts or attempts.
This study revealed that at least one in five of the adolescents in our sample had experienced suicide ideation and one in six had attempted suicide. School absenteeism, poor social support, and experience of violence were identified as independent contributors to suicide ideation and attempt. These findings suggest a need for education policymakers to implement school-based behavioral therapy programs in collaboration with health institutions and programs to provide social support for vulnerable students.
自杀是一个重大的公共卫生问题，在全球青少年中很常见。由于自杀和自杀行为的报告严重不足且研究较少，埃塞俄比亚该问题的真实程度难以确定。
我们评估了埃塞俄比亚丹吉拉镇青少年高中生自杀意念和自杀未遂的患病率及相关因素。
这项基于学校的横断面研究于2015年4月至5月在丹吉拉镇进行。使用预先测试的阿姆哈拉语自填问卷从青少年高中生中收集数据。我们进行了双变量和多变量逻辑回归，以确定与自杀意念和未遂相关的独立因素。
603名抽样学生中共有573名参与了研究（应答率为95%）。受访者的平均（±标准差）年龄为17.52（±0.97）岁。最小和最大年龄分别为15岁和19岁。自杀意念和未遂的患病率分别为22.5%和16.2%。旷课[AOR 4.30，95%置信区间（2.03，9.10）]和社会支持差[AOR 5.58，95%置信区间（2.25，13.84）]与自杀意念呈正相关。社会支持差[AOR 4.55，95%置信区间（1.40，14.77）]和身体受伤[AOR 4.25，95%置信区间（1.77，10.20）]与自杀未遂呈正相关。与先前对低收入国家青少年的研究不同，我们发现性别或饮酒与自杀念头或未遂之间没有关联。
本研究表明，我们样本中至少五分之一的青少年有过自杀意念，六分之一的青少年曾尝试自杀。旷课、社会支持差和暴力经历被确定为自杀意念和未遂的独立促成因素。这些发现表明，教育政策制定者需要与卫生机构合作实施基于学校的行为治疗项目，并为弱势学生提供社会支持的项目。
