Putra I Gusti Ngurah Edi, Karin Putu Ayu Emmy Savitri, Ariastuti Ni Luh Putu
Center for Public Health Innovation (CPHI), Faculty of Medicine, Udayana University, Denpasar, Indonesia.
Department of Nursing, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
Int J Adolesc Med Health. 2019 Jun 1;33(5):/j/ijamh.ahead-of-print/ijamh-2019-0035/ijamh-2019-0035.xml. doi: 10.1515/ijamh-2019-0035.
Suicide among young people is growing as a public health threat worldwide. With a paucity of studies on this issue in Indonesia, this study aimed to identify factors associated with suicidal behaviors (suicidal ideation and suicide attempt) among Indonesian adolescents. This was a cross-sectional study using secondary data analysis from the Global School-based Student Health Survey (GSHS) of Indonesia in 2015. The samples were 8634 school-going adolescents aged 13-18 years old. The data analysis consisted of univariate, bivariate and multivariate analysis. The chi-square (χ) test was employed to identify proportion differences of suicidal behaviors by independent variables whereas multiple logistic regression was used to develop models for factors associated with suicidal ideation and suicide attempt. This study found that 4.75% and 2.46% reported for having suicidal ideation and suicide attempt in the last 12 months, respectively. The effects of intrapersonal factors (sex, age, loneliness, anxiety, current use of tobacco and alcohol) and interpersonal factors (physically attacked, bullying victimization, having no close friends, parental understanding and having sexual intercourse) varied by suicidal behavior and sex. Therefore, developing comprehensive approaches for prevention of mental health problems, including suicidal behaviors in the school setting is essential by asking for a collaboration of schools, parents, public health centers (PHCs), related stakeholders and non-governmental organizations (NGOs).
年轻人自杀作为一种公共卫生威胁在全球范围内日益严重。由于印度尼西亚在这一问题上的研究匮乏，本研究旨在确定印度尼西亚青少年中与自杀行为（自杀意念和自杀未遂）相关的因素。这是一项横断面研究，采用了2015年印度尼西亚全球学校学生健康调查（GSHS）的二手数据分析。样本为8634名13 - 18岁的在校青少年。数据分析包括单变量、双变量和多变量分析。采用卡方（χ）检验来确定自变量导致的自杀行为比例差异，而多元逻辑回归则用于建立与自杀意念和自杀未遂相关因素的模型。本研究发现，分别有4.75%和2.46%的人报告在过去12个月中有自杀意念和自杀未遂行为。个人因素（性别、年龄、孤独感、焦虑、当前吸烟和饮酒情况）和人际因素（遭受身体攻击、受欺凌、没有亲密朋友、父母理解以及有性行为）对自杀行为和性别的影响各不相同。因此，通过要求学校、家长、公共卫生中心（PHC）、相关利益攸关方和非政府组织（NGO）合作，制定全面的方法来预防包括学校环境中的自杀行为在内的心理健康问题至关重要。
