Universidade Federal do Piauí, Programa de Pós-Graduação em Saúde e Comunidade, Teresina, PI, Brasil.
Rev Saude Publica. 2020 Mar 30;54:33. doi: 10.11606/s1518-8787.2020054001637. eCollection 2020.
To analyze the prevalence of suicidal ideation and its associated factors in school adolescents.
Cross-sectional school-based study with 674 students from public and private schools in Teresina, Piauí, in 2016. Bivariate analysis was performed with the chi-square test and multiple analysis by the Poisson regression model to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI).
The study participants were mostly female (56.7%), black (77.4%), who lived with their parents (85%), whose mothers had schooling greater than or equal to 8 years of schooling (68.8%), with family income greater than a minimum wage (58.3%), practitioners of some religion (86.8%) and coming from public school (64.7%). The prevalence of suicidal ideation was 7.9%. Higher frequency of suicidal ideation was reported among female students (10.2%). Suicidal ideation was statistically associated with students who reported not living with their parents (adjusted PR = 2.27; 95%CI 1.26-4.10; p < 0.05) and those who reported having suffered sexual violence by other students, teachers or school staff (adjusted PR = 3.40; 95%CI 1.80-6.44; p < 0.05), among which the prevalence of suicidal ideation was more than three times that observed among those who did not mention this type of violence.
The prevalence of suicidal ideation in school adolescents was associated with female students, who did not live with parents and have been victim of sexual violence at school. We recommend advising the school community and health professionals to identify signs of suicidal behavior, especially in those with suspicion or proof of the occurrence of sexual violence at school.
分析学校青少年自杀意念的流行情况及其相关因素。
2016 年,在皮奥伊州特雷西纳的公立和私立学校进行了一项基于学校的横断面研究,共有 674 名学生参与。采用卡方检验进行单变量分析,泊松回归模型进行多变量分析,以估计患病率比(PR)和 95%置信区间(95%CI)。
研究参与者主要为女性(56.7%)、黑人(77.4%),与父母同住(85%),母亲受教育程度大于或等于 8 年(68.8%),家庭收入高于最低工资(58.3%),信奉某种宗教(86.8%),来自公立学校(64.7%)。自杀意念的患病率为 7.9%。报告称不与父母同住的学生(调整后 PR = 2.27;95%CI 1.26-4.10;p < 0.05)和报告称遭受过同学、教师或学校工作人员性暴力的学生自杀意念发生率更高(调整后 PR = 3.40;95%CI 1.80-6.44;p < 0.05),其中自杀意念的患病率是未提及此类暴力的学生的三倍多。
学校青少年自杀意念的流行与女性学生、不与父母同住以及在学校遭受性暴力有关。我们建议向学校社区和卫生专业人员提供咨询,以识别自杀行为的迹象,特别是在怀疑或有证据表明学校发生性暴力的情况下。