Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.
BMC Psychiatry. 2020 Jun 15;20(1):304. doi: 10.1186/s12888-020-02726-6.
In addition to the unstable political situation, Lebanon had experienced a cycle of wars, local armed conflicts, terrorist attacks, and crises (lack of clean water, recurrent power failure, and waste mismanagement, in addition to the growing number of unemployed people, as the number of Syrian refugees has dramatically increased, and led to competition for jobs with locals. All these factors make the Lebanese population prone to mental disorders, particularly suicide, without clear management policies. This study aims to validate the Columbia-Suicide Severity Rating Scale (CSSRS), and determine the prevalence of suicidal ideation and associated factors among a Lebanese nationally representative sample of adolescents from 9th to 12th grades.
Participants were 1810 adolescents who enrolled in this cross-sectional study (January-May 2019), using a proportionate random sample of schools from all Lebanese Mohafazat. The Columbia-Suicide Severity Rating Scale was used to screen for suicidal ideation.
The results showed that 28.9% had some type of suicidal ideation [95% CI 26.7-31.1%]. The CSSRS items converged on a one-factor solution, accounting for a total of 85.40% of the variance (α = 0.966). Higher psychological abuse (Beta = 0.041), child physical abuse (Beta = 0.030), alcohol dependence (Beta = 0.062), social fear (Beta = 0.028), victimization/bullying score (Beta = 0.028), impulsivity (Beta = 0.028) and internet addiction (Beta = 0.010) scores were significantly associated with higher suicidal ideation. Same applies to adolescents whose parents are separated compared to living together (Beta = 0.992) and in females compared to males (0.311). On another hand, a higher age (Beta = - 0.182) was significantly associated with lower suicidal ideation.
This study provides insights about suicidal ideation among Lebanese adolescents and related risk factors, such as child psychological and physical abuse, alcohol use disorders, social fear, bullying and victimization, impulsivity, and internet addiction.
除了不稳定的政治局势外，黎巴嫩还经历了战争、地方武装冲突、恐怖袭击和危机的循环，（缺乏清洁水、经常停电、废物管理不善，此外，叙利亚难民人数的急剧增加导致与当地人竞争就业机会。所有这些因素使黎巴嫩人口容易出现精神障碍，特别是自杀，而没有明确的管理政策。本研究旨在验证哥伦比亚自杀严重程度评定量表（CSSRS），并确定黎巴嫩全国代表性的 9 至 12 年级青少年样本中自杀意念的流行率和相关因素。
参与者为 1810 名青少年，他们参加了这项横断面研究（2019 年 1 月至 5 月），使用来自黎巴嫩所有省的学校的比例随机抽样。哥伦比亚自杀严重程度评定量表用于筛查自杀意念。
结果显示，28.9%的人有某种类型的自杀意念[95%CI 26.7-31.1%]。CSSRS 项目收敛于一个单因素解决方案，共占总方差的 85.40%（α=0.966）。较高的心理虐待（Beta=0.041）、儿童身体虐待（Beta=0.030）、酒精依赖（Beta=0.062）、社交恐惧（Beta=0.028）、受害/欺凌评分（Beta=0.028）、冲动（Beta=0.028）和网络成瘾（Beta=0.010）得分与较高的自杀意念显著相关。同样适用于与父母同住相比父母分居的青少年（Beta=0.992）和女性相比男性（0.311）。另一方面，年龄较大（Beta=-0.182）与自杀意念较低显著相关。
本研究提供了关于黎巴嫩青少年自杀意念及其相关风险因素的见解，例如儿童心理和身体虐待、酒精使用障碍、社交恐惧、欺凌和受害、冲动和网络成瘾。
