Shahedifar Nasrin, Shaikh Masood A, Oporia Frederick, Wilson Michael Lowery
Candidate, Road traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Injury Epidemiology and Prevention Research Group, Turku Brain Injury Center, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, Turku, Finland.
Injury Epidemiology and Prevention Research Group, Turku Brain Injury Center, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, Turku, Finland.
J Inj Violence Res. 2020 Sep 21;12(3):15-24. doi: 10.5249/jivr.v12i3.1371.
This study aimed to determine the prevalence of and correlates for suicidal behaviors among school attending adolescents in Brunei.
Nationally representative cross-sectional data on (n=2599) adolescents derived from the Global School-based Health Survey in Brunei Darussalam were examined. Data on suicidal behaviors, psychosocial and demographic characteristics were analyzed using multiple logistic regression taking survey design into account.
Twelve months prior to being surveyed, the prevalence of suicidal behaviors was 9.3%, 6.5% and 5.9% for suicidal ideation, suicidal plan and suicidal attempt, respectively. Females were overrepresented in attempts (61.2%). Several self-reported characteristics such as suicide ideation (69%), anxiety (28%), and loneliness (30%) were significantly different between the attempters of suicide and non-attempters (p less than 0.05). Also, some suicide-related behaviors such as having planned a suicide (52%), being bullied (21%), involved in a physical fight (29%), serious injury (29%), early sexual debut (8.5%), alcohol use at early age (21%), alcohol use in the past 30-days (12%), and being physically attacked (30%) differed by suicide category (p less than 0.05). Compared to those who did not report attempting suicide, attempters were more likely to have suicide ideation (OR=10.58; 95% CI 5.10, 21.97); have planned suicide (OR=9.82; 95% CI 4.60, 20.96); or sustained serious injury (OR=4.01; 95% CI 2.03, 7.93) within the recall period.
This study provided evidence, which overall confirm that the psycho-social environment in school settings modify suicidal behavior. The results, taken together emphasize the importance of the school environment on the development of school attending adolescents. Where possible, the results may provide additional information on which self-reported behaviors represent avenues for potential preventive programming.
本研究旨在确定文莱在校青少年自杀行为的患病率及其相关因素。
对文莱达鲁萨兰国全球学校健康调查中抽取的具有全国代表性的2599名青少年的横断面数据进行了分析。使用多因素逻辑回归分析自杀行为、心理社会和人口统计学特征数据，并考虑调查设计因素。
在接受调查前的十二个月内，自杀意念、自杀计划和自杀未遂的患病率分别为9.3%、6.5%和5.9%。自杀未遂者中女性比例过高（61.2%）。自杀未遂者与非自杀未遂者在一些自我报告的特征上存在显著差异，如自杀意念（69%）、焦虑（28%）和孤独感（30%）（p<0.05）。此外，一些与自杀相关的行为，如曾计划自杀（52%）、遭受欺凌（21%）、参与肢体冲突（29%）、受重伤（29%）、过早发生性行为（8.5%）、早年饮酒（21%）、过去30天内饮酒（12%）以及遭受身体攻击（30%），在不同自杀类别之间也存在差异（p<0.05）。与未报告有自杀未遂行为的人相比，自杀未遂者在回忆期内更有可能有自杀意念（比值比=10.58；95%置信区间5.10，21.97）；曾计划自杀（比值比=9.82；95%置信区间4.60，20.96）；或受过重伤（比值比=4.01；95%置信区间2.03，7.93）。
本研究提供的证据总体上证实了学校环境中的心理社会环境会影响自杀行为。综合来看，这些结果强调了学校环境对在校青少年成长的重要性。在可能的情况下，这些结果可为哪些自我报告行为是潜在预防计划的途径提供更多信息。
