Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, The Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, The Netherlands.
Crisis. 2021 Sep;42(5):369-377. doi: 10.1027/0227-5910/a000735. Epub 2020 Nov 26.
Suicidal thoughts and suicide attempts among adolescents are major public health problems. More insight into secular changes in suicidal thoughts and suicide attempts among adolescents from various sociodemographic groups is crucial for adequate and targeted policy-making and prevention. We therefore examined 5-year time trends in suicidal thoughts and suicide attempts among adolescents and potential differences in time trends between sociodemographic groups. Logistic regression analyses were based on annually repeated cross-sectional data including 26,273 multi-ethnic students (13-14 years old) in the second year of various levels of secondary education in Amsterdam, The Netherlands. Overall, the prevalence of adolescents in Amsterdam with suicidal thoughts decreased from 17.6% during 2010-2011 to 13.2% during 2014-2015. The prevalence of adolescents reporting suicide attempts decreased from 2.9% to 1.9% over the observed 5-year period. We found differences in these time trends between subgroups based on ethnicity and educational level. The use of confidential and self-reported data could have biased the results. In order for prevention policy to be effective it is important to pay attention to changes in risk groups for suicidal thoughts and suicide attempts over time.
青少年的自杀意念和自杀企图是主要的公共卫生问题。深入了解来自不同社会人口群体的青少年自杀意念和自杀企图的长期变化,对于制定适当和有针对性的政策和预防措施至关重要。因此,我们研究了青少年自杀意念和自杀企图的 5 年时间趋势,以及社会人口群体之间时间趋势的潜在差异。逻辑回归分析基于每年重复的横断面数据,包括荷兰阿姆斯特丹不同层次中等教育第二年的 26273 名多民族学生(13-14 岁)。总体而言,阿姆斯特丹青少年自杀意念的流行率从 2010-2011 年的 17.6%下降到 2014-2015 年的 13.2%。报告自杀企图的青少年的流行率在观察的 5 年期间从 2.9%下降到 1.9%。我们根据种族和教育水平发现了这些时间趋势在亚组之间的差异。使用机密和自我报告的数据可能会对结果产生偏差。为了使预防政策有效,重要的是要注意随着时间的推移,自杀意念和自杀企图的风险群体的变化。