Chen Si-Tong, Guo Tianyou, Yu Qian, Stubbs Brendon, Clark Cain, Zhang Zhihao, Zhu Mingyue, Hossain Md Mahhub, Yeung Albert, Griffiths Mark D, Zou Liye
Exercise and Mental Health Laboratory, Institute of Mental Health, School of Psychology, Shenzhen University, China.
Institute for Sport and Health, Victoria University, Melbourne, Australia.
Int J Clin Health Psychol. 2021 Jan-Apr;21(1):100202. doi: 10.1016/j.ijchp.2020.11.001. Epub 2020 Dec 1.
This study explored the association between active school travel (AST) and suicide attempts among adolescents in low- and middle-income countries (LMICs). We used the data from the Global School-based Health Survey, including 127,097 adolescents aged 13-17 years from 34 LMICs. A self-reported survey was used to collect data on AST and suicide attempts as well as some variables. Multivariable logistic regression was performed to assess the association between AST and suicide attempts. A meta-analysis with random effects was undertaken to identify the difference in the association between AST and suicide attempts. Across all the adolescents, the prevalence of AST was 37% and the prevalence of suicide attempts was 11.60%. Adolescents who engaged in AST were less likely to have suicide attempts irrespective of gender. The country-wise analysis indicated a large inconsistency in the association between AST and suicide attempt across the countries. AST would appear to be a protective factor for reducing suicide attempts among adolescents. However, the association between AST and suicide attempts varied greatly across the countries. Future studies should confirm the association between AST and suicide attempts.
本研究探讨了中低收入国家（LMICs）青少年的积极上学出行（AST）与自杀未遂之间的关联。我们使用了全球学校健康调查的数据，其中包括来自34个中低收入国家的127,097名13 - 17岁的青少年。通过一项自填式调查收集了关于积极上学出行、自杀未遂以及一些变量的数据。进行了多变量逻辑回归以评估积极上学出行与自杀未遂之间的关联。采用随机效应荟萃分析来确定积极上学出行与自杀未遂之间关联的差异。在所有青少年中，积极上学出行的患病率为37%，自杀未遂的患病率为11.60%。无论性别如何，参与积极上学出行的青少年自杀未遂的可能性较小。国家层面的分析表明，各国在积极上学出行与自杀未遂之间的关联存在很大差异。积极上学出行似乎是减少青少年自杀未遂的一个保护因素。然而，积极上学出行与自杀未遂之间的关联在各国差异很大。未来的研究应证实积极上学出行与自杀未遂之间的关联。
