Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand.
Department of Research Administration and Development, University of Limpopo, Polokwane, South Africa.
S Afr J Psychiatr. 2021 Jan 13;27:1566. doi: 10.4102/sajpsychiatry.v27i0.1566. eCollection 2021.
Suicide is a major public health issue.
This study aimed to assess the prevalence and correlates of lifetime suicide attempts and past 12-month suicidal behaviour (ideation, plans and/or attempts) among adults (18-69 years).
Zambia.
National cross-sectional data from 4302 adults (median age: 31 years) who took part in the '2017 Zambia STEPS survey' were analysed.
The results indicate that 2.3% of participants had ever attempted suicide and 8.5% engaged in past 12-month suicidal behaviour (ideation 7.8%, plan 3.6% and/or attempt 1.1%). In adjusted logistic regression analysis, having a family member who died from suicide, having had a heart attack, angina or stroke and daily tobacco smoking were associated with ever suicide attempt. In adjusted logistic regression, female sex, non-paid work status (including student, homeworker and retired), alcohol use-related family problem, passive smoking, heart attack, angina or stroke and alcohol dependence were positively associated with past 12-month suicidal behaviour, and belonging to other ethnic groups was negatively associated with past 12-month suicidal behaviour. In addition, in an unadjusted analysis, 18-24-year-old participants, those who were never married, separated, divorced or widowed, having urban residence, family members died from suicide, having lower systolic blood pressure and daily smokeless tobacco use, were associated with past 12-month suicidal behaviour.
Almost 1 in 10 participants was engaged in suicidal behaviour in the past 12 months, and several associated indicators were found that can assist in planning interventions.
自杀是一个重大的公共卫生问题。
本研究旨在评估成年人（18 - 69岁）一生中自杀未遂以及过去12个月内自杀行为（想法、计划和/或未遂）的患病率及其相关因素。
赞比亚。
对参与“2017年赞比亚 STEPS 调查”的4302名成年人（中位年龄：31岁）的全国横断面数据进行分析。
结果表明，2.3%的参与者曾试图自杀，8.5%的人在过去12个月内有自杀行为（想法占7.8%，计划占3.6%和/或未遂占1.1%）。在调整后的逻辑回归分析中，有家庭成员自杀身亡、曾患心脏病、心绞痛或中风以及每日吸烟与曾自杀未遂有关。在调整后的逻辑回归中，女性、无薪工作状态（包括学生、家庭劳动者和退休人员）、与酒精使用相关的家庭问题、被动吸烟、心脏病、心绞痛或中风以及酒精依赖与过去12个月内的自杀行为呈正相关，并属于其他种族与过去12个月内的自杀行为呈负相关。此外，在未调整分析中，18 - 24岁的参与者、从未结婚、分居、离婚或丧偶者、居住在城市、家庭成员自杀身亡、收缩压较低以及每日使用无烟烟草与过去12个月内的自杀行为有关。
在过去12个月中，近十分之一的参与者有自杀行为，并且发现了几个相关指标，可有助于规划干预措施。
