Mozambican Ministry of Health of Maputo, Mozambique.
The New School for Social Research of New York, New York.
J Am Acad Child Adolesc Psychiatry. 2022 Jul;61(7):841-844.e1. doi: 10.1016/j.jaac.2022.03.032. Epub 2022 Apr 20.
Globally, suicide is the second leading cause of death for youth ages 10-24 years, and more than 75% of all deaths by suicide occur in low- and middle-income countries (LMIC). Suicidal thoughts (ST) and suicidal behaviors (SB), valuable signals for early detection and prevention of suicide deaths, have been associated with a number of different factors in adolescents, including gender and age, socioeconomic status, exposure to childhood adversity, and psychopathology. However, research has largely focused on Western, White populations from high-income countries (HIC). To lessen the suicide burden among adolescents in LMIC, there is an urgent need to identify contextually relevant risk identification and treatment targets. In Mozambique, the country with the highest suicide rate in southern Africa, this need is particularly dire, as there are fewer than 2 mental health specialists per 100,000 inhabitants, and limited resources must be efficiently targeted in youth suicide prevention efforts. We conducted a cross-sectional study at 2 secondary schools in the Mozambican capital Maputo City to identify the social and psychiatric factors associated with ST and SB in Mozambican adolescents.
全球范围内，自杀是 10-24 岁青年人群的第二大死因，超过 75%的自杀死亡发生在中低收入国家。自杀意念 (ST) 和自杀行为 (SB) 是早期发现和预防自杀死亡的重要信号，与青少年的许多不同因素有关，包括性别和年龄、社会经济地位、儿童期逆境暴露和精神病理学。然而，研究主要集中在来自高收入国家的西方白人人群。为了减轻中低收入国家青少年的自杀负担，迫切需要确定与具体情况相关的风险识别和治疗目标。在莫桑比克，这个南部非洲自杀率最高的国家，这种需求尤为迫切，因为每 10 万居民中只有不到 2 名精神卫生专家，而且在青少年自杀预防工作中，必须有效地针对有限的资源。我们在莫桑比克首都马普托市的 2 所中学进行了一项横断面研究，以确定与莫桑比克青少年自杀意念和自杀行为相关的社会和精神因素。
