Department of Family Medicine, Faculty of Health Science, Walter Sisulu University, Port Elizabeth, South Africa; and, Department of Family Medicine, Dora Nginza Provincial Hospital, Port Elizabeth.
S Afr Fam Pract (2004). 2022 Nov 8;64(1):e1-e7. doi: 10.4102/safp.v64i1.5609.
Worldwide, death by suicide is a leading cause of death among young people, and students of higher educational institutions constitute a vulnerable group. This study aimed to determine the lifetime prevalence and associated factors of suicide attempt among students of a higher education institution in Nelson Mandela Municipality.
A cross sectional study was conducted among students of East Cape Midland College in Nelson Mandela Municipality. The participants were selected by stratified random sampling and a standardised self-administered questionnaire was used to collect data.
The prevalence of lifetime suicide attempts was 16.0% among the participants. Multivariate logistic regression analysis revealed higher odds of suicide attempts among participants who: experienced bullying (OR: 1.66, CI: 1.05-2.61; p 0.001), had underlying medical conditions (OR: 3.27, CI: 2.08-5.14; p 0.001), had abnormal body weight perceptions (OR: 1.64, CI: 1.03-2.62; p 0.05), had experienced sexual abuse (OR: 5.72, CI: 2.86-11.45; p 0.001), or had someone very close who had experienced sexual abuse (OR: 1.77, CI: 1.02-3.05; p 0.05).
This study identified history of sexual abuse, bullying, perceptions of abnormal body weight and underlying medical conditions as associated risk factors of suicide attempts among the participants. The high prevalence of suicide attempts among the participants (16%) demonstrates the urgent need for campus-based interventions and prevention strategies aimed at addressing the identified associated factors.
在全球范围内，自杀是年轻人的主要死因之一，高等教育机构的学生构成了一个脆弱群体。本研究旨在确定纳尔逊·曼德拉市东开普米德兰学院学生一生中自杀未遂的发生率及其相关因素。
在纳尔逊·曼德拉市东开普米德兰学院进行了一项横断面研究。通过分层随机抽样选择参与者，并使用标准化的自我管理问卷收集数据。
参与者中一生中自杀未遂的发生率为 16.0%。多变量逻辑回归分析显示，自杀未遂的可能性更高：遭受欺凌（OR：1.66，CI：1.05-2.61；p<0.001）、有潜在疾病（OR：3.27，CI：2.08-5.14；p<0.001）、对体重有异常认知（OR：1.64，CI：1.03-2.62；p<0.05）、遭受过性虐待（OR：5.72，CI：2.86-11.45；p<0.001）或与经历过性虐待的人非常亲近（OR：1.77，CI：1.02-3.05；p<0.05）。
本研究确定了性虐待史、欺凌、异常体重认知和潜在疾病作为参与者自杀未遂的相关风险因素。参与者中自杀未遂的高发生率（16%）表明，迫切需要在校园内开展干预和预防策略，以解决确定的相关因素。
