Jahan Ishrat, Sharif Azaz Bin, Hasan A B M Nahid
Department of Public Health, North South University, Dhaka, Bangladesh.
Front Psychiatry. 2023 May 12;14:1160955. doi: 10.3389/fpsyt.2023.1160955. eCollection 2023.
Suicide is one of the leading causes of death worldwide. Owing to poor suicide literacy, people are not aware of the consequences of the suicide stigma, which may affect individuals. This study aimed to examine the status of suicide stigma and literacy among young adults in Bangladesh.
This cross-sectional study included 616 male subjects and female subjects residing in Bangladesh aged between 18 and 35 years who were invited to complete an online survey. Suicide literacy and suicide stigma among the respondents were assessed by using the validated Literacy of Suicide Scale and Stigma of Suicide Scale, respectively. Other independent variables that have been found to affect suicide stigma or literacy were included in this study based on prior research. Correlation analysis was used to assess the relationships between the study's main quantitative variables. Multiple linear regression models were used to assess factors affecting suicide stigma and suicide literacy, respectively, after controlling for covariates.
The mean literacy score was 3.86. The participants' mean scores in the stigma, isolation, and glorification subscale were 25.15, 14.48, and 9.04, respectively. Suicide literacy was negatively associated with stigmatizing attitudes ( = 0.005). Male subjects, unmarried/divorced/widowed, less educated (below HSC), smokers, less exposure to suicide, and respondents with chronic mental illness had lower suicide literacy and more stigmatizing attitudes.
The findings suggest that addressing suicide literacy and stigma by developing and executing awareness programs on suicide and mental health among young adults may increase knowledge, decrease stigma, and hence prevent suicide among this population.
自杀是全球主要死因之一。由于自杀知识水平较低,人们并未意识到自杀污名化的后果,而这可能会影响个人。本研究旨在调查孟加拉国年轻成年人的自杀污名化和知识水平状况。
这项横断面研究纳入了616名年龄在18至35岁之间、居住在孟加拉国的男性和女性受试者,邀请他们完成一项在线调查。分别使用经过验证的自杀知识量表和自杀污名量表对受访者的自杀知识和自杀污名进行评估。根据先前的研究,本研究纳入了其他已发现会影响自杀污名或知识水平的自变量。采用相关分析来评估研究的主要定量变量之间的关系。在控制协变量后,使用多元线性回归模型分别评估影响自杀污名和自杀知识水平的因素。
平均知识得分是3.86。参与者在污名化、孤立和美化子量表上的平均得分分别为25.15、14.48和9.04。自杀知识与污名化态度呈负相关(=0.005)。男性受试者、未婚/离异/丧偶者、受教育程度较低(低于高中)者、吸烟者、较少接触自杀相关信息者以及患有慢性精神疾病的受访者自杀知识水平较低,且污名化态度更强。
研究结果表明,通过在年轻成年人中开展和实施关于自杀及心理健康的宣传项目来解决自杀知识和污名化问题,可能会增加知识、减少污名化,从而预防这一人群中的自杀行为。