Ferede Yeshiwas Ayale, Tassew Worku Chekol, Zeleke Agerie Mengistie, Beyene Jember Ayelgne, Gonete Yosef Aragaw, Abebe Moges Tadesse
Department of Reproductive Health, Teda Health Science College, Gondar, Ethiopia.
Department of Medical Nursing, Teda Health Science College, Gondar, Ethiopia.
BMC Psychiatry. 2025 Feb 20;25(1):160. doi: 10.1186/s12888-025-06574-0.
Suicide is a critical public health concern globally, and adolescents and youth are particularly vulnerable. In Ethiopia, suicide attempts among this population are alarmingly prevalent, yet the magnitude and determinants remain insufficiently understood. A systematic review and meta-analysis are essential to comprehensively synthesize the evidence and guide targeted interventions. This review aims to establish a pooled prevalence and identify factors associated with suicide attempts among adolescents and youth aged 10-24 years in Ethiopia.
A systematic literature search was conducted using PubMed, Scopus, Web of Science, African Journal Online (AJOL), and Google Scholar. The quality of each original study was assessed with a modified Joanna Briggs Institute (JBI) tool tailored for cross-sectional research. The Cochrane Q and I² test statistics were used to assess heterogeneity across studies. A random effects model was employed to calculate the pooled estimate of suicide attempts among adolescents and youth.
The pooled estimate of suicide attempts among Ethiopian adolescents and youth covering the age range from 10 to 24 years was 12.38% (95% CI: 8.72, 16.05). Key associated factors included being female (POR = 2.31; 95% CI: 1.44, 3.71), poor social support (POR = 3.44; 95% CI: 1.89, 6.23), a family history of suicide attempts (POR = 5.67; 95% CI: 3.98, 8.08), and disappointing school results (POR = 3.16; 95% CI: 2.33, 4.28).
The study reveals that nearly one in eight adolescents and youth in Ethiopia have experienced a suicide attempt. Being female, experiencing poor social support, having disappointing academic results, and having a family history of suicide attempts are significant risk factors. The Federal Ministry of Health (FMOH), policymakers, and stakeholders should prioritize mental health initiatives aimed at prevention, establishing school support systems, raising community awareness, and providing family counseling services.
Not applicable.
自杀是全球重要的公共卫生问题，青少年尤其脆弱。在埃塞俄比亚，这一人群中的自杀未遂情况极为普遍，但规模和决定因素仍未得到充分了解。系统评价和荟萃分析对于全面综合证据并指导针对性干预至关重要。本评价旨在确定埃塞俄比亚10至24岁青少年和青年自杀未遂的合并患病率，并识别与之相关的因素。
使用PubMed、Scopus、科学网、非洲期刊在线（AJOL）和谷歌学术进行系统文献检索。每项原始研究的质量采用专为横断面研究定制的改良乔安娜·布里格斯研究所（JBI）工具进行评估。采用Cochrane Q和I²检验统计量评估各研究间的异质性。采用随机效应模型计算青少年和青年自杀未遂的合并估计值。
埃塞俄比亚10至24岁青少年和青年自杀未遂的合并估计值为12.38%（95%置信区间：8.72，16.05）。主要相关因素包括女性（比值比=2.31；95%置信区间：1.44，3.71）、社会支持差（比值比=3.44；95%置信区间：1.89，6.23）、自杀未遂家族史（比值比=5.67；95%置信区间：3.98，8.08）以及学业成绩不理想（比值比=3.16；95%置信区间：2.33，4.28）。
该研究表明，埃塞俄比亚近八分之一的青少年和青年曾有过自杀未遂经历。女性、社会支持差、学业成绩不理想以及有自杀未遂家族史是重要的风险因素。联邦卫生部（FMOH）、政策制定者和利益相关者应优先开展旨在预防的心理健康举措，建立学校支持系统，提高社区意识，并提供家庭咨询服务。
不适用。
