Adolescent suicidal behaviours in 32 low- and middle-income countries

Datos Bibliográficos

ID23323795
AutoresBritt Mckinnon (0000-0002-3109-5474, Institute for Health and Social Policy, McGill University, 1030 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada., autor de correspondencia), Geneviève Gariépy (0000-0001-9209-4240, Institute for Health and Social Policy, McGill University, 1030 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada.), Mariane Sentenac (0000-0002-2156-154X, Institute for Health and Social Policy, McGill University, 1030 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada.), Frank J Elgar (0000-0003-0290-5500, Institute for Health and Social Policy, McGill University, 1030 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada.)
Año2016
Volumen94
Número5
Páginas340-350F
Fecha de publicación2016-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBulletin of the World Health Organization (JOURNAL)
Identificadores de la revistaISSN: 0042-9686 • E-ISSN: 1564-0604
EditorialWHO Press (PUBLISHER)
DOI10.2471/blt.15.163295
PMID27147764
OpenAlexW2344725018
IdiomaEN
Citas recibidas66
Referencias citadas39

OBJECTIVE: To estimate prevalence of suicidal ideation and suicidal ideation with a plan in each surveyed country and to examine cross-national differences in associated risk factors. METHODS: We analysed data of students aged 13-17 years who participated in the 2003-2012 Global School-based Health Surveys in 32 countries, of which 29 are low- and middle-income. We used random effects meta-analysis to generate regional and overall pooled estimates. Multivariable logistic regression was used to estimate risk ratios for the associated risk factors. Population attributable fractions were estimated based on adjusted risk ratios and the prevalence of the determinants within each exposure level. FINDINGS: Across all countries, the pooled 12-month prevalence of suicide ideation were 16.2% (95% confidence interval, CI: 15.6 to 16.7) among females and 12.2% (95% CI: 11.7 to 12.7) among males and ideation with a plan were 8.3% (95% CI: 7.9 to 8.7) among females and 5.8% (95% CI: 5.5 to 6.1) among males. Suicide ideation in the WHO Region of the Americas was higher in females than males, with an estimated prevalence ratio of 1.70 (95% CI: 1.60 to 1.81), while this ratio was 1.04 (95% CI: 0.98 to 1.10) in the WHO African Region. Factors associated with suicidal ideation in most countries included experiences of bullying and physical violence, loneliness, limited parental support and alcohol and tobacco use. CONCLUSION: The prevalence of adolescent suicidal behaviours varies across countries, yet a consistent set of risk factors of suicidal behaviours emerged across all regions and most countries.

Confidence interval · Environmental health · Injury prevention · Logistic regression · Loneliness · Poison control · Population · Psychiatry · Suicidal ideation · Suicide prevention · COVID-19 and Mental Health · Demography · Medicine · Mental Health Treatment and Access · Suicide and Self-Harm Studies