Suicide attempts and behavioral correlates among a nationally representative sample of school-attending adolescents in the Republic of Malawi
Identifieur interne : 000773 ( Pmc/Curation ); précédent : 000772; suivant : 000774Suicide attempts and behavioral correlates among a nationally representative sample of school-attending adolescents in the Republic of Malawi
Auteurs : Masood A. Shaikh [Tanzanie] ; Jennifer Lloyd [Tanzanie] ; Emmanuel Acquah [Tanzanie] ; Karen L. Celedonia [Tanzanie] ; Michael L. Wilson [Tanzanie]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
Suicide is among the top causes of adolescent mortality worldwide. While correlates of suicidal behavior are better understood and delineated in upper-income countries, epidemiologic knowledge of suicidal behavior in low-income countries remains scant, particularly in the African continent. The present study sought to add to the epidemiologic literature on suicidal behavior in Africa by examining the behavioral correlates of suicide attempts among Malawi adolescents.
A cross-sectional study using a nationally-representative sample extracted from publically-available data was conducted. Bivariate and multivariate analyses were performed to discern associations between suicide attempts and a host of behavioral variables. 2225 records were included in the study.
At the multivariate level, suicide attempters had significantly higher odds of being anxious, being physically bullied, having sustained a serious injury and having a greater number of lifetime sexual partners. Alcohol use (at an early age and within the past 30 days) was also associated with suicide attempts.
These findings have the potential to guide public health interventions geared toward suicide prevention in Africa and other, similar regions, as well as provide the impetus for future epidemiologic studies on suicidal behavior in low-income countries.
Url:
DOI: 10.1186/s12889-016-3509-8
PubMed: 27542733
PubMed Central: 4992310
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Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Lloyd, Jennifer" sort="Lloyd, Jennifer" uniqKey="Lloyd J" first="Jennifer" last="Lloyd">Jennifer Lloyd</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Acquah, Emmanuel" sort="Acquah, Emmanuel" uniqKey="Acquah E" first="Emmanuel" last="Acquah">Emmanuel Acquah</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Celedonia, Karen L" sort="Celedonia, Karen L" uniqKey="Celedonia K" first="Karen L." last="Celedonia">Karen L. Celedonia</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="L Wilson, Michael" sort="L Wilson, Michael" uniqKey="L Wilson M" first="Michael" last="L. Wilson">Michael L. Wilson</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. 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Shaikh</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Lloyd, Jennifer" sort="Lloyd, Jennifer" uniqKey="Lloyd J" first="Jennifer" last="Lloyd">Jennifer Lloyd</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Acquah, Emmanuel" sort="Acquah, Emmanuel" uniqKey="Acquah E" first="Emmanuel" last="Acquah">Emmanuel Acquah</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Celedonia, Karen L" sort="Celedonia, Karen L" uniqKey="Celedonia K" first="Karen L." last="Celedonia">Karen L. Celedonia</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author><author><name sortKey="L Wilson, Michael" sort="L Wilson, Michael" uniqKey="L Wilson M" first="Michael" last="L. Wilson">Michael L. Wilson</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Suicide is among the top causes of adolescent mortality worldwide. While correlates of suicidal behavior are better understood and delineated in upper-income countries, epidemiologic knowledge of suicidal behavior in low-income countries remains scant, particularly in the African continent. The present study sought to add to the epidemiologic literature on suicidal behavior in Africa by examining the behavioral correlates of suicide attempts among Malawi adolescents.</p></sec><sec><title>Methods</title><p>A cross-sectional study using a nationally-representative sample extracted from publically-available data was conducted. Bivariate and multivariate analyses were performed to discern associations between suicide attempts and a host of behavioral variables. 2225 records were included in the study.</p></sec><sec><title>Results</title><p>At the multivariate level, suicide attempters had significantly higher odds of being anxious, being physically bullied, having sustained a serious injury and having a greater number of lifetime sexual partners. Alcohol use (at an early age and within the past 30 days) was also associated with suicide attempts.</p></sec><sec><title>Conclusions</title><p>These findings have the potential to guide public health interventions geared toward suicide prevention in Africa and other, similar regions, as well as provide the impetus for future epidemiologic studies on suicidal behavior in low-income countries.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Patton, Gc" uniqKey="Patton G">GC Patton</name></author><author><name sortKey="Coffey, C" uniqKey="Coffey C">C Coffey</name></author><author><name sortKey="Sawyer, Sm" uniqKey="Sawyer S">SM Sawyer</name></author><author><name sortKey="Viner, Rm" uniqKey="Viner R">RM Viner</name></author><author><name sortKey="Haller, Dm" uniqKey="Haller D">DM Haller</name></author><author><name sortKey="Bose, K" uniqKey="Bose K">K Bose</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27542733</article-id><article-id pub-id-type="pmc">4992310</article-id><article-id pub-id-type="publisher-id">3509</article-id><article-id pub-id-type="doi">10.1186/s12889-016-3509-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Suicide attempts and behavioral correlates among a nationally representative sample of school-attending adolescents in the Republic of Malawi</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Shaikh</surname><given-names>Masood A.</given-names></name><address><email>Masood.Shaikh@peercorpstrust.org</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Lloyd</surname><given-names>Jennifer</given-names></name><address><email>jennifer.wilburn@peercorpstrust.org</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Acquah</surname><given-names>Emmanuel</given-names></name><address><email>emmanuel.acquah@peercorpstrust.org</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Celedonia</surname><given-names>Karen L.</given-names></name><address><email>Karen.celedonia@peercorpstrust.org</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>L. Wilson</surname><given-names>Michael</given-names></name><address><phone>+255 754 636963</phone><email>Michael.wilson@peercorpstrust.org</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">Centre for Injury Prevention and Community Safety (CIPCS), PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania</aff></contrib-group><pub-date pub-type="epub"><day>19</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>16</volume><elocation-id>843</elocation-id><history><date date-type="received"><day>15</day><month>9</month><year>2015</year></date><date date-type="accepted"><day>13</day><month>8</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s). 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Suicide is among the top causes of adolescent mortality worldwide. While correlates of suicidal behavior are better understood and delineated in upper-income countries, epidemiologic knowledge of suicidal behavior in low-income countries remains scant, particularly in the African continent. The present study sought to add to the epidemiologic literature on suicidal behavior in Africa by examining the behavioral correlates of suicide attempts among Malawi adolescents.</p></sec><sec><title>Methods</title><p>A cross-sectional study using a nationally-representative sample extracted from publically-available data was conducted. Bivariate and multivariate analyses were performed to discern associations between suicide attempts and a host of behavioral variables. 2225 records were included in the study.</p></sec><sec><title>Results</title><p>At the multivariate level, suicide attempters had significantly higher odds of being anxious, being physically bullied, having sustained a serious injury and having a greater number of lifetime sexual partners. Alcohol use (at an early age and within the past 30 days) was also associated with suicide attempts.</p></sec><sec><title>Conclusions</title><p>These findings have the potential to guide public health interventions geared toward suicide prevention in Africa and other, similar regions, as well as provide the impetus for future epidemiologic studies on suicidal behavior in low-income countries.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Suicide attempts</kwd><kwd>Adolescents</kwd><kwd>Self-harm</kwd><kwd>Epidemiology</kwd><kwd>Africa</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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