Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey

被引：103

作者：

Campisi, Susan C. ^{[1
,2
]}

Carducci, Bianca ^{[1
,2
]}

Akseer, Nadia ^{[1
]}

Zasowski, Clare ^{[3
]}

Szatmari, Peter ^{[4
,5
,6
]}

Bhutta, Zulfiqar A. ^{[1
,2
,7
,8
]}

机构：

[1] Hosp Sick Children, Ctr Global Child Hlth, 686 Bay St,11th Floor,Suite 11-9805, Toronto, ON M5G 0A4, Canada

[2] Univ Toronto, Fac Med, Dept Nutr Sci, Med Sci Bldg,1 Kings Circle Coll, Toronto, ON M5S 1A8, Canada

[3] Ryerson Univ, Fac Community Serv, Sch Nutr, Kerr Hall South,Room KHS 349,50 Gould St, Toronto, ON M5B 1X8, Canada

[4] Hosp Sick Children, Dept Psychiat, 555 Univ Ave,Burton Wing, Toronto, ON M5G 1X8, Canada

[5] Univ Toronto, Dept Psychiat, 250 Coll St,8th Floor, Toronto, ON M5T 1R8, Canada

[6] Cundill Ctr Child & Youth Depress, Ctr Addict & Mental Hlth, 80 Workman Way, Toronto, ON M6J 1H4, Canada

[7] Aga Khan Univ, Ctr Excellence Women & Child Hlth, Stadium Rd,POB 3500, Karachi 74800, Pakistan

[8] Univ Toronto, Dalla Lana Sch Publ Hlth, Hlth Sci Bldg,155 Coll St,6th Floor, Toronto, ON M5T 3M7, Canada

来源：

BMC PUBLIC HEALTH | 2020年 / 20卷 / 01期

关键词：

Adolescent mental health; Prevalence; Risk indicators; Suicidal ideation; Suicide attempt; YOUTH SUICIDE; LOW-INCOME; IDEATION; GENDER; METAANALYSIS; PREVENTION; PREVALENCE; SYMPTOMS; CHILDREN; RATES;

D O I：

10.1186/s12889-020-09209-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Understanding the burden and determinants of suicide during adolescence is key to achieving global health goals. We examined the prevalence and determinants of self-reported suicidal ideation and attempts among younger (13-15 years) and older adolescents (16-17 years). Methods Pooled prevalence estimates with 95% confidence interval, were calculated for suicide ideation and attempts for 118 surveys from 90 countries that administered the Global School-based Student Health Survey (GSHS) to adolescents (13-17 years of age) from 2003 to 2017. Indicators (including individual and social factors) associated with suicidal ideation and attempts were determined from multivariable linear regressions on key outcomes. Results The prevalence of suicidal ideation representing 397,299 adolescents (51.3% female) was significantly higher among girls than boys whereas attempts did not differ by age or sex. Being bullied, or having no close friends was associated with suicidal ideation among girls 13-15 years and 16-17 years, respectively. Among all boys, being in a fight and having no close friends was associated with suicidal ideation with the addition of serious injury for boys 13-15 years. Common to all younger adolescents was an association of suicide attempt with being bullied and having had a serious injury. Among young boys, having no close friends was an additional indicator for suicide attempt. Having no close friends was associated with suicide attempt in older adolescents with the addition to being bullied in older girls and serious injury in older boys. Conclusions Building positive social relationships with peers and avoiding serious injury appear key to suicide prevention strategies for vulnerable adolescents. Targeted programs by age group and sex for such indicators could improve mental health during adolescence in low and middle-income countries, given the diverse risk profiles for suicidal ideation and attempts.

引用

页数：11

共 40 条

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