Suicidal ideation and attempt among school going adolescents in Bhutan – a secondary analysis of a global school-based student health ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12-02

AUTHORS

Tashi Dema, Jaya Prasad Tripathy, Sangay Thinley, Manju Rani, Tshering Dhendup, Chinmay Laxmeshwar, Karma Tenzin, Mongal Singh Gurung, Tashi Tshering, Dil Kumar Subba, Tashi Penjore, Karma Lhazeen

ABSTRACT

BACKGROUND: Suicide is one of the leading causes of death and Disability Adjusted Life Years (DALYs) worldwide. The economic, emotional and human cost of suicidal behaviour to individuals, families, communities and society makes it a serious public health issue. We aim to determine the prevalence and factors associated with self-reported suicidal behaviour (suicidal ideation and attempt) among school going adolescents (13-17 years). METHODS: This is a secondary analysis of a nationally representative data for Bhutan namely Global School Based Student Health Survey in 2016 which reports on various dimensions of adolescent health including suicidal behaviour. The survey employed a multistage sampling method to recruit participants aged 13-17 years (n = 5809) from 50 schools (25 each in rural and urban area). The survey used an anonymous self-administered pre-tested 84-item questionnaire. Weighted analysis was done. Adjusted prevalence ratios (aPRs) and adjusted Odds Ratios (aORs) have been presented with 95% confidence intervals (95% CI). RESULTS: A total of 667 (11.6%) adolescents reported considering a suicide attempt whereas 656 (11.3%) reported attempting suicide in the past 12 months. Among those reporting suicidal ideation, 388 (58.6%) reported attempting a suicide and 274 (41.4%) had ideation alone, whereas, 247 (38.9%) reported attempting a suicide without previous ideation. Female sex, food insecurity, physical attack, sexual violence, bullying, feeling of loneliness, low parental engagement, reported worry about lack of sleep, urge to use drugs/alcohol, smokeless tobacco use, drug abuse and parental smoking were the factors associated with suicidal attempt. All these factors except smokeless tobacco use and parental smoking were associated with suicidal ideation. Having helpful/close friends was found to be protective against suicide ideation. CONCLUSION: Suicidal behaviour among school going adolescents in Bhutan is high and alarming, especially among girls. Bullying, sexual violence, feeling of loneliness and drug abuse were some of the key risk factors identified. It is important to identify these risk factors early and effectively tackle them in order to prevent suicides. It requires a multi-faceted intervention with the support of the children, community, teachers and parents. More... »

PAGES

1605

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12889-019-7791-0

DOI

http://dx.doi.org/10.1186/s12889-019-7791-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1123061512

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31791280


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35 Global School-Based Student Health Survey
36 Health Survey
37 School Based Student Health Survey
38 Student Health Survey
39 abuse
40 adjusted prevalence ratios
41 adolescents
42 alcohol
43 analysis
44 attacks
45 attempt
46 behavior
47 bullying
48 cause
49 cause of death
50 children
51 close friends
52 community
53 confidence intervals
54 cost
55 data
56 death
57 dimensions
58 drug abuse
59 drugs/alcohol
60 engagement
61 faceted intervention
62 factors
63 family
64 feelings
65 feelings of loneliness
66 female sex
67 food insecurity
68 friends
69 girls
70 global school-based student health survey
71 health
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73 human costs
74 ideation
75 individuals
76 insecurity
77 intervals
78 intervention
79 issues
80 key risk factors
81 lack
82 lack of sleep
83 life years
84 loneliness
85 low parental engagement
86 method
87 months
88 multistage sampling method
89 odds ratio
90 order
91 parental engagement
92 parental smoking
93 parents
94 participants
95 physical attacks
96 prevalence
97 prevalence ratios
98 previous ideation
99 public health issue
100 questionnaire
101 ratio
102 representative data
103 risk factors
104 sampling method
105 school-based student health survey
106 schools
107 secondary analysis
108 self-reported suicidal behavior
109 serious public health issue
110 sex
111 sexual violence
112 sleep
113 smokeless tobacco use
114 smoking
115 society
116 suicidal attempts
117 suicidal behavior
118 suicidal ideation
119 suicide
120 suicide attempts
121 suicide ideation
122 support
123 survey
124 teachers
125 tobacco use
126 total
127 use
128 violence
129 weighted analysis
130 worry
131 years
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