Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey
Suicide has been recognized as a major public health problem with high burden in low and middle income countries. Suicide has long lasting psychological trauma on friends and relatives in addition to loss of economic productivity. Although the need of high quality evidence is essential for designing...
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| Veröffentlicht in: | PloS one 2019-04, Vol.14 (4), p.e0210383-e0210383 |
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| creator | Pandey, Achyut Raj Bista, Bihungum Dhungana, Raja Ram Aryal, Krishna Kumar Chalise, Binaya Dhimal, Meghnath |
| description | Suicide has been recognized as a major public health problem with high burden in low and middle income countries. Suicide has long lasting psychological trauma on friends and relatives in addition to loss of economic productivity. Although the need of high quality evidence is essential for designing suicide prevention program, Nepal lacks reliable evidence from nationally representative data. This study aimed to estimate the prevalence of suicidal ideation and attempt among adolescent students and identify the factors associated with them.
Total of 6,531 students of grade 7 to 11 from 74 schools representing all three ecological belts and five development regions participated in this cross sectional study. To select the representative sample from study population, two stage cluster sampling method was used. Standardized self-administered questionnaire were completed by participants. Multivariable logistic regression was done to identify the factors associated with suicidal ideation and attempt.
Nearly 13.59% of the participants had considered suicide while 10.33% had attempted it. Food insecurity (OR = 2.32, CI = 1.62-3.32), anxiety (OR = 2.54, CI = 1.49-4.30), loneliness (OR = 2.51, CI = 1.44-4.36) and gender (OR = 1.39, CI = 1.03-1.89) were identified as risk factors of suicidal ideation. Anxiety (OR = 3.02, CI = 1.18-7.74), loneliness (OR = 2.19, CI = 1.28-3.73) truancy (OR = 1.99, CI = 1.40-2.82), cigarette use (OR = 3.13, CI = 1.36-7.23) and gender (OR = 1.60, CI = 1.07-2.39) were identified as risk factors of suicidal attempt. Having 3 or more close friends was found to have protective effect (OR = 0.35, CI = 0.16-0.75) against suicidal attempt.
Study reveals relatively high prevalence of suicidal ideation and suicidal attempt among school-going adolescents in Nepal. Appropriate coping strategies for factors like anxiety, loneliness seem could be useful for preventing both suicidal ideation and attempt. |
| doi_str_mv | 10.1371/journal.pone.0210383 |
| format | Article |
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Total of 6,531 students of grade 7 to 11 from 74 schools representing all three ecological belts and five development regions participated in this cross sectional study. To select the representative sample from study population, two stage cluster sampling method was used. Standardized self-administered questionnaire were completed by participants. Multivariable logistic regression was done to identify the factors associated with suicidal ideation and attempt.
Nearly 13.59% of the participants had considered suicide while 10.33% had attempted it. Food insecurity (OR = 2.32, CI = 1.62-3.32), anxiety (OR = 2.54, CI = 1.49-4.30), loneliness (OR = 2.51, CI = 1.44-4.36) and gender (OR = 1.39, CI = 1.03-1.89) were identified as risk factors of suicidal ideation. Anxiety (OR = 3.02, CI = 1.18-7.74), loneliness (OR = 2.19, CI = 1.28-3.73) truancy (OR = 1.99, CI = 1.40-2.82), cigarette use (OR = 3.13, CI = 1.36-7.23) and gender (OR = 1.60, CI = 1.07-2.39) were identified as risk factors of suicidal attempt. Having 3 or more close friends was found to have protective effect (OR = 0.35, CI = 0.16-0.75) against suicidal attempt.
Study reveals relatively high prevalence of suicidal ideation and suicidal attempt among school-going adolescents in Nepal. Appropriate coping strategies for factors like anxiety, loneliness seem could be useful for preventing both suicidal ideation and attempt.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0210383</identifier><identifier>PMID: 31002715</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adaptation, Psychological ; Adolescent ; Adolescent Behavior - psychology ; Adolescents ; Analysis ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Child ; Cross-Sectional Studies ; Epidemiology ; Female ; Food security ; Food Supply ; Health aspects ; Health surveys ; Health Surveys - statistics & numerical data ; Humans ; Identification methods ; Loneliness - psychology ; Male ; Mental health ; Nepal - epidemiology ; Population studies ; Prevalence ; Psychic trauma ; Public health ; Risk analysis ; Risk Factors ; Sampling methods ; Schools ; Schools - statistics & numerical data ; Self destructive behavior ; Sex Factors ; Social aspects ; Students ; Students - psychology ; Students - statistics & numerical data ; Studies ; Suicidal Ideation ; Suicide ; Suicide prevention ; Suicide, Attempted - prevention & control ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; Teenagers ; Trauma]]></subject><ispartof>PloS one, 2019-04, Vol.14 (4), p.e0210383-e0210383</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Pandey et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Pandey et al 2019 Pandey et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6dda7b9286185cc8a3c71be98f93ed088673dc80c36da3e6389a83aa388448233</citedby><cites>FETCH-LOGICAL-c692t-6dda7b9286185cc8a3c71be98f93ed088673dc80c36da3e6389a83aa388448233</cites><orcidid>0000-0001-7176-7821 ; 0000-0002-9610-6306 ; 0000-0001-7292-1229 ; 0000-0002-1037-1273</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474648/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474648/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31002715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mazza, Marianna</contributor><creatorcontrib>Pandey, Achyut Raj</creatorcontrib><creatorcontrib>Bista, Bihungum</creatorcontrib><creatorcontrib>Dhungana, Raja Ram</creatorcontrib><creatorcontrib>Aryal, Krishna Kumar</creatorcontrib><creatorcontrib>Chalise, Binaya</creatorcontrib><creatorcontrib>Dhimal, Meghnath</creatorcontrib><title>Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Suicide has been recognized as a major public health problem with high burden in low and middle income countries. Suicide has long lasting psychological trauma on friends and relatives in addition to loss of economic productivity. Although the need of high quality evidence is essential for designing suicide prevention program, Nepal lacks reliable evidence from nationally representative data. This study aimed to estimate the prevalence of suicidal ideation and attempt among adolescent students and identify the factors associated with them.
Total of 6,531 students of grade 7 to 11 from 74 schools representing all three ecological belts and five development regions participated in this cross sectional study. To select the representative sample from study population, two stage cluster sampling method was used. Standardized self-administered questionnaire were completed by participants. Multivariable logistic regression was done to identify the factors associated with suicidal ideation and attempt.
Nearly 13.59% of the participants had considered suicide while 10.33% had attempted it. Food insecurity (OR = 2.32, CI = 1.62-3.32), anxiety (OR = 2.54, CI = 1.49-4.30), loneliness (OR = 2.51, CI = 1.44-4.36) and gender (OR = 1.39, CI = 1.03-1.89) were identified as risk factors of suicidal ideation. Anxiety (OR = 3.02, CI = 1.18-7.74), loneliness (OR = 2.19, CI = 1.28-3.73) truancy (OR = 1.99, CI = 1.40-2.82), cigarette use (OR = 3.13, CI = 1.36-7.23) and gender (OR = 1.60, CI = 1.07-2.39) were identified as risk factors of suicidal attempt. Having 3 or more close friends was found to have protective effect (OR = 0.35, CI = 0.16-0.75) against suicidal attempt.
Study reveals relatively high prevalence of suicidal ideation and suicidal attempt among school-going adolescents in Nepal. Appropriate coping strategies for factors like anxiety, loneliness seem could be useful for preventing both suicidal ideation and attempt.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Adolescents</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Food security</subject><subject>Food Supply</subject><subject>Health aspects</subject><subject>Health surveys</subject><subject>Health Surveys - statistics & numerical data</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Loneliness - psychology</subject><subject>Male</subject><subject>Mental health</subject><subject>Nepal - epidemiology</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Psychic trauma</subject><subject>Public health</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sampling methods</subject><subject>Schools</subject><subject>Schools - statistics & numerical data</subject><subject>Self destructive behavior</subject><subject>Sex Factors</subject><subject>Social aspects</subject><subject>Students</subject><subject>Students - psychology</subject><subject>Students - statistics & numerical data</subject><subject>Studies</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide prevention</subject><subject>Suicide, Attempted - prevention & control</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Trauma</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1Fv0zAQxyMEYqPwDRBYQkLw0GLHqePwgDRNdKs0MYkCr9bFdlpPTtzFzmDfhQ-Ls6ajQXtAeXB0-d3_fP_cJclLgmeE5uTDlevaBuxs6xo9wynBlNNHyTEpaDplKaaPD96PkmfeX2E8p5yxp8kRJRinOZkfJ78XIINrPQLvnTQQtEI_Tdgg3xlpFFhklIZgXIOgUX-jEIKutyHm1a5ZI1DOai91E5APnYqnR6ZBX_QW7Ee0MI0yzdqjqnU1OrOujAoruXHOTkvwseRqn3Suwcbqq6690bfPkycVWK9fDOck-b74_O30fHpxebY8PbmYSlakYcqUgrwsUs4In0vJgcqclLrgVUG1wpyznCrJsaRMAdWM8gI4BaCcZxlPKZ0kr3e6W-u8GIz1Ik0JYXl0rCeWO0I5uBLb1tTQ3goHRtwFXLsW0AYjrRZVzlSsB1pWkIGiIMsUlyTDWpYc8ixqfRqqdWWtVW9aC3YkOv7SmI1YuxvBsjxjGY8C7waB1l132gdRm-i9tdBo1-3uXczTeWxtkrz5B324u4FaQ2zANJWLdWUvKk6iSpyi6HOkZg9Q8VG6NjJOYWVifJTwfpQQmaB_hTV03ovl6uv_s5c_xuzbA3ZzNzHe2a6fUj8Gsx0oW-d9q6t7kwkW_RLt3RD9EolhiWLaq8MfdJ-03xr6B0_eGmY</recordid><startdate>20190419</startdate><enddate>20190419</enddate><creator>Pandey, Achyut Raj</creator><creator>Bista, Bihungum</creator><creator>Dhungana, Raja Ram</creator><creator>Aryal, Krishna Kumar</creator><creator>Chalise, Binaya</creator><creator>Dhimal, Meghnath</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7176-7821</orcidid><orcidid>https://orcid.org/0000-0002-9610-6306</orcidid><orcidid>https://orcid.org/0000-0001-7292-1229</orcidid><orcidid>https://orcid.org/0000-0002-1037-1273</orcidid></search><sort><creationdate>20190419</creationdate><title>Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey</title><author>Pandey, Achyut Raj ; Bista, Bihungum ; Dhungana, Raja Ram ; Aryal, Krishna Kumar ; Chalise, Binaya ; Dhimal, Meghnath</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-6dda7b9286185cc8a3c71be98f93ed088673dc80c36da3e6389a83aa388448233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adolescent Behavior - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pandey, Achyut Raj</au><au>Bista, Bihungum</au><au>Dhungana, Raja Ram</au><au>Aryal, Krishna Kumar</au><au>Chalise, Binaya</au><au>Dhimal, Meghnath</au><au>Mazza, Marianna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-04-19</date><risdate>2019</risdate><volume>14</volume><issue>4</issue><spage>e0210383</spage><epage>e0210383</epage><pages>e0210383-e0210383</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Suicide has been recognized as a major public health problem with high burden in low and middle income countries. Suicide has long lasting psychological trauma on friends and relatives in addition to loss of economic productivity. Although the need of high quality evidence is essential for designing suicide prevention program, Nepal lacks reliable evidence from nationally representative data. This study aimed to estimate the prevalence of suicidal ideation and attempt among adolescent students and identify the factors associated with them.
Total of 6,531 students of grade 7 to 11 from 74 schools representing all three ecological belts and five development regions participated in this cross sectional study. To select the representative sample from study population, two stage cluster sampling method was used. Standardized self-administered questionnaire were completed by participants. Multivariable logistic regression was done to identify the factors associated with suicidal ideation and attempt.
Nearly 13.59% of the participants had considered suicide while 10.33% had attempted it. Food insecurity (OR = 2.32, CI = 1.62-3.32), anxiety (OR = 2.54, CI = 1.49-4.30), loneliness (OR = 2.51, CI = 1.44-4.36) and gender (OR = 1.39, CI = 1.03-1.89) were identified as risk factors of suicidal ideation. Anxiety (OR = 3.02, CI = 1.18-7.74), loneliness (OR = 2.19, CI = 1.28-3.73) truancy (OR = 1.99, CI = 1.40-2.82), cigarette use (OR = 3.13, CI = 1.36-7.23) and gender (OR = 1.60, CI = 1.07-2.39) were identified as risk factors of suicidal attempt. Having 3 or more close friends was found to have protective effect (OR = 0.35, CI = 0.16-0.75) against suicidal attempt.
Study reveals relatively high prevalence of suicidal ideation and suicidal attempt among school-going adolescents in Nepal. Appropriate coping strategies for factors like anxiety, loneliness seem could be useful for preventing both suicidal ideation and attempt.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31002715</pmid><doi>10.1371/journal.pone.0210383</doi><tpages>e0210383</tpages><orcidid>https://orcid.org/0000-0001-7176-7821</orcidid><orcidid>https://orcid.org/0000-0002-9610-6306</orcidid><orcidid>https://orcid.org/0000-0001-7292-1229</orcidid><orcidid>https://orcid.org/0000-0002-1037-1273</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-04, Vol.14 (4), p.e0210383-e0210383 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2211678663 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adaptation, Psychological Adolescent Adolescent Behavior - psychology Adolescents Analysis Anxiety Anxiety - epidemiology Anxiety - psychology Child Cross-Sectional Studies Epidemiology Female Food security Food Supply Health aspects Health surveys Health Surveys - statistics & numerical data Humans Identification methods Loneliness - psychology Male Mental health Nepal - epidemiology Population studies Prevalence Psychic trauma Public health Risk analysis Risk Factors Sampling methods Schools Schools - statistics & numerical data Self destructive behavior Sex Factors Social aspects Students Students - psychology Students - statistics & numerical data Studies Suicidal Ideation Suicide Suicide prevention Suicide, Attempted - prevention & control Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts Teenagers Trauma |
| title | Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T02%3A30%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Factors%20associated%20with%20suicidal%20ideation%20and%20suicidal%20attempts%20among%20adolescent%20students%20in%20Nepal:%20Findings%20from%20Global%20School-based%20Students%20Health%20Survey&rft.jtitle=PloS%20one&rft.au=Pandey,%20Achyut%20Raj&rft.date=2019-04-19&rft.volume=14&rft.issue=4&rft.spage=e0210383&rft.epage=e0210383&rft.pages=e0210383-e0210383&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0210383&rft_dat=%3Cgale_plos_%3EA582932692%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2211678663&rft_id=info:pmid/31002715&rft_galeid=A582932692&rft_doaj_id=oai_doaj_org_article_f76d73daecfa4ad3acb20b140ecb8a74&rfr_iscdi=true |