Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data
Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especial...
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| creator | Seidu, Abdul-Aziz Amu, Hubert Dadzie, Louis Kobina Amoah, Abigail Ahinkorah, Bright Opoku Ameyaw, Edward Kwabena Acheampong, Henry Yaw Kissah-Korsah, Kwaku |
| description | Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especially among young people. This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p |
| doi_str_mv | 10.1371/journal.pone.0236448 |
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This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p<0.05. Results The prevalence of suicidal behaviours 12 months prior to the survey were 17.7%, 19.6% and 18.5% for suicidal ideation, suicidal plan, and suicidal attempt respectively. Adolescents who experienced anxiety had higher odds of suicidal ideation [AOR = 1.616, 95%CI = 1.148-2.275], suicidal plan [AOR = 1.507, 95%CI = 1.077-2.108], and suicidal attempt [AOR = 1.740, 95%CI = 1.228-2.467]. Adolescents who were physically attacked in school were also more likely to ideate [AOR = 1.463, 95%CI = 1.115-1.921], plan [AOR = 1.328, 95%CI = 1.020-1.728], and attempt [AOR = 1.701, 95%CI = 1.306-2.215] suicide. Having close friends was, however, an important protective factor against suicidal ideation [AOR = 0.694, 95%CI = 0.496-0.971], plan [AOR = 0.625, 95%CI = 0.455-0.860], and attempt [AOR = 0.529, 95%CI = 0.384-0.729]. Peer support also reduced the risk of suicidal ideation [AOR = 0.704, 95%CI = 0.538,0.920] and plan [AOR = 0.743, 95%CI = 0.572,0.966] among the in-school adolescents. Conclusion Suicidal behaviours constitute major public health challenges among in-school adolescents in Mozambique. The behaviours are predominant among adolescents who are physically attacked and those who experience anxiety. Conversely, having close friends serves as a protective factor against suicidal behaviours. To ensure that Mozambique meets the SDG target of promoting the mental health of all by the year 2030, the Government of Mozambique and educational authorities should urgently design and implement innovative interventions and strengthen existing ones that seek to address physical attacks and anxiety among in-school adolescents. School administrations should also incorporate programmes that seek to congregate students and offer platforms for social interaction and cohesion.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0236448</identifier><identifier>PMID: 32706805</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Adolescent psychology ; Adolescents ; Anxiety ; Biology and Life Sciences ; Bivariate analysis ; Chi square analysis ; Chi-square test ; Demographic aspects ; Drug use ; Education ; Enrollments ; Females ; Health aspects ; Health risks ; Health surveys ; High school students ; Medical research ; Medicine and Health Sciences ; Mental disorders ; Mental health ; Pediatric research ; People and Places ; Polls & surveys ; Population ; Psychological aspects ; Public health ; Regression analysis ; Research and Analysis Methods ; Response rates ; Risk factors ; Risk reduction ; Social behavior ; Social factors ; Social Sciences ; Software ; Statistical analysis ; Statistical tests ; Students ; Studies ; Suicidal behavior ; Suicide ; Suicide prevention ; Suicides & suicide attempts ; Supervision ; Surveys ; Sustainable development ; Teenagers ; Violence ; Well being ; Young adults</subject><ispartof>PloS one, 2020-07, Vol.15 (7), p.e0236448-e0236448</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Seidu 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>2020 Seidu et al 2020 Seidu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-84fbc8bf5e9a0f169a0c600916ad295ae1bbd2eb777a487c11ca41722d991b933</citedby><cites>FETCH-LOGICAL-c562t-84fbc8bf5e9a0f169a0c600916ad295ae1bbd2eb777a487c11ca41722d991b933</cites><orcidid>0000-0001-9734-9054 ; 0000-0003-0218-3843</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/PMC7380623/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380623/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids></links><search><creatorcontrib>Seidu, Abdul-Aziz</creatorcontrib><creatorcontrib>Amu, Hubert</creatorcontrib><creatorcontrib>Dadzie, Louis Kobina</creatorcontrib><creatorcontrib>Amoah, Abigail</creatorcontrib><creatorcontrib>Ahinkorah, Bright Opoku</creatorcontrib><creatorcontrib>Ameyaw, Edward Kwabena</creatorcontrib><creatorcontrib>Acheampong, Henry Yaw</creatorcontrib><creatorcontrib>Kissah-Korsah, Kwaku</creatorcontrib><title>Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data</title><title>PloS one</title><description>Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especially among young people. This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p<0.05. Results The prevalence of suicidal behaviours 12 months prior to the survey were 17.7%, 19.6% and 18.5% for suicidal ideation, suicidal plan, and suicidal attempt respectively. Adolescents who experienced anxiety had higher odds of suicidal ideation [AOR = 1.616, 95%CI = 1.148-2.275], suicidal plan [AOR = 1.507, 95%CI = 1.077-2.108], and suicidal attempt [AOR = 1.740, 95%CI = 1.228-2.467]. Adolescents who were physically attacked in school were also more likely to ideate [AOR = 1.463, 95%CI = 1.115-1.921], plan [AOR = 1.328, 95%CI = 1.020-1.728], and attempt [AOR = 1.701, 95%CI = 1.306-2.215] suicide. Having close friends was, however, an important protective factor against suicidal ideation [AOR = 0.694, 95%CI = 0.496-0.971], plan [AOR = 0.625, 95%CI = 0.455-0.860], and attempt [AOR = 0.529, 95%CI = 0.384-0.729]. Peer support also reduced the risk of suicidal ideation [AOR = 0.704, 95%CI = 0.538,0.920] and plan [AOR = 0.743, 95%CI = 0.572,0.966] among the in-school adolescents. Conclusion Suicidal behaviours constitute major public health challenges among in-school adolescents in Mozambique. The behaviours are predominant among adolescents who are physically attacked and those who experience anxiety. Conversely, having close friends serves as a protective factor against suicidal behaviours. To ensure that Mozambique meets the SDG target of promoting the mental health of all by the year 2030, the Government of Mozambique and educational authorities should urgently design and implement innovative interventions and strengthen existing ones that seek to address physical attacks and anxiety among in-school adolescents. School administrations should also incorporate programmes that seek to congregate students and offer platforms for social interaction and cohesion.</description><subject>Adolescent psychology</subject><subject>Adolescents</subject><subject>Anxiety</subject><subject>Biology and Life Sciences</subject><subject>Bivariate analysis</subject><subject>Chi square analysis</subject><subject>Chi-square test</subject><subject>Demographic aspects</subject><subject>Drug use</subject><subject>Education</subject><subject>Enrollments</subject><subject>Females</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Health surveys</subject><subject>High school students</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Pediatric research</subject><subject>People and Places</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Research and Analysis Methods</subject><subject>Response rates</subject><subject>Risk factors</subject><subject>Risk reduction</subject><subject>Social behavior</subject><subject>Social factors</subject><subject>Social Sciences</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Students</subject><subject>Studies</subject><subject>Suicidal behavior</subject><subject>Suicide</subject><subject>Suicide prevention</subject><subject>Suicides & suicide attempts</subject><subject>Supervision</subject><subject>Surveys</subject><subject>Sustainable development</subject><subject>Teenagers</subject><subject>Violence</subject><subject>Well being</subject><subject>Young 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behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data</title><author>Seidu, Abdul-Aziz ; Amu, Hubert ; Dadzie, Louis Kobina ; Amoah, Abigail ; Ahinkorah, Bright Opoku ; Ameyaw, Edward Kwabena ; Acheampong, Henry Yaw ; Kissah-Korsah, Kwaku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-84fbc8bf5e9a0f169a0c600916ad295ae1bbd2eb777a487c11ca41722d991b933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent psychology</topic><topic>Adolescents</topic><topic>Anxiety</topic><topic>Biology and Life Sciences</topic><topic>Bivariate analysis</topic><topic>Chi square analysis</topic><topic>Chi-square test</topic><topic>Demographic aspects</topic><topic>Drug use</topic><topic>Education</topic><topic>Enrollments</topic><topic>Females</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Health surveys</topic><topic>High school students</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Pediatric research</topic><topic>People and Places</topic><topic>Polls & surveys</topic><topic>Population</topic><topic>Psychological aspects</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Research and Analysis Methods</topic><topic>Response rates</topic><topic>Risk factors</topic><topic>Risk reduction</topic><topic>Social behavior</topic><topic>Social factors</topic><topic>Social Sciences</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Statistical tests</topic><topic>Students</topic><topic>Studies</topic><topic>Suicidal behavior</topic><topic>Suicide</topic><topic>Suicide prevention</topic><topic>Suicides & suicide attempts</topic><topic>Supervision</topic><topic>Surveys</topic><topic>Sustainable development</topic><topic>Teenagers</topic><topic>Violence</topic><topic>Well being</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seidu, Abdul-Aziz</creatorcontrib><creatorcontrib>Amu, Hubert</creatorcontrib><creatorcontrib>Dadzie, Louis Kobina</creatorcontrib><creatorcontrib>Amoah, Abigail</creatorcontrib><creatorcontrib>Ahinkorah, Bright Opoku</creatorcontrib><creatorcontrib>Ameyaw, Edward Kwabena</creatorcontrib><creatorcontrib>Acheampong, Henry Yaw</creatorcontrib><creatorcontrib>Kissah-Korsah, Kwaku</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health 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Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - 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>Seidu, Abdul-Aziz</au><au>Amu, Hubert</au><au>Dadzie, Louis Kobina</au><au>Amoah, Abigail</au><au>Ahinkorah, Bright Opoku</au><au>Ameyaw, Edward Kwabena</au><au>Acheampong, Henry Yaw</au><au>Kissah-Korsah, Kwaku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data</atitle><jtitle>PloS one</jtitle><date>2020-07-24</date><risdate>2020</risdate><volume>15</volume><issue>7</issue><spage>e0236448</spage><epage>e0236448</epage><pages>e0236448-e0236448</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especially among young people. This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p<0.05. Results The prevalence of suicidal behaviours 12 months prior to the survey were 17.7%, 19.6% and 18.5% for suicidal ideation, suicidal plan, and suicidal attempt respectively. Adolescents who experienced anxiety had higher odds of suicidal ideation [AOR = 1.616, 95%CI = 1.148-2.275], suicidal plan [AOR = 1.507, 95%CI = 1.077-2.108], and suicidal attempt [AOR = 1.740, 95%CI = 1.228-2.467]. Adolescents who were physically attacked in school were also more likely to ideate [AOR = 1.463, 95%CI = 1.115-1.921], plan [AOR = 1.328, 95%CI = 1.020-1.728], and attempt [AOR = 1.701, 95%CI = 1.306-2.215] suicide. Having close friends was, however, an important protective factor against suicidal ideation [AOR = 0.694, 95%CI = 0.496-0.971], plan [AOR = 0.625, 95%CI = 0.455-0.860], and attempt [AOR = 0.529, 95%CI = 0.384-0.729]. Peer support also reduced the risk of suicidal ideation [AOR = 0.704, 95%CI = 0.538,0.920] and plan [AOR = 0.743, 95%CI = 0.572,0.966] among the in-school adolescents. Conclusion Suicidal behaviours constitute major public health challenges among in-school adolescents in Mozambique. The behaviours are predominant among adolescents who are physically attacked and those who experience anxiety. Conversely, having close friends serves as a protective factor against suicidal behaviours. To ensure that Mozambique meets the SDG target of promoting the mental health of all by the year 2030, the Government of Mozambique and educational authorities should urgently design and implement innovative interventions and strengthen existing ones that seek to address physical attacks and anxiety among in-school adolescents. School administrations should also incorporate programmes that seek to congregate students and offer platforms for social interaction and cohesion.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32706805</pmid><doi>10.1371/journal.pone.0236448</doi><orcidid>https://orcid.org/0000-0001-9734-9054</orcidid><orcidid>https://orcid.org/0000-0003-0218-3843</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-07, Vol.15 (7), p.e0236448-e0236448 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2426799030 |
| source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent psychology Adolescents Anxiety Biology and Life Sciences Bivariate analysis Chi square analysis Chi-square test Demographic aspects Drug use Education Enrollments Females Health aspects Health risks Health surveys High school students Medical research Medicine and Health Sciences Mental disorders Mental health Pediatric research People and Places Polls & surveys Population Psychological aspects Public health Regression analysis Research and Analysis Methods Response rates Risk factors Risk reduction Social behavior Social factors Social Sciences Software Statistical analysis Statistical tests Students Studies Suicidal behavior Suicide Suicide prevention Suicides & suicide attempts Supervision Surveys Sustainable development Teenagers Violence Well being Young adults |
| title | Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data |
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