|
Abstract
|
Although suicide is a potentially preventable condition, it has remained global leading cause of death. The factors associated with death by suicide are similar to those identified in persons with suicidal ideation and attempts (Oppong Asante et al., 2021; Quarshie et al., 2021; Liu et al., 2023; Zhao et al., 2023). For effective formulation of preventive strategies to be put in place, there is need to first understand the modifiable risk factors and the possible protective factors that need to be enhanced. Studies conducted in one geographical region cannot necessarily apply in another (Zheng et al., 2023). This editorial summarizes data from recent studies among children and adolescents in low and middle income counties (LMICs).
A study by Bukuluki et al. among 219 vulnerable adolescents in Uganda reported a 46.1% prevalence of suicidal attempt. Given the high association between suicidal attempt and eventual death by suicide, this prevalence is quite alarming. In the same study, suicidal ideation was reported by 30.6% in the past 4 weeks preceding the survey. Sadly, over 75% of the youth with suicidal plans in the week preceding the survey had a clear suicide plan that could easily be executed. The most common factors associated with suicide in this study are preventable and included sexual relationship-related challenges, family breakdowns, domestic violence, trauma and abuse alcohol or drugs Bukuluki et al. Suicidal ideation was lower among adolescents who knew where to obtain professional psychological care. Unfortunately, there are fewer places that offer accessible adolescent friendly or sensitive services.
Another study by Quarshie in urban Ghana reported a prevalence of 38.7% for self-harm behavior and 45.8% self-harm ideation over a period of 12-months. The author reported that self-harm ideation and behavior were associated with bullying, physical abuse, conflict with parents and alcohol use (Quarshie). The study by Namuli et al. in Uganda assessed the prevalence and factors associated with suicidal ideation among 271 HIV infected children and adolescents. Suicidal ideation was associated with higher depressive score, somatic symptoms, thought problems, social problems and rule breaking behavior (Namuli et al.). Children and adolescents who obtained higher total scores on the parent child relationship scale (PCRS) were associated with lower reports of suicidal ideation...
Language: en |