Abstract
To plan effective school-based adolescent suicide prevention strategies, there is need for valid epidemiology data. The aim of this study was to estimate the current (1 month) prevalence and associated factors of suicidal behaviours (ideation, planning, and attempt) amongst secondary school adolescents in Lagos, Nigeria. A total of 9441 adolescents (4684 males and 4757 females) with mean age 15.61 years (SD 1.49) recruited from 47 public senior secondary schools self-completed questionnaire consisting of sociodemographic, family, school, physical health, and mental health-related variables. Suicidal behaviours (ideation, planning, and attempt) in the past 1 month were also assessed. The weighted 1-month prevalence for suicidal ideation was 6.1% (95% CI 5.5–6.7), suicidal planning was 4.4% (95% CI 3.8–4.9), and suicidal attempt was 2.8% (95% CI 2.4–3.2). The factors significantly associated with suicidal behaviours included being female, not staying with the mother, maternal drinking, witnessing domestic violence, past and present academic difficulties, having no close friend in school and having problems relating with peers and teachers. Also, presence of chronic physical illnesses, depression, anxiety, behavioural disorders, and psychotic-like experiences were associated with adolescent suicidal behaviour. We have shown that a substantial percentage of adolescent have suicidal behaviours, and that there were demographic, family, school, physical health, and psychological health-related factors. We believe that our findings will be important when planning suicide prevention services that could be incorporated into the school mental health services
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References
World Health Organization (2017) Disease and injury country mortality estimates, 2000–2015 [Data files]. Retrieved September 23
Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Queen B et al (2018) Youth risk behavior surveillance—United States, 2017. MMWR Surveill Summ 15:1
Kessler RC, Borges G, Walters EE (1999) Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 56:617–626
World Health Organisation (2018) National suicide prevention strategies: progress, examples and indicators. World Health Organization, Geneva
Saxena S, Funk M, Chisholm D (2013) World health assembly adopts comprehensive mental health action plan 2013–2020. The Lancet. 381:1970–1971
Wyman PA (2014) Developmental approach to prevent adolescent suicides: research pathways to effective upstream preventive interventions. Am J Prev Med. 47(3 Suppl 2):S251–S256
Rudatsikira E, Muula AS, Siziya S, Twa-Twa J (2007) Suicidal ideation and associated factors among school-going adolescents in rural Uganda. BMC Psychiatry. 7:67
Peltzer K, Pengpid S (2012) Suicidal ideation and associated factors among school-going adolescents in Thailand. Int J Environ Res Public Health 9:462–473
Pandey AR, Bista B, Dhungana RR, Aryal KK, Chalise B, Dhimal M (2019) Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: findings from Global School Based Students Health Survey. BioRxiv. 1:511105
Mahfoud ZR, Afifi RA, Haddad PH, DeJong J (2011) Prevalence and determinants of suicide ideation among Lebanese adolescents: results of the GSHS Lebanon 2005. J Adolesc. 34:379–384
Randall JR, Doku D, Wilson ML, Peltzer K (2014) Suicidal behaviour and related risk factors among school-aged youth in the Republic of Benin. PLoS ONE 9:e88233
Uddin R, Burton NW, Maple M, Khan SR, Khan A (2019) Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 low-income and middle-income countries: a population-based study. Lancet Child Adolesc Health 3:223–233
McKinnon B, Gariépy G, Sentenac M, Elgar FJ (2016) Adolescent suicidal behaviours in 32 low-and middle-income countries. Bull World Health Organ. 94:340
WHO (2019) Global School-based Student Health Survey (GSHS). https://www.who.int/ncds/surveillance/gshs/en/. Accessed 10 Apr 2019
Harel Y, Overpeck MD, Jones DH, Scheidt PC, Bijur PE, Trumble AC et al (1994) The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health. 84:599–605
https://worldpopulationreview.com/countries/nigeria-population/. Accessed 10 Apr 2019
WHO (2019) Suicide in the world: global health estimates. World Health Organisation, Geneva
Alabi OO, Alabi AI, Ayinde OO, Abdulmalik JO (2015) Suicide and suicidal behaviours in Nigeria, a review. Dokita 5:4
Eferakeya AE (1984) Drugs and suicide attempts in Benin City, Nigeria. Br J Psychiatry 145:70–73
Odejide AO, Williams AO, Ohaeri JU, Ikuesan BA (1986) The epidemiology of deliberate self-harm. The Ibadan experience. Br J Psychiatry. 149:734–737
Omigbodun OO, Adejumo OA, Babalola OO (2008) Suicide attempt by hanging in preadolescent children: a case series. West Afr J Med. 27(4):259–262
Omigbodun O, Dogra N, Esan O, Adedokun B (2008) Prevalence and correlates of suicidal behaviour among adolescents in Southwest Nigeria. Int J Soc Psychiatry. 54:34–46
Oladeji BD, Gureje O (2011) Parental mental disorders and suicidal behavior in the Nigerian survey of mental health and well-being. Arch Suicide Res. 15(4):372–383
National Bureau of Statistics (2018) Lagos Household Survey. Central Office of Statistics (COS), Lagos State Government, Lagos
ESSPIN (2011) Education Sector Support Programme in Nigeria. Lagos School Census 2010–2011 report
Colucci E, Martin G (2007) Ethnocultural aspects of suicide in young people: a systematic literature review part 2: risk factors, precipitating agents, and attitudes toward suicide. Suicide Life-Threat Behav 37(2):222–237
Oppong Asante K, Kugbey N, Osafo J, Quarshie EN, Sarfo JO (2017) The prevalence and correlates of suicidal behaviours (ideation, plan and attempt) among adolescents in senior high schools in Ghana. SSM Popul Health. 3:427–434
Adewuya AO, Ologun YA (2006) Factors associated with depressive symptoms in Nigerian adolescents. J Adolesc Health. 39:105–110
NPC (2018) Nigeria Demographic and Health Survey 2018: final report. National Population Commission Abuja, Abuja
Sheehan DV, Sheehan KH, Shytle RD, Janavs J, Bannon Y, Rogers JE et al (2010) Reliability and validity of the mini international neuropsychiatric interview for children and adolescents (MINI-KID). J Clin Psychiatry. 71:313–326
Ising HK, Veling W, Loewy RL, Rietveld MW, Rietdijk J, Dragt S et al (2012) The validity of the 16-item version of the Prodromal Questionnaire (PQ-16) to screen for ultra high risk of developing psychosis in the general help-seeking population. Schizophr Bull. 38:1288–1296
Gureje O, Kola L, Uwakwe R, Udofia O, Wakil A, Afolabi E (2007) The profile and risks of suicidal behaviours in the Nigerian Survey of Mental Health and Well-Being. Psychol Med 37:821–830
Adewuya AO, Ola BA, Coker OA, Atilola O, Zachariah MP, Olugbile O et al (2016) Prevalence and associated factors for suicidal ideation in the Lagos State Mental Health Survey, Nigeria. BJPsych Open. 2:385–389
Beautrais AL (2002) Gender issues in youth suicidal behaviour. Emerg Med (Fremantle). 14:35–42
Boeninger DK, Masyn KE, Feldman BJ, Conger RD (2010) Sex differences in developmental trends of suicide ideation, plans, and attempts among European American adolescents. Suicide Life Threat Behav. 40:451–464
An H, Ahn JH, Bhang SY (2010) The association of psychosocial and familial factors with adolescent suicidal ideation: a population-based study. Psychiatry Res. 177:318–322
Xing XY, Tao FB, Wan YH, Xing C, Qi XY, Hao JH et al (2010) Family factors associated with suicide attempts among Chinese adolescent students: a national cross-sectional survey. J Adolesc Health 46:592–599
Hesketh T, Qu JD, Tomkins A (2003) Health effects of family size: cross sectional survey in Chinese adolescents. Arch Dis Child. 88:467–471
Kirkcaldy B, Richardson-Vejlgaard R, Siefen G (2009) Birth order: self-injurious and suicidal behaviour among adolescents. Psychol Health Med. 14:9–16
NPC (2004) National Policy on Population for Sustainable Development. National Population Commission, Abuja
Brisibe S, Ordinioha B, Dienye PO (2012) Intersection between alcohol abuse and intimate partner's violence in a rural Ijaw community in Bayelsa State, South-South Nigeria. J Interpers Violence. 27:513–522
Obi SN, Ozumba BC (2007) Factors associated with domestic violence in south-east Nigeria. J Obstet Gynaecol. 27:75–78
Delker BC, Kim HK, Fisher PA (2014) First time's a charm: maternal problem drinking around the birth of a child in primiparous and multiparous women at risk for child maltreatment. J Stud Alcohol Drugs. 75:973–981
Pisinger VSC, Hawton K, Tolstrup JS (2018) Self-injury and suicide behavior among young people with perceived parental alcohol problems in Denmark: a school-based survey. Eur Child Adolesc Psychiatry. 27(2):201–208
Thompson RG Jr, Alonzo D, Hu MC, Hasin DS (2017) The influences of parental divorce and maternal-versus-paternal alcohol abuse on offspring lifetime suicide attempt. Drug Alcohol Rev. 36:408–414
Alhassan AB (2013) School corporal punishment in Ghana and Nigeria as a method of discipline: a psychological examination of policy and practice. J Educ Pract 4:137–147
Nuhu FT, Nuhu ST (2010) Opinions and attitudes of some parents in Ilorin, north-central Nigeria, towards child abuse and neglect. S Afr J Psychiatr 16:1
Hecker T, Hermenau K, Isele D, Elbert T (2014) Corporal punishment and children's externalizing problems: a cross-sectional study of Tanzanian primary school aged children. Child Abuse Negl 38:884–892
Richardson AS, Bergen HA, Martin G, Roeger L, Allison S (2005) Perceived academic performance as an indicator of risk of attempted suicide in young adolescents. Arch Suicide Res 9:163–176
De Luca SM, Franklin C, Yueqi Y, Johnson S, Brownson C (2016) The relationship between suicide ideation, behavioral health, and college academic performance. Community Ment Health J. 52:534–540
Cui S, Cheng Y, Xu Z, Chen D, Wang Y (2011) Peer relationships and suicide ideation and attempts among Chinese adolescents. Child Care Health Dev. 37:692–702
De Luca SM, Wyman P, Warren K (2012) Latina adolescent suicide ideations and attempts: associations with connectedness to parents, peers, and teachers. Suicide Life Threat Behav 42:672–683
Steinberg L, Aldea I, Messias E (2015) Asthma, depression, and suicidality: results from the 2007, 2009, and 2011 youth risk behavior surveys. J Nerv Ment Dis. 203:664–669
Darré T, Consuela KA, Saka B, Djiwa T, Ekouévi KD, Napo-Koura G (2019) Suicidal ideation and suicide attempts in subjects aged 15–19 in Lomé (Togo). BMC Res Notes 12:187
Balázs J, Miklósi M, Keresztény Á, Hoven CW, Carli V, Wasserman C et al (2013) Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. J Child Psychol Psychiatry. 54:670–677
Nishida A, Sasaki T, Nishimura Y, Tanii H, Hara N, Inoue K, Yamada T, Takami T, Shimodera S, Itokawa M, Asukai N (2010) Psychotic-like experiences are associated with suicidal feelings and deliberate self-harm behaviors in adolescents aged 12–15 years. Acta Psychiatr Scand 121:301–307
Kokkevi A, Richardson C, Olszewski D, Matias J, Monshouwer K, Bjarnason T (2012) Multiple substance use and self-reported suicide attempts by adolescents in 16 European countries. Eur Child Adolesc Psychiatry 21:443–450
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Adewuya, A.O., Oladipo, E.O. Prevalence and associated factors for suicidal behaviours (ideation, planning, and attempt) among high school adolescents in Lagos, Nigeria. Eur Child Adolesc Psychiatry 29, 1503–1512 (2020). https://doi.org/10.1007/s00787-019-01462-x
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DOI: https://doi.org/10.1007/s00787-019-01462-x