Suicidal ideation and its associated factors among high school adolescents in Haiphong, Vietnam 10.55131/jphd/2024/220201
Article Sidebar
Main Article Content
Abstract
Suicide is a serious and preventable public health issue. This study aimed to identify the prevalence and associated factors of suicidal ideation (SI) among high school students. This cross-sectional study was conducted among 1,270 high school students. The Global School Student Health Survey (GSHS) questionnaire examined SI and related factors. The participant was identified as having SI by the question, “During the past 12 months, did you ever seriously consider suicide ideation?”. Overall, 16.9% of the participants reported having SI during the last year (17.1% males and 16.7% females). Multivariable analysis indicated several factors positively associated with SI: being bullied during the last 30 days (AOR= 2.15, 95%CI: 1.23-3.77), often feeling lonely in the last 12 months (AOR= 1.95, 95%CI: 1.10-3.44), worried and could not sleep at night in the last 12 months (AOR= 4.40, 95%CI: 2.64-7.34), tobacco use in the last 30 days (AOR= 3.76, 95%CI: 1.66-8.54), alcohol use in the last 30 days (AOR= 1.83, 95%CI: 1.26-2.65), no close friends (AOR= 2.03, 95%CI: 1.30-3.17), parents/guardians did not regularly check homework in the last 30 days (AOR= 1.57, 95%CI: 1.09-2.25), parents/guardians did not understand problems and worries of students in the last 30 days (AOR= 3.32, 95%CI: 2.04-5.42) and parents/guardians often displayed disrespect in the last 30 days (AOR= 1.63, 95%CI: 1.13-2.36). SI is widely recognized as a significant predictor of future suicide risk. Therefore, schools, parents, and policymakers need to urgently take measures to prevent deaths from occurring.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
World Health Organization. Adolescent health [Internet]. 2020 [cited 2021 Mar 15]. Available from: https://www.who.int/ health-topics/adolescent-health#tab=tab_1
Plan UK. Noncommunicable Disease Prevention and Adolescents [Internet]. 2017 [cited 2021 May 20]. Available from: https://plan-uk.org/file/ncd-prevention-and-adolescents-report/download?token= tkG9kOxg
World Health Organization. Suicide [Internet]. 2023 [cited 2023 Nov 18]. Available from: https://www.who.int/ news-room/fact-sheets/detail/suicide
American Psychological Association. APA Dictionary of Psychology [Internet]. 2018 [cited 2024 Jan 20]. Available from: https://dictionary.apa.org/suicidal-ideation
Reinherz HZ, Tanner JL, Berger SR, Beardslee WR, Fitzmaurice GM. Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. Am J Psychiatry. 2006;163(7):1226-32. doi: 10.1176/ajp.2006.163.7.1226.
Biswas T, Scott JG, Munir K, Renzaho AMN, Rawal LB, Baxter J, et al. Global variation in the prevalence of suicidal ideation, anxiety and their correlates among adolescents: A population based study of 82 countries. EClinicalMedicine. 2020;24: 100395. doi: 10.1016/j.eclinm.2020. 100395.
Sousa CMS, Mascarenhas MDM, Gomes KRO, Rodrigues MTP, Miranda CES, Frota KMG. Suicidal ideation and associated factors among high school adolescents. Rev Saude Publica. 2020; 54:33. doi: 10.11606/s1518-8787. 2020054001637.
Sampasa-Kanyinga H, Dupuis LC, Ray R. Prevalence and correlates of suicidal ideation and attempts among children and adolescents. Int J Adolesc Med Health. 2017;29(2):/j/ijamh.2017.29.issue-2/ ijamh-2015-0053/ijamh-2015-0053.xml. doi: 10.1515/ijamh-2015-0053.
Ziaei R, Viitasara E, Soares J, Sadeghi-Bazarghani H, Dastgiri S, Zeinalzadeh AH, et al. Suicidal ideation and its correlates among high school students in Iran: a cross-sectional study. BMC Psychiatry. 2017; 17(1):147. doi: 10.1186/s12888-017-1298-y.
CodeBlue. Attempted Suicide Rate Rises To 10% Among Malaysian Teens: NHMS Survey [Internet]. 2023 [cited 2023 Nov 12]. Available from: https://codeblue. galencentre.org/2023/05/29/attempted-suicide-rate-rises-to-10-among-malaysian-teens-nhms-survey/
Le MT, Nguyen HT, Tran TD, Fisher JR. Experience of low mood and suicidal behaviors among adolescents in Vietnam: findings from two national population-based surveys. J Adolesc Health. 2012;51(4):339-48. doi: 10.1016/ j.jadohealth.2011.12.027.
World Health Organization. Report of the 2019 global school-based student health survey in Viet Nam [Internet]. 2022 [cited 2023 Nov 18]. Available from: https:// www.who.int/publications/i/item/9789290619376
Kumar P, Srivastava S, Mishra PS, Sinha D. Suicidal Ideation Among Adolescents—The Role of Sexual Abuse, Depression, and Impulsive Behavior. Frontiers in Psychiatry. 2021;12:726039. doi: 10.3389/ fpsyt.2021.726039.
Bao W, Qian Y, Fei W, Tian S, Geng Y, Wang S, et al. Bullying victimization and suicide attempts among adolescents in 41 low- and middle-income countries: Roles of sleep deprivation and body mass. Front Public Health. 2023;11:1064731. doi: 10.3389/fpubh.2023.1064731.
Chang H, Yao Z, Zhang Y, Chen J, Shi P. The relationship between abuse and neglect and adolescent suicidality: A moderated mediation model. Front Psychol. 2022;13: 1019878. doi: 10.3389/fpsyg.2022. 1019878.
Lagman JG, Gara M, Baweja R, Kim WJ. Correlates of Suicide Attempts in Filipino Youths: An Analysis Based on the 2015 Global School-Based Student Health Survey. Cureus. 2021;13(9):e18100. doi: 10.7759/cureus.18100.
Chan YY, Lim KH, Teh CH, Kee CC, Ghazali SM, Lim KK, et al. Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia. Int J Adolesc Med Health. 2016;30(3): /j/ijamh.2018.30.issue-3/ijamh-2016-0053/ijamh-2016-0053.xml. doi: 10.1515/ ijamh-2016-0053.
Tran QA, Le VTH, Nguyen THD. Depressive symptoms and suicidal ideation among Vietnamese students aged 13–17: Results from a cross-sectional study throughout four geographical regions of Vietnam. Health Psychol Open. 2020; 7(2):2055102920973253. doi: 10.1177/ 2055102920973253.
World Health Organization. GSHS core questionnaire modules (2021) [Internet]. 2021 [cited 2023 Nov 15]. Available from: https://www.who.int/publications/m/item/gshs-core-questionnaire-modules-(2021)
Blum R, Sudhinaraset M, Emerson MR. Youth at risk: suicidal thoughts and attempts in Vietnam, China, and Taiwan. J Adolesc Health. 2012;50(3 Suppl):S37-44. doi: 10.1016/j.jadohealth.2011.12.006.
McCallum SM, Batterham PJ, Christensen H, Werner-Seidler A, Nicolopoulos A, Newton N, et al. Personality factors associated with suicidal ideation, plans and attempts in adolescents. J Affect Disord. 2022;310:135-41. doi: 10.1016/j.jad. 2022.05.010.
Cong EZ, Cai YY, Wang Y, Wu Y. Association of depression and suicidal ideation with parenting style in adolescents. Zhongguo Dang Dai Er Ke Za Zhi. 2021;23(9):938-43. doi: 10.7499/j.issn. 1008-8830.2105124.
Peltzer K, Pengpid S. Suicidal ideation and associated factors among school-going adolescents in Thailand. Int J Environ Res Public Health. 2012;9:462-73. doi: 10.3390/ijerph9020462.
Azasu EK, Joe S. Correlates of Suicide Among Middle and High School Students in Ghana. J Adolesc Health. 2023; 72(5S):S59-S63. doi: 10.1016/ j.jadohealth.2022.09.036.
Ibrahim N, Amit N, Che Din N, Ong HC. Gender differences and psychological factors associated with suicidal ideation among youth in Malaysia. Psychol Res Behav Manag. 2017;10:129-35. doi: 10.2147/PRBM.S125176.
Murphy GE. Why women are less likely than men to commit suicide. Compr Psychiatry. 1998;39(4):165–75. doi: 10.1016/s0010-440x(98)90057-8.
Silva RJ, dos Santos FA, Soares NM, Pardono E. Suicidal ideation and associated factors among adolescents in northeastern Brazil. ScientificWorldJournal. 2014;2014: 450943. doi: 10.1155/2014/450943.
Poorolajal J, Darvishi N. Smoking and Suicide: A Meta-Analysis. PLOS One 2016;11(7):e0156348. doi: 10.1371/ journal.pone.0156348.
Harrison R, Munafò MR, Davey Smith G, Wootton RE. Examining the effect of smoking on suicidal ideation and attempts: triangulation of epidemiological approaches. Br J Psychiatry. 2020;217(6): 701-7. doi: 10.1192/bjp.2020.68.
Sellers CM, McRoy RG, O'Brien KHM. Substance use and suicidal ideation among child welfare involved adolescents: A longitudinal examination. Addict Behav. 2019;93:39-45. doi: 10.1016/j.addbeh. 2019.01.021.
Puuskari V, Aalto-Setälä T, Komulainen E, Marttunen M. Suicidal ideation, suicide attempts, and psychological distress among intoxicated adolescents in the pediatric emergency department. Nord J Psychiatry. 2018;72(2):137-44. doi: 10.1080/ 08039488.2017.1400099.
PsychiatricTimes. The Role of Alcohol and Substances in Suicide [Internet]. 2022 [cited 2023 Nov 15]. Available from: https://www.psychiatrictimes.com/view/the-role-of-alcohol-and-substances-in-suicide
Institute of Alcohol Studies. How Does Drinking Alcohol Increase Suicide Risk – and How Can it Be Managed? [Internet]. 2023 [cited 2023 Nov 24]. Available from: https://www.ias.org.uk/2023/03/07/how-does-drinking-alcohol-increase-suicide-risk-and-how-can-it-be-managed/
Kang BH, Kang JH, Park HA, Cho YG, Hur YI, Sim WY, et al. The Mediating Role of Parental Support in the Relationship between Life Stress and Suicidal Ideation among Middle School Students. Korean J Fam Med. 2017;38(4):213-9. doi: 10.4082/kjfm.2017.38.4.213.
Macalli M, Tournier M, Galéra C, Montagni I, Soumare A, Côté SM, et al. Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study. BMC Psychiatry. 2018;18(1):373. doi: 10.1186/s12888-018-1957-7.