Parental role and peer support in adolescent suicidal behavior in eight South-East Asian countries.

Journal: Journal of affective disorders

Volume: 332

Issue: 

Year of Publication: 2023

Affiliated Institutions:  Department of Public Health, School of Pharmacy and Public Health, Independent University, Dhaka, Bangladesh. Electronic address: smoomtahin@gmail.com. School of Business, University of Southern Queensland, Toowoomba, Australia; School of Accounting, Economics and Finance, University of KwaZulu-Natal, Durban, South Africa. School of Business, University of Southern Queensland, Toowoomba, Australia. Upazilla Health and Family Planning Officer's Office, Cox's Bazar, Bangladesh. Health System and Population Studies Division, icddr,b, Bangladesh. Development Studies Discipline, Social Science School, Khulna University, Khulna , Bangladesh. Department of Public Health, School of Pharmacy and Public Health, Independent University, Dhaka, Bangladesh. School of Health, Medical and Applied Sciences, College of Science and Sustainability, Central Queensland University, Australia. Brain and Mind Institute, Aga Khan University and University of Nairobi, Kenya. NHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.

Abstract summary 

This study aimed to estimate the prevalence of suicidal behaviors, i.e. suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA) among adolescents with a focus on parental and peer support in eight South-East Asian countries including Bangladesh, Bhutan, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka and Thailand.Data were drawn from Global School-based Student Health Survey (GSHS) covering 42,888 adolescents aged 11-17 years. Weighted prevalence of SI, SP, and SA along with country specific prevalence was computed and binary logistic regression was used to identify associated risk factors.Among 42,888 adolescents 19,113 (44.9%) were males and 23,441 (55.1%) females. Overall prevalence of SI, SP and SA is 9.10%, 10.42% and 8.54%, respectively. Myanmar demonstrated the lowest SI (1.07%) and SP (0.18%) whereas lowest SA was found in Indonesia (3.79%). Maldives had the highest prevalence of SI, SP and SA which were 14.13%, 19.02% and 13.38% respectively. Overall suicidal behaviors were associated with being female [AOR: SI-1.26 (1.06,1.50), SP-1.34 (1.14,1.57)], high levels of sedentary behavior [AOR: SI-2.08 (1.62,2.66), SP-1.86 (1.49,2.32), SA-1.96 (1.45,2.64)], involvement in physical fighting [AOR: SI-1.30 (1.07,1.58), SP-1.37 (1.14,1.65), SA-1.50 (1.17,1.90)], being seriously injured [AOR: SI-1.40 (1.17,1.67), SP-1.44 (1.22,1.69), SA-1.74 (1.39,2.17)], being bullied [AOR: SI- 1.68 (1.39,2.02), SP-1.34 (1.12,1.60), SA-1.88 (1.50,2.36)], feeling lonely (most of time or always) [AOR: SI-3.41(2.60,4.46), SP-1.92 (1.48,2.47), SA-2.25 (1.62,3.13)], lack of parental support (never checking homework) [AOR: SI-1.59 (1.25,2.02), SP-1.52 (1.22,1.90)] and not having close friends [AOR: SI-2.19 (1.66,2.89), SP-2.26 (1.74,2.94), SA-4.23 (3.10,5.78)].Though prevalence of suicidal behaviors varies, a range of cross-cutting risk factors exists that warrant further examination. We recommend focusing on strengthening parental and peer support, targeted programs addressing physical activity, bullying, loneliness and mental-health of adolescents.

Authors & Co-authors:  Sultana Gow Mosharaf Rahman Koly Rahman Huq Rawal Kumar Mahumud

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1016/j.jad.2023.03.092
SSN : 1573-2517
Study Population
Male,Males,Female
Mesh Terms
Male
Other Terms
Adolescent suicide;Global school-based student health survey (GSHS);Parental and peer support;South-East Asia;Suicidal behavior
Study Design
Study Approach
Country of Study
Kenya
Publication Country
Netherlands