Psychological and socio-ecological correlates of 12-month suicide behavior among junior high school students in the greater Accra region of Ghana.

Journal: Social psychiatry and psychiatric epidemiology

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Affiliated Institutions:  Department of Psychiatry, Saint Louis University Medical School, S Grand Blvd, St. Louis, MO, , USA. enoch.azasu@health.slu.edu. Department of Psychology, University of Ghana, Legon, Accra, Ghana. Department of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St Louis, MO, USA. Military Hospital Association, Accra, Ghana. Department of Public Health, University of Health and Allied Sciences, Ho, Ghana. Brown School of Social Work, Washington University in St Louis, St Louis, MO, USA.

Abstract summary 

In Ghana, we know little about the epidemiology of suicide ideation, plan and attempts among junior high school (JHS) students in Ghana including the years preceding high school. This study explores the onset, characteristics, and recent patterns of 12-month suicide behavior among Ghanaian junior high school (JHS) students.Paper-based surveys were administered to a sample (n = 800) of junior high school students in the Greater Accra region of Ghana. Self-reported measures on suicide ideation, plan and attempt as well as several psychological and psychosocial factors related to mental health, substance use, poverty, sexual behavior, interpersonal relationships, and family structure were employed. Bi-variate, multivariate and logistic regression analyses were performed using Statistical Package for the Social Sciences (SPSS version 25).This study found that 1 out of 5 adolescents have experienced suicide ideation in the last 12 months. Girls had significantly higher 12-month (χ = 3.5, p < 0.05) suicide ideation rates than boys. More importantly, the study found stress significantly increasing the odds of suicide behaviors in the last 12 months (β = 1.14; CI = 1.05-1.24, p < 0.05) and parental support significantly reducing the odds of suicide behaviors in the last 12 months (β = 0.86; CI = 0.81-0.91, p < 0.05). Additionally, we found significant associations between sexual intercourse, dating, hunger, substance use, suicide stigma and suicide behaviors.This finding highlights a potential emerging suicide crisis among preteens which warrants attention. Additional studies are needed to observe these increasing trends and identify risk, protective and precipitating factors to help prevent suicide among these children.

Authors & Co-authors:  Azasu Enoch Kordjo EK Quarshie Emmanuel Nii-Boye EN Messias Erick E Larnyoh Marcus M Ali Elizabeth E Joe Sean S

Study Outcome 

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Statistics
Citations :  Alothman D, Fogarty A (2020) Global differences in geography, religion and other societal factors are associated with sex differences in mortality from suicide: an ecological study of 182 countries. J Affect Disord 260:67–72. https://doi.org/10.1016/j.jad.2019.08.093
Authors :  6
Identifiers
Doi : 10.1007/s00127-024-02613-5
SSN : 1433-9285
Study Population
Girls
Mesh Terms
Other Terms
Adolescents;Ghana;Mental health;Suicide
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
Germany