Cultural and interpersonal risk factors for suicide ideation and suicide attempts among Muslim college students from 11 nations.

Journal: Journal of affective disorders

Volume: 294

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Koc University, College of Social Sciences and Humanities, Department of Psychology, Istanbul, Turkey. Electronic address: meskin@ku.edu.tr. Koc University, College of Social Sciences and Humanities, Department of Psychology, Istanbul, Turkey. Aydin Adnan Menderes University, Faculty of Arts and Sciences, Department of Psychology, Aydin, Turkey. Al-Quds University, School of Public Health, Jerusalem, Palestine. Department of Psychiatry, University hospital of Monastir, Monastir, Tunisia. Khazar University, Department of Psychology, Baku, Azerbaijan. Alexandria University, Faculty of Arts, Department of Psychology, Alexandria, Egypt. Rafsanjan University of Medical Sciences, Rafsanjan Medical School, Epidemiology and Biostatistics Department, Rafsanjan, Iran. Aga Khan University, Medical College, Department of Psychiatry, Karachi, Pakistan. Beirut Arab University, Faculty of Arts, Department of Psychology, Beirut, Lebanon. Al Dara Hospital and Medical Center, Riyadh, Saudi Arabia; Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Dr Soeharto Heerdjan Mental Hospital, Jakarta, Indonesia. Jordan University of Science & Technology, Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Irbid, Jordan. Universiti Teknologi Malaysia, Faculty of Social Sciences & Humanities, Johor, Malaysia. The Center for Health Research Studies, Saudi Health Council, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center / King Saud Bin Abdulaziz University for Health Sciences, Population Health Research Section-Hospital-MNGHA, Riyadh, Saudi Arabia. Syarif Hidayatullah State Islamic University, Faculty of Medicine, Jakarta, Indonesia.

Abstract summary 

Research on suicidality in low to middle-income countries is scarce. We addressed this issue by investigating suicidality in a cross-national college student samples from 11 predominantly low to middle-income majority Muslim countries.The sample consisted of 7427 college students (56% female) who reported to be affiliated with Islam. Data on self-construal, social support, negative life-events, acceptability of suicide, suicidal ideation, and suicide attempts were collected with self-administered questionnaires.Acceptability of suicide and the experience of negative life-events were positively, and perceived social support was negatively associated with suicidal ideation. Interdependent self-construal was negatively related to the acceptability of suicide and positively associated with perceived social support, implying a negative indirect effect on suicidal ideation although its direct effect was positive. The number of negative life-events was the strongest positive predictor of ever attempting suicide. The interdependent self-construal moderated the association of negative life-events with suicide attempts.Cross-sectional and self-report nature of the study were its major limitations. Participants may have suppressed their responses about suicide because of religious and legal reasons.Remarkable similarities across 11 country samples emerged in the linkages between cultural and interpersonal factors with suicidality. Our findings highlight the value of a nuanced approach to suicidality, that can recognize the differences in the processes associated with suicidal ideation and suicide attempts, as well as the need to consider the interplay of a broad range of personal, interpersonal, and cultural influences.

Authors & Co-authors:  Eskin Mehmet M Baydar Nazli N Harlak Hacer H Hamdan Motasem M Mechri Anwar A Isayeva Ulker U Abdel-Khalek Ahmed M AM Rezaeian Mohsen M Asad Nargis N El-Nayal Mayssah M Buhairan Fadia Al FA Noor Isa Multazam IM Khader Yousef Y Khan Aqeel A Sayyari Alaa Al AA Khader Albaraa A Behzadi Bahareh B Öztürk Cennet Şafak CŞ Agha Hazem H Hendarmin Laifa Annisa LA Khan Murad Moosa MM

Study Outcome 

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Citations : 
Authors :  21
Identifiers
Doi : 10.1016/j.jad.2021.07.050
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Cross-Sectional Studies
Other Terms
Negative life-events;Self-construal;Social support;Suicide;Suicide acceptability
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Netherlands