Suicide attempt and its determinants among adolescents and youth in Ethiopia: a systematic review and meta-analysis.

Journal: BMC psychiatry

Volume: 25

Issue: 1

Year of Publication: 2025

Affiliated Institutions:  Department of Reproductive Health, Teda Health Science College, Gondar, Ethiopia. yeshiwas@gmail.com. Department of Medical Nursing, Teda Health Science College, Gondar, Ethiopia. Department of Midwifery, College of Health Science, Debark University, Debark, Ethiopia. Department of Epidemiology, Teda Health Science College, Gondar, Ethiopia. Department of Pediatric and Child Health Nursing, College of Health Science, Debark University, Debark, Ethiopia.

Abstract summary 

Suicide is a critical public health concern globally, and adolescents and youth are particularly vulnerable. In Ethiopia, suicide attempts among this population are alarmingly prevalent, yet the magnitude and determinants remain insufficiently understood. A systematic review and meta-analysis are essential to comprehensively synthesize the evidence and guide targeted interventions. This review aims to establish a pooled prevalence and identify factors associated with suicide attempts among adolescents and youth aged 10-24 years in Ethiopia.A systematic literature search was conducted using PubMed, Scopus, Web of Science, African Journal Online (AJOL), and Google Scholar. The quality of each original study was assessed with a modified Joanna Briggs Institute (JBI) tool tailored for cross-sectional research. The Cochrane Q and I² test statistics were used to assess heterogeneity across studies. A random effects model was employed to calculate the pooled estimate of suicide attempts among adolescents and youth.The pooled estimate of suicide attempts among Ethiopian adolescents and youth covering the age range from 10 to 24 years was 12.38% (95% CI: 8.72, 16.05). Key associated factors included being female (POR = 2.31; 95% CI: 1.44, 3.71), poor social support (POR = 3.44; 95% CI: 1.89, 6.23), a family history of suicide attempts (POR = 5.67; 95% CI: 3.98, 8.08), and disappointing school results (POR = 3.16; 95% CI: 2.33, 4.28).The study reveals that nearly one in eight adolescents and youth in Ethiopia have experienced a suicide attempt. Being female, experiencing poor social support, having disappointing academic results, and having a family history of suicide attempts are significant risk factors. The Federal Ministry of Health (FMOH), policymakers, and stakeholders should prioritize mental health initiatives aimed at prevention, establishing school support systems, raising community awareness, and providing family counseling services.Not applicable.

Authors & Co-authors:  Ferede Yeshiwas Ayale YA Tassew Worku Chekol WC Zeleke Agerie Mengistie AM Beyene Jember Ayelgne JA Gonete Yosef Aragaw YA Abebe Moges Tadesse MT

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Jaeschke K, Hanna F, Ali S, Chowdhary N, Dua T, Charlson F. Global estimates of service coverage for severe mental disorders: findings from the WHO Mental Health Atlas 2017. Global Mental Health. 2021;8:e27.
Authors :  6
Identifiers
Doi : 160
SSN : 1471-244X
Study Population
Female
Mesh Terms
Humans
Other Terms
Adolescents;Ethiopia;Mental health;Risk factors;Suicide attempts;Youth
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England