Sexual Behavior, Depressive Feelings, and Suicidality Among Estonian School Children Aged 13 to 15 Years
Abstract
Background: The present paper is based on a WHO Collaborative Cross-National Study “Health Behavior in School-Aged Children (HBSC).” Aims: It aimed at describing and analyzing how the sexual behaviors of 13- to 15-year-old Estonian school children were associated with self-reported depressive feelings and suicidality. Distinctive behavioral traits in relation to age of first sexual intercourse were also investigated. Methods: Self-reported questionnaires from school children (n = 3,055) were analyzed. Results: In total, 15.2% of school children reported being nonvirgin. Among 13-year-olds, 2.9% of girls and 6.8% of boys were nonvirgins. Approximately 25% of the 15-year-old girls and boys were nonvirgins. The likelihood of depressive feelings and suicidal ideation increased significantly in both genders with loss of virginity. Boys who had lost their virginity at 13 years or younger were 4.2 times more likely to have suicidal thoughts; comparable girls were 7.8 times more likely to have suicidal thoughts. Compared to virgins, youths who had lost their virginity reported poor self-assessed health and more risk behaviors in themselves and their peers. Conclusion: Experiences of sexual intercourse increased the odds ratios for depressive feelings and suicidality. The earlier sexual intercourse was initiated, the greater were the odds of lower mental well-being. Risk behaviors emerged as a complex phenomenon requiring complex prevention.
References
(2007). The associations between health risk behaviors and suicidal ideation and attempts in a nationally representative sample of young adolescents. The Canadian Journal of Psychiatry, 52, 666–674.
(1990). Sex differences and adolescent depression. Journal of Abnormal Psychology, 99(1), 55–63.
(2004). Psychiatric diagnoses in 3275 suicides: A meta-analysis. BMC Psychiatry, 4, 37.
(2004). Psychiatric diagnoses and suicide: Revisiting the evidence. Crisis, 25, 147–155.
(1999). Age- and sex-related risk factors for adolescent suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1497–1505.
(1993). The prevalence of depression in high-school population. Adolescence, 28, 149–158.
(2004). A call for research on planned vs. unplanned suicidal behavior. Suicide and Life-Threatening Behavior, 34, 89–98.
(2008). Inequalities in young people’s health: HBSC international report from the 2005/2006 survey. Copenhagen: WHO Regional Office for Europe.
(2001). Health behavior in school-aged children: A World Health Organization cross-national study (HBSC). Research protocol for the 2001/2002 survey. Edinburgh: Child and Adolescent Health Research Unit, University of Edinburgh.
(1998). First sexual intercourse: Age, coercion, and later regrets reported by a birth cohort. British Medical Journal, 316, 29–33.
(1990). The prevalence of depression in high-school students. Adolescence, 25, 905–912.
(1986). Alcohol use, sexual intercourse and contraception: An exploratory study. Journal of Alcohol and Drug Education, 31(3), 6–40.
(1991). Suicidal behaviors in young adolescents. American Journal of Epidemiology, 133, 1005–1014.
(2002). Religiosity, attributional style, and social support as psychosocial buffers for African American and white adolescents’ perceived risk for suicide. Suicide and Life-Threatening Behavior, 32, 404–417.
(2008). Suicide attempt and sexual risk behavior: Relationship among adolescents. Archives of Suicide Research, 12(1), 39–49.
(2004). African-American children’s reports of depressed mood, hopelessness, and suicidal ideation and later suicide attempts. Suicide and Life-Threatening Behavior, 34, 395–407.
(1983). Time of first intercourse: A prospective study. Journal of Personality and Social Psychology, 44, 608–626.
(1977). Transition from virginity to nonvirginity among youth: A social psychological study over time. Developmental Psychology, 4, 473–484.
(1994). Sexual attitudes and lifestyles. London, UK: Blackwell Scientific.
(2003). Pubertal timing, sexual behavior and self-reported depression in middle adolescence. Journal of Adolescence, 26, 531–545.
(1999). Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Archives of General Psychiatry, 56, 617–626.
(1992). Prevalence and short-term stability of depressive symptoms in school children. Acta Psychiatrica Scandinavica, 85, 17–22.
(2008). Prevalence, course, incidence, and 1-year prediction of deliberate self-harm and suicide attempts in early Norwegian school adolescents. Suicide and Life-Threatening Behavior, 38, 152–165.
(1989). Sexually transmitted disease in young people: The importance of health education. Sexually Transmitted Diseases, 16, 15–20.
(1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115, 424–443.
(1997). Beck’s depression inventory as a screening instrument for adolescent depression in Sweden: Gender differences. Acta Psychiatrica Scandinavica, 95, 277–282.
(2006). Sexuality of 16-to 17-year-old South Africans in the context of HIV/AIDS. Social Behavior and Personality, 34, 239–256.
(1998). Children with symptoms of depression – What do the adults see? The Journal of Child Psychology and Psychiatry, 39, 577–585.
(2000). Psychiatric disorders and risky sexual behavior in young adulthood: Cross-sectional study in birth cohort. British Medical Journal, 321, 263–266.
(2008). Youth and teen suicide statistics. Retrieved from web4health.info/en/answers/bipolar-suicide-statistics.
(2003). Sexually active teenagers are more likely to be depressed and to attempt suicide. The Heritage Centre for Data Analysis Report, 3, 4.
(1995). Early psychosocial risks for adolescent suicidal ideation and attempts. Journal of American Academy of Child and Adolescent Psychiatry, 34, 599–611.
(2004). Decreasing national suicide rates – Fact of fiction? World Journal of Biological Psychiatry, 5, 55–56.
(2007). Measuring the health and health behaviors of adolescents through cross-national survey research: Recent developments in the Health Behavior in School-aged Children (HBSC) Study. Journal of Public Health, 15, 179–189.
(1988). Alcohol, sex and risks of HIV infection. Drug and Alcohol Dependence, 22, 75–78.
(2009). Suicidal thoughts and depressive feelings amongst Estonian schoolchildren: Effect of family relationship and family structure. Journal of European Child and Adolescent Psychiatry. DOI: 10.1007/s00787-009-0079-7.
(2007). Children’s depression inventory in Estonia. European Child and Adolescent Psychiatry, 17, 162–170.
(2008). Adolescent alcohol use, suicidal ideation, and suicide attempts. Journal of Adolescent Health, 44, 1–7.
(2001). Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 24–51.
(2001). Suicidology and the university: A founder’s reflection at 80. Suicide and Life-Threatening Behavior, 31, 1–8.
(2002). Trends in youth sexual initiation and fertility in developed countries: 1960–1995. The Annals of the American Academy of Political and Social Science, 580, 134–152.
(1996). Sex under the influence of alcohol among Norwegian adolescents. Addiction, 9, 995–1006.
(2002). Correspondence: Genetic risk factors and variation in European suicide rates. The British Journal on Psychiatry, 180, 277.
(2001). Registration of external causes of death in the Baltic States 1970–1997. European Journal of Public Health, 11, 84–88.
(2006). Depression: The facts. New York, NY: Oxford University Press.
(2006). Sexual behavior in context: A global perspective. The Lancet, 368, 1706–1728.
(2004). The world health report 2001. Mental health: New understandings, new hope. Geneva: Author.
(2004). Substance use, suicidal ideation and attempts in children and adolescents. Suicide and Life-Threatening Behavior, 34, 408–420.
(2006). Youth online [Online database]. Available online at (03/09): apps.nccd.cdc.gov/yrbss/.
