Suicide Attempts Among 1,437 Adolescents Aged 12–17 Years Attending Junior High Schools in Ghana
Abstract
Abstract.Background: Emerging research on suicidal behaviors among adolescents in Ghana has been conducted mainly among senior high school students. Aims: We aimed to estimate the 12-month prevalence of suicide attempts and describe some of the general and gender-specific associated factors among adolescents attending junior high schools (JHSs) in Ghana. Method: We analyzed data from the 2012 Ghana Global School-Based Student Health Survey. The sample consisted of 1,437 adolescents aged 12–17 years. We performed bivariate and multivariable analyses to assess the associations between 12-month suicide attempts and some psychosocial factors. Results: The overall 12-month prevalence estimate of suicide attempts was 27.6%, with comparable estimates between males (26.4%) and females (28.8%). In the final adjusted multivariable models, bullying victimization (AOR = 2.57; 95% CI = 1.53, 4.31), alcohol use (AOR = 1.94; 95% CI = 1.10, 3.41), and having no close friends (AOR = 0.36; 95% CI = 0.17, 0.75) were associated with increased odds of suicide attempts among males, whereas anxiety (AOR = 2.57; 95% CI = 1.54, 4.29) and being sexually active (AOR = 2.42; 95% CI = 1.25, 4.68) were associated with increased odds of suicide attempts in females. Limitations: The correlational nature of this study did not allow for causal inferences. Conclusion: The study underscores adolescent suicide attempts as a public health concern in Ghana.
References
2017). Boys are not exempt: Sexual exploitation of adolescents in sub-Saharan Africa. Child Abuse & Neglect, 65, 14–23. 10.1016/j.chiabu.2017.01.001
(2017). Youth self-harm in low-and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, 63(4), 359–375. 10.1177/0020764017700175
(2018). The relationships between school climate and adolescent mental health and wellbeing: A systematic literature review. International Journal of Educational Research, 88, 121–145. 10.1016/j.ijer.2018.01.012
(2019). Alcohol use by school-going adolescents in Ghana: Prevalence and correlates. Mental Health & Prevention, 13, 75–81. 10.1016/j.mhp.2019.01.009
(2017). The prevalence and correlates of suicidal behaviours (ideation, plan and attempt) among adolescents in senior high schools in Ghana. SSM-Population Health, 3, 427–434. 10.1016/j.ssmph.2017.05.005
(2002). Adolescent suicide: An ecological approach. Psychology in the Schools, 39(4), 459–475. 10.1002/pits.10042
(2004). What you see may not be what you get: A brief, nontechnical introduction to overfitting in regression-type models. Psychosomatic Medicine, 66(3), 411–421. 10.1097/00006842-200405000-00021
(2019). Bullying victimization as a predictor of suicidal ideation and suicide attempt among senior high school students in Ghana: Results from the 2012 Ghana Global School-Based Health Survey. Journal of School Violence, 18(2), 300–317. 10.1080/15388220.2018.1486200
(2018). Annual Research Review: Suicide among youth–epidemiology,(potential) etiology, and treatment. Journal of Child Psychology and Psychiatry, 59(4), 460–482. 10.1111/jcpp.12831
(2017). Nonsuicidal self-injury: A systematic review. Frontiers in Psychology, 8, 1946. 10.3389/fpsyg.2017.01946
(2016). Hanging as a method of suicide in Ghana: A 10 year autopsy study. Pathology Discovery, 4(1), 2. 10.7243/2052-7896-4-2
(2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187. 10.1037/bul0000084
(Ghana Education Act . (2008). Act 778 of Ghana, 2008. Assembly Press.2020). Annual research review: A meta-analytic review of worldwide suicide rates in adolescents. Journal of Child Psychology and Psychiatry, 61(3), 294–308. 10.1111/jcpp.13106
(2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576. 10.1146/annurev.psych.58.110405.085530
(2012). Missing data: Analysis and design. Springer.
(2012). Self-harm and suicide in adolescents. The Lancet, 379(9834), 2373–2382. 10.1016/S0140-6736(12)60322-5
(2010). Why we need qualitative research in suicidology. Suicide and Life-Threatening Behavior, 10(1), 74–80.
(2018). High risk of suicide among high-school learners in uMgungundlovu District, KwaZulu-Natal Province, South Africa. South African Medical Journal, 108(6), 517–523. 10.7196/samj.2018.v108i6.12843
(2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12, 307–330. 10.1146/annurev-clinpsy-021815-093204
(2019). Bullying victimization and suicide attempt among adolescents aged 12–15 years from 48 countries. Journal of the American Academy of Child & Adolescent Psychiatry, 58(9), 907–918. 10.1016/j.jaac.2018.10.018
(2019). Food insecurity (hunger) and suicide attempts among 179,771 adolescents attending school from 9 high-income, 31 middle-income, and 4 low-income countries: A cross-sectional study. Journal of Affective Disorders, 248, 91–98. 10.1016/j.jad.2019.01.033
(2019). Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: A meta-analysis. International Journal of Environmental Research and Public Health, 16(22), 4581. 10.3390/ijerph16224581
(2018). Prevalence, distribution, and associated factors of suicide attempts in young adolescents: School-based data from 40 low-income and middle-income countries. PLoS One, 13(12),
(e0207823 . 10.1371/journal.pone.02078232012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6(1), 10. 10.1186/1753-2000-6-10
(
, &Global Burden of Disease Self-Harm Collaborators . (2019). Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016. BMJ, 364, l94. 10.1136/bmj.l942012). Future directions for the study of suicide and self-injury. Journal of Clinical Child & Adolescent Psychology, 41(2), 255–259. 10.1080/15374416.2012.652001
(2015). Sexual and physical violence victimization among senior high school students in Ghana: Risk and protective factors. Social Science & Medicine, 146, 266–275. 10.1016/j.socscimed.2015.10.019
(2008). Prevalence and correlates of suicidal behaviour among adolescents in southwest Nigeria. International Journal of Social Psychiatry, 54(1), 34–46. 10.1177/0020764007078360
(2008). Ghana country report on the global school-based health survey (GSHS). Center for disease control and prevention (CDC).
(2012). Global school-based student health survey (GSHS) 2012: Ghana report, high schools. Center for disease control and prevention (CDC).
(2011). The association between bullying and psychological health among senior high school students in Ghana, West Africa. Journal of School Health, 81(5), 231–238. 10.1111/j.1746-1561.2011.00590.x
(2017). Lifestyle and mental health among school-going adolescents in Namibia. Journal of Psychology in Africa, 27(1), 69–73. 10.1080/14330237.2016.1268293
(2015). Adolescent suicide in Ghana: A content analysis of media reports. International Journal of Qualitative Studies on Health and Well-Being, 10(1), 27682. 10.3402/qhw.v10.27682
(2020a). Adolescent self-harm in Ghana: A qualitative interview-based study of first-hand accounts. BMC Psychiatry, 20(275). 10.1186/s12888-020-02599-9
(2020b). Self-harm with suicidal and non-suicidal intent in young people in sub-Saharan Africa: A systematic review. BMC Psychiatry, 20(234), 1–26. 10.1186/s12888-020-02587-z
(2003). Sexual abuse and suicide: Why we may not know what we think we know. Archives of Suicide Research, 7(1), 83–91. 10.1080/13811110301564
(2016). Suicide attempts and behavioral correlates among a nationally representative sample of school-attending adolescents in the Republic of Malawi. BMC Public Health, 16(1), 843. 10.1186/s12889-016-3509-8
(2019). Does food insecurity link to suicidal behaviors among in-school adolescents? Findings from the low-income country of sub-Saharan Africa. BMC Psychiatry, 19(1), 227. 10.1186/s12888-019-2212-6
(2006). Psychosocial problems among students in preparatory school, in Dessie town, north east Ethiopia. Ethiopian Journal of Health Development, 20(1), 47–55.
(1996). Inappropriate use of bivariable analysis to screen risk factors for use in multivariable analysis. Journal of Clinical Epidemiology, 49(8), 907–916. 10.1016/0895-4356(96)00025-X
(2014). Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44(3), 273–303. 10.1111/sltb.12070
(2019). Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 low-income and middle-income countries: A population-based study. The Lancet Child & Adolescent Health, 3(4), 223–233. 10.1016/s2352-4642(18)30403-6
(2018). Social support-oriented coping and resilience for self-harm protection among adolescents. Journal of Psychology in Africa, 28(3), 237–241. 10.1080/14330237.2018.1475508
(World Health Organization . (2012). Global school-based student health survey (GSHS) – Ghana. https://www.who.int/ncds/surveillance/gshs/ghana/en/World Health Organization . (2014). Preventing suicide: A global imperative.