Suicide behaviour among adolescents in a high HIV prevalence region of western Kenya: A mixed-methods study

被引:7
|
作者
Zietz, Susannah [1 ,2 ]
Iritani, Bonita J. [1 ]
Otieno, Florence Anyango [3 ]
Ongili, Barrack Otieno [3 ]
Odongo, Fredrick S. [3 ]
Rennie, Stuart [4 ]
Luseno, Winnie Kavulani [1 ]
机构
[1] Pacific Inst Res & Evaluat PIRE, 101 Conner Dr,Suite 200, Chapel Hill, NC 27514 USA
[2] Duke Ctr Child & Family Policy, Durham, NC USA
[3] Ctr Global Hlth Res, Kenya Med Res Inst, Kisumu, Kenya
[4] Univ N Carolina, Dept Social Med, Chapel Hill, NC 27515 USA
基金
美国国家卫生研究院;
关键词
Suicide; mental health; adolescence; Kenya; mixed methods; MENTAL-HEALTH; RISK; DEPRESSION; THOUGHTS; CHILDREN; ABUSE;
D O I
10.1080/17441692.2020.1782964
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The study purpose was to determine the prevalence and determinants of suicidal thoughts and behaviours in a rural community sample of 15-19-year-old Kenyan adolescents in a region with high HIV burden. Data were from an observational study examining ethical issues in adolescent HIV research (N=4084). Participants reporting suicidal ideation were assessed for suicide risk. Directed content analyses were conducted using assessment reports. Logistic regression was used to identify factors associated with suicide outcomes. Prevalence of suicidal ideation was 16%. Of these, 38% were low risk and 12% were moderate/high-risk. Females and sexually active adolescents had higher odds of suicidal ideation and being categorised as moderate/high-risk. Adolescents with higher depression scores had higher odds of reporting ideation. Pregnancy was protective for females while impregnating a partner was a risk factor for males. Abuse from a family member, financial stress and health concerns were the most frequently mentioned precipitants of ideation. However, only abuse increased odds of suicide behaviour. Effective programmes to identify and support sexually active, pregnant, and distressed adolescents at risk for suicide are needed. Approaches involving families, schools, health facilities, and community gatekeepers may have the most promise in sub-Saharan African rural areas with limited mental health services.
引用
收藏
页码:88 / 102
页数:15
相关论文
共 50 条
  • [31] Feasibility, performance and acceptability of an innovative vital signs monitor for sick newborns in Western Kenya: A mixed-methods study
    Nantume, Assumpta
    Oketch, Bertha Akinyi
    Otiangala, Dickson
    Shah, Sona
    Cauvel, Teresa
    Nyumbile, Boniface
    Olayo, Bernard
    [J]. DIGITAL HEALTH, 2023, 9
  • [32] Telling the story of intersectional stigma in HIV-associated Kaposi's sarcoma in western Kenya: a convergent mixed-methods approach
    Collier, Sigrid
    Singh, Rhea
    Semeere, Aggrey
    Byakwaga, Helen
    Laker-Oketta, Miriam
    McMahon, Devon E.
    Chemtai, Linda
    Grant, Merridy
    Butler, Lisa
    Bogart, Laura
    Bassett, Ingrid, V
    Kiprono, Samson
    Maurer, Toby
    Martin, Jeffrey
    Busakhala, Naftali
    Freeman, Esther E.
    [J]. JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2022, 25
  • [33] Law Enforcement and Suicide Calls for Service: A Mixed-Methods Study of Suicide Attempts and Deaths
    Kheibari, Athena
    Hedden, Bethany Joy
    Comartin, Erin
    Kral, Michael
    Kubiak, Sheryl
    [J]. OMEGA-JOURNAL OF DEATH AND DYING, 2023, 87 (03) : 902 - 920
  • [34] Development of the Family Togetherness Scale: A Mixed-Methods Validation Study in Kenya
    Puffer, Eve S.
    Giusto, Ali
    Rieder, Amber D.
    Friis-Healy, Elsa
    Ayuku, David
    Green, Eric P.
    [J]. FRONTIERS IN PSYCHOLOGY, 2021, 12
  • [35] Clinicians' Perspectives on Diagnostic Markers for Depression Among Adolescents in India: An Embedded Mixed-Methods Study
    Aggarwal, Pankhuri
    Raval, Vaishali V.
    Chari, Uttara
    Raman, Vijaya
    Kadnur Sreenivas, Kamalesh
    Krishnamurthy, Sanjana
    Visweswariah, Ashok Mysore
    [J]. CULTURE MEDICINE AND PSYCHIATRY, 2021, 45 (02) : 163 - 192
  • [36] Clinicians’ Perspectives on Diagnostic Markers for Depression Among Adolescents in India: An Embedded Mixed-Methods Study
    Pankhuri Aggarwal
    Vaishali V. Raval
    Uttara Chari
    Vijaya Raman
    Kamalesh Kadnur Sreenivas
    Sanjana Krishnamurthy
    Ashok Mysore Visweswariah
    [J]. Culture, Medicine, and Psychiatry, 2021, 45 : 163 - 192
  • [37] Understanding and detecting behaviours prior to a suicide attempt: A mixed-methods study
    Onie, Sandersan
    Li, Xun
    Glastonbury, Kate
    Hardy, Rebecca C.
    Rakusin, Dori
    Wong, Iana
    Liang, Morgan
    Josifovski, Natasha
    Brooks, Anna
    Torok, Michelle
    Sowmya, Arcot
    Larsen, Mark E.
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2023, 57 (07): : 1016 - 1022
  • [38] Asian American College Students' Suicide Ideation: A Mixed-Methods Study
    Wong, Y. Joel
    Koo, Kelly
    Tran, Kimberly K.
    Chiu, Yu-Chen
    Mok, Yvonne
    [J]. JOURNAL OF COUNSELING PSYCHOLOGY, 2011, 58 (02) : 197 - 209
  • [39] Moral distress among nurses: A mixed-methods study
    Prompahakul, Chuleeporn
    Keim-Malpass, Jessica
    LeBaron, Virginia
    Yan, Guofen
    Epstein, Elizabeth G.
    [J]. NURSING ETHICS, 2021, 28 (7-8) : 1165 - 1182
  • [40] Prevalence and factors associated with hypertension among adults with and without HIV in Western Kenya
    Mogaka, Jerusha Nyabiage
    Sharma, Monisha
    Temu, Tecla
    Masyuko, Sarah
    Kinuthia, John
    Osoti, Alfred
    Zifodya, Jerry
    Nakanjako, Damalie
    Njoroge, Anne
    Otedo, Amos
    Page, Stephanie
    Farquhar, Carey
    [J]. PLOS ONE, 2022, 17 (01):