Adolescent suicidality as seen in rural northeastern Uganda: prevalence and risk factors

Crisis. 2011;32(1):43-51. doi: 10.1027/0227-5910/a000059.

Abstract

Background: Suicidal behavior in adolescence is a public health concern and has serious consequences for adolescents and their families. There is, however, a paucity of data on this subject from sub-Saharan Africa, hence the need for this study.

Aims: A cross-sectional multistage survey to investigate adolescent suicidality among other things was undertaken in rural northeastern Uganda.

Methods: A structured protocol administered by trained psychiatric nurses collected information on sociodemographics, mental disorders (DSM-IV criteria), and psychological and psychosocial risk factors for children aged 3-19 years (N = 1492). For the purposes of this paper, an analysis of a subsample of adolescents (aged 10-19 years; n = 897) was undertaken.

Results: Lifetime suicidality in this study was 6.1% (95% CI, 4.6%-7.9%).

Conclusions: Factors significantly associated with suicidality included mental disorder, the ecological factor district of residence, factors suggestive of low socioeconomic status, and disadvantaged childhood experiences.

MeSH terms

  • Adolescent
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Logistic Models
  • Male
  • Mental Disorders / psychology
  • Prevalence
  • Psychiatric Status Rating Scales
  • Psychology
  • Risk Factors
  • Rural Population / statistics & numerical data
  • Socioeconomic Factors
  • Suicide / statistics & numerical data*
  • Suicide, Attempted / statistics & numerical data
  • Uganda / epidemiology
  • Young Adult