Skip to main content
Top
Gepubliceerd in: Child Psychiatry & Human Development 2/2014

01-04-2014 | Original Article

Psychosocial Correlates of Suicidal Ideation in Rural South African Adolescents

Auteurs: Hilda N. Shilubane, Robert A. C. Ruiter, Arjan E. R. Bos, Bart van den Borne, Shamagonam James, Priscilla S. Reddy

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Suicide is a prevalent problem among young people in Southern Africa, but prevention programs are largely absent. This survey aimed to identify the behavioral and psychosocial correlates of suicidal ideation among adolescents in Limpopo. A two-stage cluster sample design was used to establish a representative sample of 591 adolescents. Bivariate correlations and multiple linear regression analyses were conducted. Findings show that suicidal ideation is prevalent among adolescents. The psychosocial factors perceived social support and negative feelings about the family and the behavioral factors forced sexual intercourse and physical violence by the partner were found to increase the risk of suicidal ideation. Depression mediated the relationship between these psychosocial and behavioral risk factors and suicidal ideation. This study increased our understanding of the psychosocial and behavioral predictors of adolescent suicidal ideation. The findings provide target points for future intervention programs and call for supportive structures to assist adolescents with suicidal ideation.
Literatuur
1.
go back to reference Bertolote JM, Fleischmann A, Butchart A, Besbell M (2006) Suicide, suicide attempts and pesticides: a major hidden public health problem. Bull World Health Organ 84:260PubMedCentralPubMedCrossRef Bertolote JM, Fleischmann A, Butchart A, Besbell M (2006) Suicide, suicide attempts and pesticides: a major hidden public health problem. Bull World Health Organ 84:260PubMedCentralPubMedCrossRef
2.
go back to reference Bridge JA, Goldstein TR, Brent DA (2006) Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 47:372–394PubMedCrossRef Bridge JA, Goldstein TR, Brent DA (2006) Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 47:372–394PubMedCrossRef
3.
go back to reference Jiang Y, Perry DK, Hesser JE (2007) Adolescent suicide and health risk behaviours Rhode Island’s 2007 youth risk behaviour survey. Am J Prev Med 38:551–555CrossRef Jiang Y, Perry DK, Hesser JE (2007) Adolescent suicide and health risk behaviours Rhode Island’s 2007 youth risk behaviour survey. Am J Prev Med 38:551–555CrossRef
4.
go back to reference Catipovic V, Bilonic G, Novalic D (2010) The suicide analysis in Bjelovarsko-Bilogorska country in 1988–2005 period. LijecVjesn 132:345–351 Catipovic V, Bilonic G, Novalic D (2010) The suicide analysis in Bjelovarsko-Bilogorska country in 1988–2005 period. LijecVjesn 132:345–351
6.
go back to reference Large MM, Nielssen O (2010) Suicide in Australia: meta-analysis rates and methods of suicide between 1988 and 2007. Med J Aust 192:432–437PubMed Large MM, Nielssen O (2010) Suicide in Australia: meta-analysis rates and methods of suicide between 1988 and 2007. Med J Aust 192:432–437PubMed
7.
go back to reference Meel BL (2003) A study on the incidence of suicide by hanging in the sub-region of Transkei, South Africa. J Clin Forensic Med 10:153–157PubMedCrossRef Meel BL (2003) A study on the incidence of suicide by hanging in the sub-region of Transkei, South Africa. J Clin Forensic Med 10:153–157PubMedCrossRef
8.
go back to reference Shilubane HN, Ruiter RAC, Bos AER, Borne Bart Van den, Shamagonam J, Reddy PS (2012) Psychosocial determinants of suicide attempts among black South African adolescents: a qualitative analysis. J Youth Stud 15:177–189CrossRef Shilubane HN, Ruiter RAC, Bos AER, Borne Bart Van den, Shamagonam J, Reddy PS (2012) Psychosocial determinants of suicide attempts among black South African adolescents: a qualitative analysis. J Youth Stud 15:177–189CrossRef
9.
go back to reference Toprak S, Cetin I, Guven T, Can G, Demircan C (2011) Self-harm, suicidal ideation and suicide attempts among college students. Psychiatry Res 187:140–144PubMedCrossRef Toprak S, Cetin I, Guven T, Can G, Demircan C (2011) Self-harm, suicidal ideation and suicide attempts among college students. Psychiatry Res 187:140–144PubMedCrossRef
10.
11.
go back to reference Reddy SP, James S, Sewpaul R, Koopman F, Funani NI, Sifunda S et al (2010) UmthenteUmhlabaUsamila: The 2nd South African National Youth Risk Behaviour Survey 2008. South African Medical Research Council, Cape Town Reddy SP, James S, Sewpaul R, Koopman F, Funani NI, Sifunda S et al (2010) UmthenteUmhlabaUsamila: The 2nd South African National Youth Risk Behaviour Survey 2008. South African Medical Research Council, Cape Town
13.
go back to reference King G, Flisher AJ, Noubary F, Reece R, Marais A, Lombard C (2004) Substance abuse and behavioral correlates of sexual assault among South African adolescents. Child Abuse Negl 28:683–696PubMedCrossRef King G, Flisher AJ, Noubary F, Reece R, Marais A, Lombard C (2004) Substance abuse and behavioral correlates of sexual assault among South African adolescents. Child Abuse Negl 28:683–696PubMedCrossRef
14.
go back to reference Mandeli L, Carli V, Roy A, Serretti A, Sarchiapone M (2011) The influence of childhood trauma on the onset and repetition of suicidal behavior: an investigation in a high risk sample of male prisoners. J Psychiatr Res 45:742–747CrossRef Mandeli L, Carli V, Roy A, Serretti A, Sarchiapone M (2011) The influence of childhood trauma on the onset and repetition of suicidal behavior: an investigation in a high risk sample of male prisoners. J Psychiatr Res 45:742–747CrossRef
15.
go back to reference Spokas M, Wenzel A, Stirman SW, Brown GK, Beck AT (2009) Suicide risk factors and mediators between childhood sexual abuse and suicidal ideation among male and female suicide attempters. J Trauma Stress 22:467–470PubMedCentralPubMedCrossRef Spokas M, Wenzel A, Stirman SW, Brown GK, Beck AT (2009) Suicide risk factors and mediators between childhood sexual abuse and suicidal ideation among male and female suicide attempters. J Trauma Stress 22:467–470PubMedCentralPubMedCrossRef
16.
go back to reference Bromet EJ, Havenaar JM, Tintle N, Kostyuchenko S, Kotov R, Guzman S (2007) Suicidal ideation, plans and attempts in Ukraine: findings from the Ukraine world mental health survey. Psychol Med 37:807–819PubMedCrossRef Bromet EJ, Havenaar JM, Tintle N, Kostyuchenko S, Kotov R, Guzman S (2007) Suicidal ideation, plans and attempts in Ukraine: findings from the Ukraine world mental health survey. Psychol Med 37:807–819PubMedCrossRef
17.
go back to reference Gureje O, Kola L, Uwakwe R, Udofia O, Wakil A, Afolabi E (2007) The profile and risks of suicidal behaviours in the Nigerian survey of mental health and well-Being. Psychol Med 37:821–830PubMedCrossRef Gureje O, Kola L, Uwakwe R, Udofia O, Wakil A, Afolabi E (2007) The profile and risks of suicidal behaviours in the Nigerian survey of mental health and well-Being. Psychol Med 37:821–830PubMedCrossRef
18.
go back to reference Hall RCW, Platt DE, Hall RCW (2006) Suicide risk assessment: a review of risk behaviours for suicide in 100 patients who made severe suicide attempts. Psychosomatics 40:18–27CrossRef Hall RCW, Platt DE, Hall RCW (2006) Suicide risk assessment: a review of risk behaviours for suicide in 100 patients who made severe suicide attempts. Psychosomatics 40:18–27CrossRef
19.
go back to reference Jiang Y, Perry DK, Hesser JE (2010) Suicide patterns and association with predictors among Rhode Island public high schools students: a latent class analysis. Am J Publ Psychol 9:1648–1652 Jiang Y, Perry DK, Hesser JE (2010) Suicide patterns and association with predictors among Rhode Island public high schools students: a latent class analysis. Am J Publ Psychol 9:1648–1652
20.
go back to reference Kirkcaldy BD, Eysenck MW, Siefen GR (2004) Psychological and social predictors of suicidal ideation among young adolescents. Sch Psychol Int 25:301–316CrossRef Kirkcaldy BD, Eysenck MW, Siefen GR (2004) Psychological and social predictors of suicidal ideation among young adolescents. Sch Psychol Int 25:301–316CrossRef
21.
go back to reference Rudatsikira E, Muula AS, Siziya S (2007) Prevalence and associated factors of suicidal ideation among school-going adolescents in Guyana: results from a cross sectional study. Clinical practice and epidemiology in mental health CP and EMH ISE: 1745 0179, 3, 13 Rudatsikira E, Muula AS, Siziya S (2007) Prevalence and associated factors of suicidal ideation among school-going adolescents in Guyana: results from a cross sectional study. Clinical practice and epidemiology in mental health CP and EMH ISE: 1745 0179, 3, 13
22.
go back to reference Swahn MH, Bossarte RM (2007) Gender, early alcohol use, and suicidal ideation and attempts: findings from the 2005 Youth Risk Behaviour Survey. J Adolesc Health 41:175–181PubMedCrossRef Swahn MH, Bossarte RM (2007) Gender, early alcohol use, and suicidal ideation and attempts: findings from the 2005 Youth Risk Behaviour Survey. J Adolesc Health 41:175–181PubMedCrossRef
23.
go back to reference Appelgvist-Schmidlechner K, Henriksson M, Joukamaa M, Parkikola K, Upanne M, Stengard E (2011) Psychosocial factors associated with suicidal ideation among young men exempted from compulsory military or civil service (in press). Scand J Public Health 39:870–879CrossRef Appelgvist-Schmidlechner K, Henriksson M, Joukamaa M, Parkikola K, Upanne M, Stengard E (2011) Psychosocial factors associated with suicidal ideation among young men exempted from compulsory military or civil service (in press). Scand J Public Health 39:870–879CrossRef
24.
go back to reference Hardt J, Johnson JG (2010) Suicidality, depression, major and minor negative life events: a mediator model. GMSPsycho Soc Med 7:ISSN1860–ISSN5215 Hardt J, Johnson JG (2010) Suicidality, depression, major and minor negative life events: a mediator model. GMSPsycho Soc Med 7:ISSN1860–ISSN5215
25.
go back to reference Afifi O, Cox BJ, Katz LY (2007) The associations between health risk behaviours and suicidal ideation and attempts in a nationally representative sample of young adolescent. Can J Psychiatry 52:666–674PubMed Afifi O, Cox BJ, Katz LY (2007) The associations between health risk behaviours and suicidal ideation and attempts in a nationally representative sample of young adolescent. Can J Psychiatry 52:666–674PubMed
26.
go back to reference Van Tilburg MAL, Spence NJ, Whitehead WE, Bangdiwala S, Goldston DB (2011) Chronic pain in adolescents in associated with suicidal ideation and behaviors. J Pain 12(10):1032–1039PubMedCentralPubMedCrossRef Van Tilburg MAL, Spence NJ, Whitehead WE, Bangdiwala S, Goldston DB (2011) Chronic pain in adolescents in associated with suicidal ideation and behaviors. J Pain 12(10):1032–1039PubMedCentralPubMedCrossRef
27.
go back to reference Ang RP, Huan VS (2006) Relationship between academic stress and suicidal ideation: testing for depression as a mediator using multiple regression. Child Psychiatry Hum Develop 37:133–143CrossRef Ang RP, Huan VS (2006) Relationship between academic stress and suicidal ideation: testing for depression as a mediator using multiple regression. Child Psychiatry Hum Develop 37:133–143CrossRef
28.
go back to reference Balazs J, Benazzi F, Rihmer Z, Rihmer A, Akiskal K, Akiskal HS (2006) The close link between suicide attempts and mixed depression: implications for suicide prevention. J Affect Disord 91:133–138PubMedCrossRef Balazs J, Benazzi F, Rihmer Z, Rihmer A, Akiskal K, Akiskal HS (2006) The close link between suicide attempts and mixed depression: implications for suicide prevention. J Affect Disord 91:133–138PubMedCrossRef
29.
go back to reference Flisher AJ, Ward CL, Liang H, Onya H, Mlisa N, Terblanche S et al (2006) Injury-related behaviour among South African high-school students at six sites. South African Med J Suid Afrikaanse Tydskrif vir Geneeskunde 96:825–830 Flisher AJ, Ward CL, Liang H, Onya H, Mlisa N, Terblanche S et al (2006) Injury-related behaviour among South African high-school students at six sites. South African Med J Suid Afrikaanse Tydskrif vir Geneeskunde 96:825–830
30.
go back to reference Schlebusch L, Vawda NBM, Bosch BA (2003) Suicidal behaviour in black South Africans. Crisis 24:24–28PubMedCrossRef Schlebusch L, Vawda NBM, Bosch BA (2003) Suicidal behaviour in black South Africans. Crisis 24:24–28PubMedCrossRef
31.
go back to reference Wild LG, Flisher AJ, Bhana A, Lombard C (2004) Substance abuse, suicidality, and self-esteem in South African adolescents. J Drug Educ 34:1–17PubMedCrossRef Wild LG, Flisher AJ, Bhana A, Lombard C (2004) Substance abuse, suicidality, and self-esteem in South African adolescents. J Drug Educ 34:1–17PubMedCrossRef
32.
go back to reference Reynolds WM (1988) Suicidal ideation questionnaire: Professional manual. Psychological Assessment Resources, Lutz Reynolds WM (1988) Suicidal ideation questionnaire: Professional manual. Psychological Assessment Resources, Lutz
33.
go back to reference Rosenberg M (1965) Society and the adolescent self-image. University Press, Princeton Rosenberg M (1965) Society and the adolescent self-image. University Press, Princeton
34.
go back to reference Butler RJ, Gasson SL (2005) Self-esteem/self-concept scales for children and adolescents: a review. Child Adolesc Ment Health 10:190–201CrossRef Butler RJ, Gasson SL (2005) Self-esteem/self-concept scales for children and adolescents: a review. Child Adolesc Ment Health 10:190–201CrossRef
35.
go back to reference Carver MD, Jones WH (1992) The family satisfaction scale. Soc Behav Pers 20:71–83CrossRef Carver MD, Jones WH (1992) The family satisfaction scale. Soc Behav Pers 20:71–83CrossRef
36.
go back to reference Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The Multidimensional scale of perceived social support. J Pers Assess 52:30–41CrossRef Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The Multidimensional scale of perceived social support. J Pers Assess 52:30–41CrossRef
37.
go back to reference Beck AT, Steer RA, Carbin MG (1988) Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev 8:77–100CrossRef Beck AT, Steer RA, Carbin MG (1988) Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev 8:77–100CrossRef
38.
go back to reference Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol 51:1175–1182CrossRef Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol 51:1175–1182CrossRef
39.
go back to reference MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V (2002) A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 7:83–104PubMedCentralPubMedCrossRef MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V (2002) A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 7:83–104PubMedCentralPubMedCrossRef
40.
go back to reference Kenny DA, Kashy DA, Bolger N (1998) Data analysis in social psychology. In: Gillbert DT, Fiske ST, Lindzey G (eds) The handbook of social psychology. McGraw-Hill, New York Kenny DA, Kashy DA, Bolger N (1998) Data analysis in social psychology. In: Gillbert DT, Fiske ST, Lindzey G (eds) The handbook of social psychology. McGraw-Hill, New York
41.
go back to reference Hofstede G, Hofstede GJ, Minkov M (2010) Cultures and organizations: software of the mind: intercultural cooperation and its importance for Survival. Mc Graw Hill, New York Hofstede G, Hofstede GJ, Minkov M (2010) Cultures and organizations: software of the mind: intercultural cooperation and its importance for Survival. Mc Graw Hill, New York
42.
go back to reference Winfree LT, Jiang S (2010) Youthful suicide and social support: exploring the social dynamics of suicide- related behavior and attitudes within a national sample of US adolescents. Youth Violence Juvenile Justice 8:19–37CrossRef Winfree LT, Jiang S (2010) Youthful suicide and social support: exploring the social dynamics of suicide- related behavior and attitudes within a national sample of US adolescents. Youth Violence Juvenile Justice 8:19–37CrossRef
43.
go back to reference Kaltiala-Heino R, Rimpela M, Rantanen P, Rimpela A (2000) Byllying at school-an indicator of adolescents at risk for mental disorders. J Adolesc 23:661–674PubMedCrossRef Kaltiala-Heino R, Rimpela M, Rantanen P, Rimpela A (2000) Byllying at school-an indicator of adolescents at risk for mental disorders. J Adolesc 23:661–674PubMedCrossRef
44.
go back to reference Juan W, Xiao-Juan D, Jia-Ji W, Xin-Wang W, Liang X (2010) The associations between health risk behaviours and suicidal ideation and attempts in an urban Chinese sample of adolescents. J Affect Disord 126:180–187PubMedCrossRef Juan W, Xiao-Juan D, Jia-Ji W, Xin-Wang W, Liang X (2010) The associations between health risk behaviours and suicidal ideation and attempts in an urban Chinese sample of adolescents. J Affect Disord 126:180–187PubMedCrossRef
45.
go back to reference Reifman A, Windle M (1995) Adolescent suicidal behaviours as a function of depression, hopelessness, alcohol use, and social support: a longitudinal investigation. Am J Community Psychol 23:329–354PubMedCrossRef Reifman A, Windle M (1995) Adolescent suicidal behaviours as a function of depression, hopelessness, alcohol use, and social support: a longitudinal investigation. Am J Community Psychol 23:329–354PubMedCrossRef
46.
go back to reference Wahlbeck K, Makinen M (2008) Prevention of depression and suicide. Consensus paper, European Communities Wahlbeck K, Makinen M (2008) Prevention of depression and suicide. Consensus paper, European Communities
47.
go back to reference Wasserman D, Rihmer Z (2000)The thematic conference on prevention of depression and suicide under the European pact for mental health and well-being “Prevention of depression and suicide in a time of crises- making it happen”. Budapest, Hungary American Association of Suicidology (2009). Some facts about Suicide and Depression. www.suicidology.org Wasserman D, Rihmer Z (2000)The thematic conference on prevention of depression and suicide under the European pact for mental health and well-being “Prevention of depression and suicide in a time of crises- making it happen”. Budapest, Hungary American Association of Suicidology (2009). Some facts about Suicide and Depression. www.​suicidology.​org
48.
go back to reference Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE (2011) The interpersonal theory of suicide. Psychol Rev 117:574–600 Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE (2011) The interpersonal theory of suicide. Psychol Rev 117:574–600
49.
go back to reference Epstein JA, Spirito A (2010) Gender-specific risk factors for suicidality among high school students. Arch Suicide Res 14:193–205PubMedCrossRef Epstein JA, Spirito A (2010) Gender-specific risk factors for suicidality among high school students. Arch Suicide Res 14:193–205PubMedCrossRef
50.
go back to reference Nkansah-Amankra S, Diedhiou A, Dawn Walker A, Agbanu H, Clark A (2010) Adolescent suicidal behaviors, self-rated health and multiple health risk behaviors: exploring new perspectives in suicide prevention research. J Public Health Epidemiol 2:204–215 Nkansah-Amankra S, Diedhiou A, Dawn Walker A, Agbanu H, Clark A (2010) Adolescent suicidal behaviors, self-rated health and multiple health risk behaviors: exploring new perspectives in suicide prevention research. J Public Health Epidemiol 2:204–215
51.
go back to reference Vanatta RA (1997) Adolescent gender differences in suicide-related behaviors. J Youth Adolesc 26:559–568CrossRef Vanatta RA (1997) Adolescent gender differences in suicide-related behaviors. J Youth Adolesc 26:559–568CrossRef
52.
go back to reference Miller DN, Eckert TL, Mazza JJ (2009) Suicide prevention programs at school: a review and public health perspective. Sch Psychol Rev 38:168–188 Miller DN, Eckert TL, Mazza JJ (2009) Suicide prevention programs at school: a review and public health perspective. Sch Psychol Rev 38:168–188
53.
go back to reference Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernández ME (2011) Planning health promotion programs: An Intervention mapping approach. Jossey-Bass, San Francisco, CA Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernández ME (2011) Planning health promotion programs: An Intervention mapping approach. Jossey-Bass, San Francisco, CA
54.
go back to reference Jane-Llopis E, Hosman C, Jenkins R, Anderson P (2003) Predictors of efficacy in depression prevention programmes: a meta-analysis. Br J Psychiatry 183:384–397PubMedCrossRef Jane-Llopis E, Hosman C, Jenkins R, Anderson P (2003) Predictors of efficacy in depression prevention programmes: a meta-analysis. Br J Psychiatry 183:384–397PubMedCrossRef
55.
go back to reference Pollet H (2007) Mental health promotion: a literature review. Prepared for the mental health promotion working group of the provincial wellness advisory council. Canadian Mental Health Association Pollet H (2007) Mental health promotion: a literature review. Prepared for the mental health promotion working group of the provincial wellness advisory council. Canadian Mental Health Association
Metagegevens
Titel
Psychosocial Correlates of Suicidal Ideation in Rural South African Adolescents
Auteurs
Hilda N. Shilubane
Robert A. C. Ruiter
Arjan E. R. Bos
Bart van den Borne
Shamagonam James
Priscilla S. Reddy
Publicatiedatum
01-04-2014
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2014
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-013-0387-5

Andere artikelen Uitgave 2/2014

Child Psychiatry & Human Development 2/2014 Naar de uitgave