Child maltreatment and suicidal ideation among justice–and welfare–involved adolescents in Nigeria: Investigating the mediating role of social support and emotion regulation

IF 1.4 4区医学 Q1 LAW

International Journal of Law and Psychiatry Pub Date : 2024-11-22 DOI:10.1016/j.ijlp.2024.102040

Wasiu Olorunlambe , Sherifat Adeniyi

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引用次数: 0

Abstract

Background

Suicidal ideation is a global public health burden and justice and welfare–involved adolescents are more affected than the general population. Past studies have examined its risk and protective factors among adolescents. However, the association between child maltreatment and suicidal ideation remains an under-studied topic among at-risk adolescents in low- and middle-income countries. This study filled this gap by examing the association between child maltreatment and suicidal ideation among two high-risk adolescents in Nigeria

Methods

The purpose of this study was to examine the nexus between child maltreatment and suicidal ideation. A cross-sectional design was adopted through multi-stage sampling. Suicidal ideation was measured using a validated self-report Massachusetts Youth Screening Instrument (MAYSI-2). Child maltreatment was measured using a validated self-report intrusment (ICAST-C). The sample comprised 205 respondents: justice-involved adolescents (102 (49.8 %) and welfare-involved adolescents (103 (50.2 %). Among them, 151 (73.7 %) were males, while 54 (26.3 %) were females.

Results

Half (51 %) of the adolescents in detention and 39 % of the adolescents in residential care reported suicidal ideation. Emotional abuse (OR = 0.072; 95CI% –412, 0.75, p < .001), no parent is alive (OR = 0.502; 95CI% 0.234–3.15; p < .001), one parent is alive (OR = 0.522; 95 %CI 0.207, 3.09; p < .025) and female gender (OR = −0.22; 95CI% -1.37- 207; p < .008) predicted suicidal ideation. Suicidal ideation was comorbid with depressed-anxious symptoms (OR = 1.46; 95 %CI 1.172, 1.83; p < .001) accounting for 31 % (Nagelkerke R²) of the variance. Social support had an indirect effect on suicidal ideation via emotional abuse (OR = 0.072; 95 % CI = −412–0.75).

Conclusion

The findings underscore the influence of child maltreatment and family background on suicidal ideation. Interventions should include emotional abuse in suicide screening. Children who have lost one or both parents should be the primary focus of interventions.

查看原文本刊更多论文

尼日利亚涉及司法和福利的青少年中的儿童虐待和自杀意念：调查社会支持和情绪调节的中介作用。

背景：自杀意念是一项全球性的公共卫生负担，与普通人相比，涉及司法和福利的青少年受到的影响更大。以往的研究已对青少年自杀的风险和保护因素进行了研究。然而，在中低收入国家的高危青少年中，儿童虐待与自杀意念之间的关联仍然是一个研究不足的课题。本研究填补了这一空白，研究了尼日利亚两名高危青少年中儿童虐待与自杀意念之间的关系。方法：本研究旨在探讨儿童虐待与自杀意念之间的关系。研究采用多阶段抽样的横断面设计。自杀意念使用经过验证的自我报告马萨诸塞州青少年筛查工具（MAYSI-2）进行测量。儿童虐待情况则通过有效的自我报告问卷（ICAST-C）进行测量。样本包括 205 名受访者：102 名（49.8%）涉及司法问题的青少年和 103 名（50.2%）涉及福利问题的青少年。其中男性 151 人（73.7%），女性 54 人（26.3%）：半数（51%）被拘留的青少年和39%被寄宿的青少年有自杀倾向。情绪虐待（OR = 0.072; 95CI% -412, 0.75, p 2）的差异。社会支持通过情感虐待对自杀意念产生间接影响（OR = 0.072; 95 % CI = -412-0.75）：研究结果强调了儿童虐待和家庭背景对自杀意念的影响。干预措施应将情感虐待纳入自杀筛查。失去单亲或双亲的儿童应成为干预措施的重点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Law and Psychiatry Multiple-

CiteScore

4.70

自引率

8.70%

发文量

审稿时长

41 days

期刊介绍： The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.