Exploratory analysis of risk factors for suicidal ideation among young men in urban informal settlements in durban, South Africa: A cross-sectional study

IF 4.1 Q1 PSYCHIATRY
Smanga Mkhwanazi , Yandisa Sikweyiya , Andrew Gibbs
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引用次数: 0

Abstract

Suicidal ideation – thoughts about suicide, but not necessarily planning or attempting - is common among young people in Low and Middle-Income Countries. There has been a significant focus on poor mental health as a key driver of suicidal ideation, yet structural challenges such as poverty, economic and social marginalisation and gender norms, have also been shown to be critical drivers of suicidal ideation among young men. We conducted an exploratory study to assess risk factors for suicidal ideation among young men living in urban informal settlements in eThekwini Municipality, South Africa. We conducted a cross-sectional survey, forming the baseline of a randomized controlled trial in 2015. We recruited 674 young men (aged 18–30 years) of which n = 669 (99.3 %) provided data on recent suicidal ideation. Past 4-week suicidal ideation was common (24.2 %) in this group. In multivariable logistic regression, food insecurity, violence in childhood and adulthood, and recent drug use were significantly associated with suicidal ideation. We suggest that suicide prevention programmes need to include a focus on addressing context specific challenges, as well as poor mental health, if they are to reduce the burden of suicidal ideation.
南非德班城市非正式住区青年男子自杀意念危险因素的探索性分析:一项横断面研究
自杀意念——有自杀的念头,但不一定计划或企图自杀——在中低收入国家的年轻人中很常见。人们非常重视精神健康状况不佳是产生自杀意念的关键驱动因素,但贫困、经济和社会边缘化以及性别规范等结构性挑战也被证明是青年男子产生自杀意念的关键驱动因素。我们进行了一项探索性研究,以评估生活在南非德科维尼市城市非正式住区的年轻男性自杀意念的危险因素。我们进行了横断面调查,形成了2015年随机对照试验的基线。我们招募了674名年轻男性(18-30岁),其中n = 669(99.3%)提供了近期自杀意念的数据。过去4周内有自杀意念的发生率为24.2%。在多变量logistic回归中,粮食不安全、儿童期和成年期暴力以及近期吸毒与自杀意念显著相关。我们建议,如果自杀预防计划要减轻自杀意念的负担,就需要把重点放在解决具体情况下的挑战,以及心理健康状况不佳。
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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
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审稿时长
118 days
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