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Suicidal behaviors in adolescents.
Tanuj Sidhartha1, Shivananda Jena
1Department of Psychiatry, G. B. Pant Hospital, New Delhi, India.
Non-fatal suicidal behaviors (NFSB), including suicidal ideation and suicide attempts, are prevalent among adolescents in Delhi. Key risk factors identified include Hindu religion, female sex, older age, abuse, neglect, and a history of self-harm.
Area of Science:
- Psychiatry
- Adolescent Health
- Public Health
Background:
- Non-fatal suicidal behaviors (NFSB), encompassing suicidal ideation and suicide attempts, are a significant global public health concern among adolescents.
- Previous research indicates high prevalence rates of NFSB across various cultures, yet data from India remains scarce.
- Understanding the prevalence and risk factors of NFSB in the Indian adolescent population is crucial for targeted interventions.
Purpose of the Study:
- To estimate the prevalence of non-fatal suicidal behaviors (NFSB) in an adolescent population in Delhi, India.
- To identify associated risk factors for NFSB in this demographic.
- To provide data for the development of prevention and intervention strategies for adolescent suicidal behavior in India.
Main Methods:
- A cross-sectional study was conducted with 1205 adolescents aged 12-19 years from two schools in Delhi.
- Data was collected using a semi-structured questionnaire assessing demographic variables, NFSB, death wish, deliberate self-harm (DSH), and psychological factors (AISS, BDI).
- Logistic regression analysis was employed to identify significant risk factors for NFSB.
Main Results:
- The lifetime prevalence of suicidal ideation was 21.7% and suicide attempt was 8%.
- The past-year prevalence for suicidal ideation was 11.7% and for suicide attempt was 3.5%.
- Significant risk factors for NFSB included Hindu religion, female sex, older adolescent age, parental physical abuse, feeling neglected, history of running away from school, friend's suicide history, death wish, and DSH.
Conclusions:
- Adolescents in Delhi exhibit a high prevalence of suicidal ideation, suicide attempts, death wish, and deliberate self-harm.
- Several demographic, familial, and behavioral factors are significantly associated with NFSB in this population.
- The findings underscore the urgent need for clinical and public health interventions to address adolescent suicidal behaviors in India.
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