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Comportamientos de autolesión y suicidio entre estudiantes universitarios en la provincia de Gandaki, Nepal: un

Manu Kumari Lamtari Magar¹, Abhishek Sapkota¹, Alisha Thapa¹

¹School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal.

BMJ public health

|January 7, 2026

Abstracto

Introduction:

Self-harm and suicidal behaviours are major public health issues among adolescents. Suicide is considered the third cause of death among 15-29-year-old individuals worldwide. The study aimed to determine the prevalence of self-harm and suicidal behaviours among undergraduate students in Nepal and identify the sociodemographic, behavioural and psychological factors associated with these behaviours.

Methods:

A school-based cross-sectional study was conducted among undergraduates from four schools of Vyas Municipality, Nepal. The Deliberate Self-Harm Behaviour Scale and the General Health Questionnaire-28 were the standard tools used to measure self-harm and suicidal behaviour.

Results:

Among 538 participants, the prevalence of self-harm behaviour, suicidal ideation, plans and attempts was found to be 15.8% (n=85), 30.3% (n=163), 3.2% (n=17) and 1.9% (n=10), respectively. Relationship difficulty was significantly associated with self-harm (adjusted OR (AOR)=2.42, 95% CI 1.10 to 5.35, p=0.028), while relationship difficulty (AOR=3.29, 95% CI 1.44 to 7.54, p=0.005) and family mental health issues (AOR=4.69, 95% CI 1.64 to 13.47, p=0.004) were significantly associated with suicidal ideation.

Conclusions:

Relationship difficulty and family mental health issues are identified as major causes of the alarmingly high rates of self-harm and suicidal acts among Nepalese adolescents.

Palabras clave:

Adolescente Salud Mental Salud Pública

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