1
|
Jones MS, Kevorkian SS, Lehmann PS, Chouhy C, Meldrum RC. Adverse childhood experiences, gender, and suicidality among Florida high school students: Examining intervening mechanisms. CHILD ABUSE & NEGLECT 2024; 153:106834. [PMID: 38704885 DOI: 10.1016/j.chiabu.2024.106834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 04/23/2024] [Accepted: 04/29/2024] [Indexed: 05/07/2024]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) represent a key risk factor for suicidal thoughts and behaviors among adolescents. However, the intervening mechanisms linking ACEs and suicidality, and whether such processes vary by gender, remain underexplored. OBJECTIVE The present study examines whether the relationships between ACEs and the likelihood of experiencing suicidal thoughts and attempting suicide are indirect through depressive symptoms and low self-control. This study also investigates whether these direct and indirect paths might be moderated by gender. PARTICIPANTS AND SETTING The analyses make use of data on a statewide representative sample of students enrolled in public high schools in Florida (N = 23,078) from the 2022 Florida Youth Substance Abuse Survey (FYSAS). METHODS Generalized structural equation modeling (GSEM) was used to estimate the direct and indirect effects of ACEs on the likelihood of suicidal thoughts and attempting suicide. The indirect effects were assessed using bootstrapping, and between-gender differences in the coefficients were tested. RESULTS ACEs has direct associations with depressive symptoms, low self-control, and both suicidality outcomes. The effects of ACEs on suicidal thoughts are indirect through both depressive symptoms and low self-control, and the effects of ACEs on suicide attempts are indirect through depressive symptoms. Limited gender differences in these pathways emerge. CONCLUSIONS For male and female youth, ACEs are associated with heightened depression symptoms and reduced self-control, and both of these factors partially explain the previously established relationship between ACEs and suicidality.
Collapse
Affiliation(s)
- Melissa S Jones
- Department of Sociology, Brigham Young University, United States of America
| | - Salpi S Kevorkian
- Department of Criminology and Criminal Justice, Florida International University, United States of America
| | - Peter S Lehmann
- Department of Criminal Justice and Criminology, Sam Houston State University, United States of America
| | - Cecilia Chouhy
- College of Criminology and Criminal Justice, Florida State Univeristy, United States of America
| | - Ryan C Meldrum
- Department of Criminology and Criminal Justice, Florida Atlantic University, United States of America
| |
Collapse
|
2
|
Arango A, Brent D, Grupp-Phelan J, Barney BJ, Spirito A, Mroczkowski MM, Shenoi R, Mahabee-Gittens M, Casper TC, King C. Social connectedness and adolescent suicide risk. J Child Psychol Psychiatry 2024; 65:785-797. [PMID: 37926560 PMCID: PMC11069595 DOI: 10.1111/jcpp.13908] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Despite evidence of the importance of interpersonal connectedness to our understanding of suicide risk, relatively little research has examined the protective and buffering effects of connectedness among adolescents. The aims of this study were to determine: (a) whether overall connectedness (composite of family, peer, and school) and specific domains of connectedness were related to a lower likelihood of suicide attempts, and (b) whether these factors buffer the prospective risk of suicide attempt for high-risk subgroups (i.e., recent suicidal ideation and/or lifetime history of suicide attempt, peer victimization, or sexual and gender minority status). METHODS Participants were 2,897 adolescents (64.7% biological female), ages 12 to 17 (M = 14.6, SD = 1.6), recruited in collaboration with the Pediatric Emergency Care Applied Research Network (PECARN) from 14 emergency departments for the Emergency Department Screen for Teens at Risk for Suicide Study (ED-STARS). Suicide risk and protective factors were assessed at baseline; 3- and 6-month follow-ups were completed (79.5% retention). Multivariable logistic regressions were conducted, adjusting for established suicide risk factors. RESULTS Higher overall connectedness and, specifically, school connectedness were associated with decreased likelihood of a suicide attempt across 6 months. Overall connectedness and connectedness domains did not function as buffers for future suicide attempts among certain high-risk subgroups. The protective effect of overall connectedness was lower for youth with recent suicidal ideation or a suicide attempt history than for those without this history. Similarly, overall connectedness was protective for youth without peer victimization but not those with this history. Regarding specific domains, family connectedness was protective for youth without recent suicidal ideation or a suicide attempt history and peer connectedness was protective for youth without peer victimization but not youth with these histories. CONCLUSIONS In this large and geographically diverse sample, overall and school connectedness were related prospectively to lower likelihood of suicide attempts, and connectedness was more protective for youth not in certain high-risk subgroups. Results inform preventive efforts aimed at improving youth connectedness and reducing suicide risk.
Collapse
Affiliation(s)
| | - David Brent
- Department of Psychiatry, University of Pittsburgh
| | | | | | - Anthony Spirito
- Department of Psychiatry and Human Behavior, Brown University
| | | | - Rohit Shenoi
- Department of Pediatrics, Baylor College of Medicine
| | | | | | - Cheryl King
- Department of Psychiatry, University of Michigan
| | | |
Collapse
|
3
|
Dadras O, Takashi N. Traditional, cyberbullying, and suicidal behaviors in Argentinian adolescents: the protective role of school, parental, and peer connectedness. Front Psychiatry 2024; 15:1351629. [PMID: 38501081 PMCID: PMC10944925 DOI: 10.3389/fpsyt.2024.1351629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 02/16/2024] [Indexed: 03/20/2024] Open
Abstract
Introduction Bullying, both in person and online, is a significant risk factor for a range of negative outcomes including suicidal behaviors among adolescents and it is crucial to explore the protective effects of parental, school, and peer connectedness on suicidal behaviors among victims. Methods This study is a secondary analysis of the Argentina Global School-based Student Health Survey (GSHS 2018). Logistic regression analysis, adjusting for age and sex, determines the likelihood of suicidal thoughts and attempts among bullying victims. To explore the modifying effect of school, parental, and peer connectedness on the association between bullying and suicide behaviors, the interaction term was included. Sampling design and weights were applied in all analyses in STATA 17. Results The study included 56,783 students in grades 8-12, with over half being female. Adolescents aged 14-15 exhibited the highest prevalence of bullying, cyberbullying, suicidal thoughts, and attempts, with females displaying a higher prevalence in all measured categories. The study found that adolescents who reported being bullied or cyberbullied demonstrated a significantly higher likelihood of experiencing suicidal thoughts and attempting suicide. Furthermore, protective factors such as school, parental, and peer connectedness were found to play a critical role in mitigating the adverse impacts of bullying and cyberbullying on suicidal thoughts and attempts. Conclusion The findings underscore the critical prevalence of both bullying and cyberbullying among school-going Argentinian adolescents and their profound association with suicidal behaviors. The study emphasizes the importance of supportive family environments and peer and school connectedness in mitigating the negative effects of bullying and cyberbullying on mental health and suicide risk among adolescents.
Collapse
Affiliation(s)
- Omid Dadras
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Bergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway
| | - Naoki Takashi
- Department of Health Economics, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan
- Department of Health Informatics, School of Public Health, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| |
Collapse
|
4
|
Nuñez Fadda SM, Ciambelli Romero HC, Gradilla Lizardo NS, Sánchez Castillón JA. An Ecological Inquiry on Young People's Suicidal Ideation at University: Individual, Relational and Cultural Factors and Their Interactions. Eur J Investig Health Psychol Educ 2023; 14:64-86. [PMID: 38248125 PMCID: PMC10814907 DOI: 10.3390/ejihpe14010005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 12/11/2023] [Accepted: 12/18/2023] [Indexed: 01/23/2024] Open
Abstract
To understand the factors related to suicidal ideation in university students, we examined individual and microsystemic variables with an ecological model organizing bidirectional influences between different dimensions. Suicidal ideation, psychological distress, multidimensional self-concept, loneliness, community social support, life satisfaction, family functioning, bullying victimization, and problematic use of virtual social networks were measured in a sample of 376 Mexican university students (67% women) from 18 to 34 years of age (M = 20.8). Data were collected in March 2020, before mandatory confinement for COVID started in Mexico. Discriminant analyses showed that psychological distress, loneliness, self-concept, life satisfaction, family functioning, internet violence/rejection, and informal social support predicted belonging to high or no suicidal ideation groups with 88% accuracy. Only psychological distress and family self-concept predicted suicidal ideation in multilinear regression analyses. There were differences by gender in multilinear regression, with family self-concept significant for women and physical self-concept, but not family self-concept for boys. Conclusions: Early Suicide prevention in universities should include periodic screening of psychological distress, loneliness, and virtual social media use to identify students that need further evaluation and intervention. University-based strategies of mental health promotion that strengthen family relationships and the sense of community, including gender-sensitive orientation, could enhance the effect of protective factors.
Collapse
Affiliation(s)
- Silvana Mabel Nuñez Fadda
- Child and Youth Research Laboratory (LAIIF), Psychology Department, Campus Vallarta, Coast University Center, University of Guadalajara, Puerto Vallarta 48280, Mexico; (H.C.C.R.); (N.S.G.L.); (J.A.S.C.)
| | | | | | | |
Collapse
|
5
|
Peprah P, Yeboah-Asiamah Asare B, Nyadanu SD, Asare-Doku W, Adu C, Peprah J, Osafo J, Kretchy IA, Gyasi RM. Considering the Cultural Context of Parental Involvement and Loneliness. J Adolesc Health 2023; 73:1166-1167. [PMID: 37980078 DOI: 10.1016/j.jadohealth.2023.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 09/14/2023] [Indexed: 11/20/2023]
Affiliation(s)
- Prince Peprah
- Social Policy Research Centre, University of New South Wales, Sydney, Australia; Centre for Primary Health Care and Equity, University New South Wales, Sydney, Australia
| | - Bernard Yeboah-Asiamah Asare
- Curtin School of Population Health, Curtin University, Bentley, Western Australia; Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom
| | | | - Winnifred Asare-Doku
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, New South Wales, Australia; Centre for Suicide and Violence Research (CSVR), University of Ghana, Legon, Ghana
| | - Collins Adu
- Department of Health Promotion, Education and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia; Center for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Jennifer Peprah
- Faculty of Health and Medicine, University of Newcastle, Newcastle, New South Wales, Australia
| | - Joseph Osafo
- Centre for Suicide and Violence Research (CSVR), University of Ghana, Legon, Ghana; Department of Psychology, University of Ghana, Legon, Ghana
| | - Irene A Kretchy
- Centre for Suicide and Violence Research (CSVR), University of Ghana, Legon, Ghana; Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, University of Ghana, Legon, Ghana
| | - Razak M Gyasi
- African Population and Health Research Center, Nairobi, Kenya
| |
Collapse
|
6
|
Dewanti SR, Astuti B, Novitasari Z. The Protective Factor of Parental Involvement in Loneliness Among Adolescents Who Have Experienced Bullying and Suicidal Behavior. J Adolesc Health 2023; 73:1165. [PMID: 37980077 DOI: 10.1016/j.jadohealth.2023.05.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Accepted: 05/28/2023] [Indexed: 11/20/2023]
Affiliation(s)
- Septinda Rima Dewanti
- School of Early Childhood and Inclusive Education, Queensland University of Technology, Brisbane, Queensland, Australia; Guidance and Counseling Department, Universitas Negeri, Yogyakarta, Indonesia
| | - Budi Astuti
- Guidance and Counseling Department, Universitas Negeri, Yogyakarta, Indonesia
| | - Zeti Novitasari
- Guidance and Counseling Department, Universitas Nahdlatul Ulama Sunan Giri, Bojonegoro, Indonesia; Guidance and Counseling Department, Universitas Negeri, Malang, Indonesia
| |
Collapse
|
7
|
Osei Bonsu E, Afetor M, Munkaila L, Okwei R, Nachibi SU, Adjei BN, Frimpong E, Arimiyaw AW, Adu C, Peprah P. Association of food insecurity and sleep difficulty among 189,619 school-going adolescents: a study from the global in-school students survey. Front Public Health 2023; 11:1212254. [PMID: 37501946 PMCID: PMC10369053 DOI: 10.3389/fpubh.2023.1212254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 06/21/2023] [Indexed: 07/29/2023] Open
Abstract
Introduction Adolescents' sleep disturbances are associated with chronic and dramatic physical, emotional, and mental development and school performance consequences. Although food insecurity could significantly contribute to these effects, few studies have explored the effect of food insecurity on sleep disturbances among adolescents. The study aimed to examine the relationship between adolescents' food insecurity and sleep disturbance. Methods Data on 189,619 adolescents were drawn from the cross-sectional global adolescent health surveys conducted between 2015 and 2018 in 35 countries and territories. Univariate and multivariable multinomial regression models were fitted to examine the hypothesized associations. Results Overall pooled prevalence of moderate [45.2% (95%CI = 43-47)] and severe [5.8% (95%CI = 5-6)] food insecurity levels were reported. About [52.6% (95%CI = 51-54)] moderate and [8.6% (95%CI = 8-9)] severe worry-induced sleep disturbances were found. Considering the fully adjusted multinomial logistic model, moderate food insecurity was significantly associated with moderate (AOR = 1.70 CI = 1.59-1.81; p < 0.0001) and severe (AOR = 1.63 CI = 1.42-1.87; p < 0.0001) sleep disturbances. Also, adolescents reporting severe levels of food insecurity had moderate (AOR = 1.88 CI = 1.68-2.11; p < 0.0001) and severe (AOR = 4.07 CI = 4.74-6.11; p < 0.0001) sleep disturbances. Females and those aged between 15 and 17 years and 18 or more were at higher risk of moderate and severe sleep disturbances in the context of food insecurity. Conclusion Reducing food insecurity could be an effective policy strategy for enhancing adolescent sleep quality.
Collapse
Affiliation(s)
- Emmanuel Osei Bonsu
- Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Maxwell Afetor
- Department of Health Information, Ho Polyclinic, Ghana Health Service, Accra, Ghana
| | - Lambongang Munkaila
- Department of Agribusiness and Applied Economics, North Dakota State University, Fargo, ND, United States
| | - Reforce Okwei
- Department of Geography, Miami University, Oxford, OH, United States
| | | | - Benjamin Noble Adjei
- Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Eric Frimpong
- Audiology Unit, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Abdul Wahid Arimiyaw
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Collins Adu
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia
- Center for Social Research in Health, UNSW, Sydney, NSW, Australia
| | - Prince Peprah
- Social Policy Research Centre, UNSW, Sydney, NSW, Australia
- Centre for Primary Health Care and Equity, UNSW, Sydney, NSW, Australia
| |
Collapse
|
8
|
Veloso-Besio C, Cuadra-Peralta A, Gallardo-Peralta L, Cuadra-Fernandez P, Quiroz PT, Troncoso NV. The prevalence of suicide attempt and suicidal ideation and its relationship with aggression and bullying in Chilean adolescents. Front Psychol 2023; 14:1133916. [PMID: 37275702 PMCID: PMC10234288 DOI: 10.3389/fpsyg.2023.1133916] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 04/28/2023] [Indexed: 06/07/2023] Open
Abstract
Background Suicide constitutes one of the main mental health problems worldwide, requiring detection, and prevention efforts, especially in the adolescent population. Objective The purpose of this study was to estimate the prevalence of suicide attempts and suicidal ideation and their relationship with aggressiveness and bullying in Chilean adolescents. Materials and methods The sample was composed of 728 adolescents schooled from Arica city: 56.6% were males and 43.4% were females. The students attended from de 1st to the 4th year of secondary. The average age of the sample was 15,6 years. The following instruments were used: Okasha's Suicidality Scale, Buss and Perry's Aggressiveness Survey, and the Social Acceptance (School Bullying) sub-test of the Kidscreen-52 Survey. A cross-sectional, descriptive, and correlational design was applied. The sampling was non-probabilistic for convenience. Results 18.4% of the students reported that they had attempted suicide and 65.6% reported that they had suicidal ideation. The prevalence of suicide attempts was higher than in male adolescents (29,1% vs. 10,2%), and the same prevalence was for suicidal ideation (76,6% vs. 57,3%). Suicide attempts and suicidal ideation were positively and significantly correlated with aggressiveness (r = 0.32, r = 0.48) and bullying (r = 0.37, r = 0.50). Conclusion The prevalence of suicide attempts and suicidal ideation is both higher in girls than boys. In this sense, girls constitute a risk group. In addition, this study provides evidence that supports the relationship between suicide attempts and suicidal ideation. The results highlight the role that educational institutions should have in terms of prevention and effective approaches.
Collapse
Affiliation(s)
| | - Alejandro Cuadra-Peralta
- University of Tarapacá, Arica, Chile
- Escuela de Psicología y Filosofía, Universidad de Tarapacá, Arica, Chile
| | | | | | | | | |
Collapse
|