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Objective: This study aimed to determine the burden of depression, suicidal ideation and suicidal behaviour amongst adolescents at sites in six sub-Saharan African countries and examine associated risk and protective factors.

Methods: Household-based cross-sectional study involving male and female adolescents ages 10-19 years. A total of 7,662 adolescents from eight sites in six countries participated in the survey. Three sites were urban: Dar es Salaam (Tanzania), Harar (Ethiopia) and Ibadan (Nigeria); five were rural: Dodoma (Tanzania), Iganga/Mayuge (Uganda), Kersa (Ethiopia), Ningo Prampram (Ghana) and Nouna (Burkina Faso). Log-binomials models were used to estimate relative risks and confidence intervals for factors associated with depression and suicidal behaviour. This was supplemented using log-Poisson models as needed.

Results: The prevalence of suicidal behaviour over the last 12 months ranged between 1.2% and 12.4% in the eight sites. Depressive symptoms and suicidal ideation/behaviours were associated with older age, female sex, food insecurity, poor access to health care and substance use. Depression was strongly associated with increased risk of suicidal behaviour at two sites where the multivariate model converged: Harar, Ethiopia (RR = 3.5, 95% CI 1.8, 7.0, P < 0.05) and Ibadan, Nigeria (RR = 3.7, 95% CI 2.2, 6.3, P < 0.0001).

Conclusions: Depressive symptoms and suicidal behaviour are common amongst sub-Saharan African adolescents at these 8 sites. Most factors associated with depressive symptoms are modifiable and preventable. Routine screening for depressive symptoms in services frequented by adolescents in these and similar communities would be crucial in early detection and prompt intervention.

Titel:	Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub-Saharan African adolescents aged 10-19 years: cross-sectional study.
Autor/in / Beteiligte Person:	Nyundo, A ; Manu, A ; Regan, M ; Ismail, A ; Chukwu, A ; Dessie, Y ; Njau, T ; Kaaya, SF ; Smith Fawzi, MC
Link:	Zum Volltext
Zeitschrift:	Tropical medicine & international health : TM & IH, Jg. 25 (2020), Heft 1, S. 54-69
Veröffentlichung:	Oxford : Blackwell Scientific Publications ; <i>Original Publication</i>: Oxford, UK : Blackwell Science Ltd, c1996-, 2020
Medientyp:	academicJournal
ISSN:	1365-3156 (electronic)
DOI:	10.1111/tmi.13336
Schlagwort:	Adolescent Adolescent Health Africa South of the Sahara epidemiology Age Factors Child Cross-Sectional Studies Depression epidemiology Female Health Services Accessibility Health Status Humans Interviews as Topic Male Sex Factors Socioeconomic Factors Substance-Related Disorders epidemiology Young Adult Mental Health statistics & numerical data Suicidal Ideation
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Language: English [Trop Med Int Health] 2020 Jan; Vol. 25 (1), pp. 54-69. <i>Date of Electronic Publication: </i>2019 Dec 02. MeSH Terms: Suicidal Ideation* ; Mental Health / *statistics & numerical data ; Adolescent ; Adolescent Health ; Africa South of the Sahara / epidemiology ; Age Factors ; Child ; Cross-Sectional Studies ; Depression / epidemiology ; Female ; Health Services Accessibility ; Health Status ; Humans ; Interviews as Topic ; Male ; Sex Factors ; Socioeconomic Factors ; Substance-Related Disorders / epidemiology ; Young Adult References: WHO. Global Accelerated Action for the Health of Adolescents (AA-HA!): guidance to support country implementation [Internet]. WHO. 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Effect of self-esteem on the relationship between depression and bullying among teenagers in Malaysia. Asian Social Science 2010: 6: 77. Grant Information: International Department of Global Health and Population; International Harvard T.H. Chan School of Public Health Contributed Indexing: Keywords: ARISE; Afrique subsaharienne; adolescents; comportement suicidaire; depressive symptoms; sub-Saharan Africa; suicidal behaviour; symptômes dépressifs ; Local Abstract: [Publisher, French] Cette étude visait à déterminer la charge de morbidité de la dépression, des idées suicidaires et du comportement suicidaire chez les adolescents sur des sites dans six pays d’Afrique subsaharienne et examiner les facteurs de risque et de protection associés. MÉTHODES: Etude transversale réalisée auprès des ménages sur des adolescents masculins et féminins âgés de 10 à 19 ans. 7.662 adolescents de huit sites dans six pays ont participé à l'enquête. Trois sites étaient en zones urbaines: Dar es Salaam (Tanzanie), Harar (Ethiopie) et Ibadan (Nigéria); cinq étaient en zones rurales: Dodoma (Tanzanie), Iganga/Mayuge (Ouganda), Kersa (Ethiopie), Ningo Prampram (Ghana) et Nouna (Burkina Faso). Des modèles de logarithme binomial ont été utilisés pour estimer les risques relatifs et les intervalles de confiance pour les facteurs associés à la dépression et au comportement suicidaire. Cela a été complété à l'aide de modèles log-Poisson lorsque nécessaire. RÉSULTATS: La prévalence des comportements suicidaires au cours des 12 derniers mois variait entre 1,2% et 12,4% dans les huit sites. Les symptômes dépressifs et les idées/comportements suicidaires étaient associés à l'âge plus avancé, au sexe féminin, à l'insécurité alimentaire, au faible accès aux soins de santé et à la toxicomanie. La dépression était fortement associée à un risque accru de comportement suicidaire sur deux sites où il y avait une convergence dans le modèle multivarié: Harar, en Ethiopie (RR = 3,5; IC95%: 1,8-7,0; P < 0,05) et Ibadan, au Nigéria (RR = 3,7; IC95%: 2,2-6,3; P < 0,0001). [Publisher, French] Les symptômes dépressifs et les comportements suicidaires sont fréquents chez les adolescents africains subsahariens de ces 8 sites. La plupart des facteurs associés aux symptômes dépressifs sont modifiables et évitables. Le dépistage de routine des symptômes dépressifs dans les services fréquentés par les adolescents dans ces communautés et dans des communautés similaires serait crucial pour la détection précoce et une intervention rapide. Entry Date(s): Date Created: 20191108 Date Completed: 20200930 Latest Revision: 20200930 Update Code: 20231215

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Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub-Saharan African adolescents aged 10-19 years: cross-sectional study.