Suicidal ideation and suicide attempt among pregnant adolescent girls in Ghana:a cross-sectional study  

作　　者：Emmanuel Nii-Boye Quarshie Erica Danfrekua Dickson Sandra Naa-Shasha Quarshie Sophia Ewuenye Adwoa Kpebu Kwaku Oppong Asante 

机构地区：[1]Department of Psychology,University of Ghana,Legon,Accra,Ghana [2]Department of Global Health,Global Center for the Integrated Health of Women,Adolescents,and Children(Global WACh),University of Washington-Seattle Campus,Seattle,Washington,USA [3]Division of Psychological and Social Medicine,Leeds Institute of Health Sciences,University of Leeds,Leeds,UK [4]Department of Psychology,University of Johannesburg,Johannesburg,South Africa [5]Therapy and Wellness Department,Medical Division,37 Military Hospital,Accra,Accra,Ghana [6]Ledzokuku-Krowor Municipal Assembly(LEKMA)Polyclinic,Accra,Ghana [7]School of Medicine,University for Development Studies,Tamale,Ghana [8]psychology Department,University of the Free State—Bloemfontein Campus,Bloemfontein,Free State,South Africa

出　　处：《General Psychiatry》2025年第1期35-45,共11页综合精神医学(英文)

基　　金：the Global WACh Rising Star Seed Award by the Department of Global Health,University of Washington,Seattle,USA(Grant No:UW/GWACh/RSA/2023-01)。

摘　　要：Background Globally,suicide is the third leading cause of death among girls aged 15-19 years.However,there is a growing concern that suicide research has paid lttle attention to pregnant adolescent girls,particularly in lowincome and middle-income countries,including Ghana,where nearly one in seven adolescents experiences(unwanted)pregnancy.Aims To assess the prevalence and correlates of suicidal ideation and suicide attempt and the self-reported reasons for attempted suicide among pregnant adolescent girls in Ghana.Methods We collected cross-sectional data(between August 2022 and December 2023)using structured anonymous questionnaires from a sample of 449 pregnant adolescent girls(aged 14-19 years)drawn from the three geographical zones of Ghana.We applied bivariable and multivariable analysis techniques to the data.Results Overall,28.51%(95%confidence interval(Cl)24.37%to 32.93%)reported suicidal ideation,and 18.04%(95%Cl 14.59%to 21.91%)reported suicide attempt during the current pregnancy.Participants who reported attempted suicide endorsed more interpersonal reasons(eg,to communicate distress,to seek help or to influence others)than intrapersonal reasons for their attempted suicide.In the final adjusted logistic regression models,food insecurity(adjusted odds ratio(aOR)=2.69;95%Cl 1.34 to 5.41;p=0.005)was uniquely associated with increased odds of suicidal ideation.Adverse childhood experiences(a0R=3.04;95%CI 1.33 to 6.97;p=0.008),history of attempted suicide before current pregnancy(a0R=3.47;95%CI 1.27 to 9.47;p=0.015)and depression(measured by the 5-item World Health Organization Well-Being Index;aOR=0.31;95%CI 0.12 to 0.77;p=0.012)were uniquely associated with increased odds of suicide attempt.Five variables were commonly associated with increased odds of both suicidal ideation and suicide attempt:conflict with parents,alcohol use,pregnancy-related anxiety,history of attempted suicide and intimate partner violence.While being in junior high school was uniquely associated with reduced odds of suicidal idea

关 键 词：food insecurity adverse childhood experiences suicide attempt pregnant adolescent girls Ghana PREVALENCE suicidal ideation CORRELATES 

分 类 号：R749.4[医药卫生—神经病学与精神病学]