Sexual behavior and suicide attempts among adolescents aged 12-15 years from 38 countries: A global perspective.


Journal

Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385

Informations de publication

Date de publication:
05 2020
Historique:
received: 13 06 2019
revised: 06 09 2019
accepted: 06 09 2019
pubmed: 29 9 2019
medline: 29 9 2020
entrez: 28 9 2019
Statut: ppublish

Résumé

The aim was to investigate the relationship between sexual behaviors and suicide attempts by using data from 38 countries from four World Health Organization regions. Cross-sectional data from 116,820 adolescents aged 12-15 years participating in the Global School-based Student Health Survey 2009-2016 were analyzed. Data on sexual behaviors were collected: (i) ever having had intercourse; among those who reported having had intercourse, (ii) multiple (≥2) lifetime sexual partners and (iii) condom use in last sexual intercourse and past 12-month suicide attempts were self-reported. Associations were analyzed using multivariable logistic regression. The prevalence of sexual intercourse and suicide attempts were 13.2% and 9.1%, respectively. A positive association between sexual intercourse and suicide attempts was found in 32 of the 38 countries (pooled OR for whole sample 2.12 [95% CI 1.98-2.27]). Having had multiple sexual partners was associated with increased odds of suicide attempts (pooled OR for whole sample 1.58 [1.27-1.96]). Condom non-use was only associated with suicide attempts among boys in the Americas (OR: 1.75 [1.25-2.45]). Engaging in sexual intercourse was associated with increased risk of suicide attempt. Moreover, having had multiple sexual partners may also increase the risk of suicide attempts.

Sections du résumé

BACKGROUND
The aim was to investigate the relationship between sexual behaviors and suicide attempts by using data from 38 countries from four World Health Organization regions.
METHODS
Cross-sectional data from 116,820 adolescents aged 12-15 years participating in the Global School-based Student Health Survey 2009-2016 were analyzed. Data on sexual behaviors were collected: (i) ever having had intercourse; among those who reported having had intercourse, (ii) multiple (≥2) lifetime sexual partners and (iii) condom use in last sexual intercourse and past 12-month suicide attempts were self-reported. Associations were analyzed using multivariable logistic regression.
RESULTS
The prevalence of sexual intercourse and suicide attempts were 13.2% and 9.1%, respectively. A positive association between sexual intercourse and suicide attempts was found in 32 of the 38 countries (pooled OR for whole sample 2.12 [95% CI 1.98-2.27]). Having had multiple sexual partners was associated with increased odds of suicide attempts (pooled OR for whole sample 1.58 [1.27-1.96]). Condom non-use was only associated with suicide attempts among boys in the Americas (OR: 1.75 [1.25-2.45]).
CONCLUSION
Engaging in sexual intercourse was associated with increased risk of suicide attempt. Moreover, having had multiple sexual partners may also increase the risk of suicide attempts.

Identifiants

pubmed: 31558403
pii: S0165-1781(19)31311-3
doi: 10.1016/j.psychres.2019.112564
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

112564

Informations de copyright

Copyright © 2019. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of competing interest All authors declare no conflicts of interest.

Auteurs

Lee Smith (L)

Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK. Electronic address: lee.smith@anglia.ac.uk.

Sarah E Jackson (SE)

Department of Behavioural Science and Health, University College London, London, UK.

Davy Vancampfort (D)

Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.

Louis Jacob (L)

Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France.

Joseph Firth (J)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, UK; NICM Health Research Institute, Western Sydney University, Westmead, Australia; Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia.

Igor Grabovac (I)

Department of Social and Preventive Medicine, Center of Public Health, Medical University of Vienna, Vienna, Austria.

Daragh McDermott (D)

School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK.

Lin Yang (L)

Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Holy Cross Centre, Calgary, Alberta, Canada.

Guillermo F López-Sánchez (GF)

Faculty of Sport Sciences, University of Murcia, Murcia, Spain.

Thomas Niederkrotenthaler (T)

Unit Suicide Research, Department of Social and Preventive Medicine, Center of Public Health, Medical University of Vienna, Vienna, Austria.

Nicola Veronese (N)

National Research Council, Neuroscience Institute, aging branch, Padova, Italy.

Ai Koyanagi (A)

Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain; ICREA, Pg. Lluis Companys 23, Barcelona, Spain. Electronic address: koyanagi1117@gmail.com.

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Classifications MeSH