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

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dc.contributor.authorNyundo, Azan
dc.contributor.authorManu, Adom
dc.contributor.authorRegan, Mathilda
dc.contributor.authorIsmail, Abbas
dc.contributor.authorChukwu, Angela
dc.contributor.authorDessie, Yadeta
dc.contributor.authorNjau, Tasiana
dc.contributor.authorKaaya, Sylvia F
dc.contributor.authorFawzi, Mary C Smith
dc.date.accessioned2020-11-24T07:30:01Z
dc.date.available2020-11-24T07:30:01Z
dc.date.issued2020
dc.descriptionAbstract. Full text article available at https://pubmed.ncbi.nlm.nih.gov/31698526/en_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationNyundo, A., Manu, A., Regan, M., Ismail, A., Chukwu, A., Dessie, Y., ... & Smith Fawzi, M. C. (2020). Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub-Saharan African adolescents aged 10‐19 years: Cross‐sectional study. Tropical Medicine & International Health, 25(1), 54-69.en_US
dc.identifier.otherDOI: 10.1111/tmi.13336
dc.identifier.urihttp://hdl.handle.net/20.500.12661/2498
dc.language.isoenen_US
dc.publisherWileyen_US
dc.subjectDepressive symptomsen_US
dc.subjectSuicidal ideationen_US
dc.subjectAdolescentsen_US
dc.subjectSuicidal behaviouren_US
dc.subjectSub-Saharan Africaen_US
dc.subjectDepressionen_US
dc.subjectDepressive disordersen_US
dc.titleFactors associated with depressive symptoms and suicidal ideation and behaviours amongst sub-Saharan African adolescents aged 10-19 years: Cross-sectional studyen_US
dc.typeArticleen_US
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