ArticleGlobal mental health (Cambridge, England)2018
Interpersonal violence and suicidality among former child soldiers and war-exposed civilian children in Nepal.
Article in Global mental health (Cambridge, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Delivering mental health and psychosocial support interventions to women and children in conflict settings: a systematic review.BMJ global health · 2020Pooled it
- Collaboration With People With Lived Experience of Mental Illness to Reduce Stigma and Improve Primary Care Services: A Pilot Cluster Randomized Clinical Trial.JAMA network open · 2021Trial
- Prevalence of suicidal behavior and its associated factors among individuals living in war-affected areas of Dessie Town, northeast Ethiopia, in 2022: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Prevalence of suicidality and associated factors of suicide risk in a representative community sample of families in three East African refugee camps.Social psychiatry and psychiatric epidemiology · 2024Article
- Vulnerable in silence: Paediatric health in the Ukrainian crisis.Annals of medicine and surgery (2012) · 2022Article
- Implementation strategy in collaboration with people with lived experience of mental illness to reduce stigma among primary care providers in Nepal (RESHAPE): protocol for a type 3 hybrid implementation effectiveness cluster randomized controlled trial.Implementation science : IS · 2022Article
- Suicidal ideation and behavior in youth in low- and middle-income countries: A brief review of risk factors and implications for prevention.Frontiers in psychiatry · 2022Review
- Evidence-based approaches for promoting gender equity in global mental health research: Study protocol for social network analysis of researchers in Nepal.SSM. Mental health · 2021Article
- Predicting the risk of depression among adolescents in Nepal using a model developed in Brazil: the IDEA Project.European child & adolescent psychiatry · 2021Article
- Interpersonal violence and mental health: a social justice framework to advance research and practice.Global mental health (Cambridge, England) · 2020Article
- Elucidating adolescent aspirational models for the design of public mental health interventions: a mixed-method study in rural Nepal.Child and adolescent psychiatry and mental health · 2017Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundSuicide risk reduction is crucial for 15-29-year-old youth, who account for 46% of suicide deaths in low- and middle-income countries. Suicide predictors in high-resource settings, specifically depression, do not adequately predict suicidality in these settings. We explored if interpersonal violence (IPV) was associated with suicidality, independent of depression, in Nepal.
methodsA longitudinal cohort of child soldiers and matched civilian children, enrolled in 2007 after the People's War in Nepal, were re-interviewed in 2012. The Depression Self-Rating Scale and Composite International Diagnostic Interview assessed depression and suicidality, respectively. Non-verbal response cards were used to capture experiences of sexual and physical IPV.
resultsOne of five participants (19%) reported any lifetime suicidal ideation, which was associated with sexual IPV, female gender, former child soldier status and lack of support from teachers. Among young men, the relationship between sexual IPV and suicidality was explained by depression, and teacher support reduced suicidality. Among young women, sexual IPV was associated with suicidality, independent of depression; child soldier status increased suicidality, and teacher support decreased suicidality. Suicide plans were associated with sexual IPV but not with depression. One of 11 female former child soldiers (9%) had attempted suicide.
conclusionSexual IPV is associated with suicidal ideation and plans among conflict-affected young women, independent of depression. Reducing suicide risk among women should include screening, care, and prevention programs for sexual IPV. Programs involving teachers may be particularly impactful for reducing suicidality among IPV survivors.
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