Evidence map›Paper›PMID 35445842›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Cross-national examination of adolescent suicidal behavior: a pooled and multi-level analysis of 193,484 students from 53 LMIC countries.

Anne Abio, Priscilla N Owusu, Jussi P Posti, Till Bärnighausen, Masood Ali Shaikh, Viswanathan Shankar, Michael Lowery Wilson

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  15. Neurogenetics and Epigenetics of Loneliness.Psychology research and behavior management · 2023
    Review
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  17. Clinico-Epidemiological Profile and Short-Term Outcomes of Patients with Acute Poisoning Presenting to an Emergency of a Tertiary Care Center in Western Rajasthan.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Anne AbioInjury Epidemiology and Prevention (IEP) Research Group, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland.
Priscilla N OwusuHeidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Heidelberg, Germany.
Jussi P PostiDepartment of Neurosurgery and Turku Brain Injury Center, Neurocenter, Turku University Hospital and University of Turku, Turku, Finland.
Till BärnighausenHeidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Heidelberg, Germany.
Masood Ali ShaikhInjury Epidemiology and Prevention (IEP) Research Group, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland.
Viswanathan ShankarDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Michael Lowery WilsonHeidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Heidelberg, Germany. michael.wilson@uni-heidelberg.de.
University Hospital Heidelberg · DEUniversity of Turku · FIAlbert Einstein College of Medicine · USTurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSuicide is a leading cause of adolescent mortality worldwide. We aimed to estimate the prevalence and identify individual-level and country-level factors which might explain the variability in suicidal behavior among students in 53 low to middle income countries.

methodsWe used data on adolescents aged 12-16 years from the Global School-based Student Health Surveys from 2009-2016. The suicidal behaviors investigated included suicide ideation, suicidal planning and suicide attempt. The prevalence was estimated for 53 countries, while a multilevel logistic regression analysis (33 countries) was used to investigate the associations of these behaviors with individual and country-level contextual risk factors. The contextual variables included the Gini Coefficient, Gross Domestic Product per capita, pupil-to-teacher ratios, population density, homicide rates, law criminalizing suicide and the night light index.

resultsThe overall prevalence of suicide ideation, making a plan and suicide attempt were 10.4%, 10.3% and 11.0%, respectively. The highest prevalence rates reported were from the Americas. The strongest risk factors associated with suicidal behavior included anxiety, loneliness, no close friends and the substance abuse. Among the country level variables, the night light index was associated with making a suicide plan and attempting suicide.

conclusionThe non-significant country level findings were not entirely surprising given the mixed results from prior studies. Additional knowledge is thus achieved with regard to country level factors associated with suicidal behavior across adolescent populations.

Indexed as

Adolescent BehaviorSuicidal IdeationAdolescentDeveloping CountriesHealth SurveysHumansPrevalenceRisk FactorsStudentsSuicide, AttemptedAdolescentsEpidemiologyLow-income countryMental healthMiddle-income countrySchool healthSelf-harm

Identifiers

PMID35445842
PMCPMC9288956
OpenAlexW4224242115

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.