Evidence map›Paper›PMID 38738349›Full record

ArticleBJPsych open2024

Methods and associations of suicidality in Kenyan high school students: clinical and public health implications.

David M Ndetei, Danuta Wasserman, Victoria Mutiso, Jenelle R Shanley, Christine Musyimi, Pascalyne Nyamai, Timothy Munyua, Monica H Swahn, Tom L Osborn, Natalie E Johnson and 6 more

Abstract read
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

16 authors.

David M NdeteiAfrica Mental Health Research and Training Foundation, Nairobi, Kenya; Department of Psychiatry, University of Nairobi, Nairobi, Kenya; and World Psychiatric Association Collaborating Centre for Research and Training, Nairobi, Kenya.ORCID https://orcid.org/0000-0001-6891-4990
Danuta WassermanKarolinska Institute, Stockholm, Sweden.
Victoria MutisoAfrica Mental Health Research and Training Foundation, Nairobi, Kenya; and World Psychiatric Association Collaborating Centre for Research and Training, Nairobi, Kenya.
Jenelle R ShanleyPacific University, Hillsboro, USA.
Christine MusyimiAfrica Mental Health Research and Training Foundation, Nairobi, Kenya; and World Psychiatric Association Collaborating Centre for Research and Training, Nairobi, Kenya.
Pascalyne NyamaiAfrica Mental Health Research and Training Foundation, Nairobi, Kenya; and World Psychiatric Association Collaborating Centre for Research and Training, Nairobi, Kenya.
Timothy MunyuaAfrica Mental Health Research and Training Foundation, Nairobi, Kenya; and World Psychiatric Association Collaborating Centre for Research and Training, Nairobi, Kenya.
Monica H SwahnDepartment of Health Promotion and Physical Education, Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, USA.
Tom L OsbornShamiri Institute, Nairobi, Kenya.
Natalie E JohnsonShamiri Institute, Nairobi, Kenya; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel, Switzerland; and University of Basel, Basel, Switzerland.
Peter MemiahUniversity of Maryland, Baltimore, USA.
Kamaldeep BhuiDepartment of Psychiatry, Nuffield Department of Primary Care Health Sciences, Wadham College, University of Oxford, UK; National Institute for Health Research (NIHR) Oxford Health Biomedical Research Centre; Oxford, UK; and World Psychiatric Association Collaborating Centre, Oxford, UK.ORCID https://orcid.org/0000-0002-9205-2144
Sonja GilbertResearch Centre for Child Psychiatry, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland; and INVEST Child Psychiatry, INVEST Research Flagship Center, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland.
John R WeiszDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Afzal JavedWorld Psychiatric Association, Geneva, Switzerland.ORCID https://orcid.org/0000-0003-2518-0688
Andre SouranderResearch Centre for Child Psychiatry, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland; INVEST Child Psychiatry, INVEST Research Flagship Center, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland; and Department of Child Psychiatry, Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost evidence on suicidal thoughts, plans and attempts comes from Western countries; prevalence rates may differ in other parts of the world.

aimsThis study determined the prevalence of suicidal thoughts, plans and attempts in high school students in three different regional settings in Kenya.

methodThis was a cross-sectional study of 2652 high school students. We asked structured questions to determine the prevalence of various types of suicidality, the methods planned or effected, and participants' gender, age and form (grade level). We provided descriptive statistics, testing significant differences by chi-squared and Fisher's exact tests, and used logistic regression to identify relationships among different variables and their associations with suicidality.

resultsThe prevalence rates of suicidal thoughts, plans and attempts were 26.8, 14.9 and 15.7%, respectively. These rates are higher than those reported for Western countries. Some 6.7% of suicide attempts were not associated with plans. The most common method used in suicide attempts was drinking chemicals/poison (18.8%). Rates of suicidal thoughts and plans were higher for older students and students in urban rather than rural locations, and attempts were associated with female gender and higher grade level - especially the final year of high school, when exam performance affects future education and career prospects.

conclusionSuicidal thoughts, plans and attempts are prevalent in Kenyan high school students. There is a need for future studies to determine the different starting points to suicidal attempts, particularly for the significant number whose attempts are not preceded by thoughts and plans.

Indexed as

prevalencesuicide attemptsSuicide methodssuicide planssuicide thoughts

Identifiers

PMID38738349
PMCPMC11094434

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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.