Evidence map›Paper›PMID 40815247›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Adversity and Suicidality: Exploring Longitudinal Risk and Protective Factors in Adolescent Boys.

Janice Buckley, Elizabeth Inman, Given Leshabane, Phumla Madi, Avy Violari, Rachel Kidman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Janice BuckleyPerinatal HIV Research Unit, University of the Witwatersrand, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa. Electronic address: buckleyj@phru.co.za.
Elizabeth InmanProgram in Public Health, Stony Brook University (State University of New York), Stony Brook, New York.
Given LeshabanePerinatal HIV Research Unit, University of the Witwatersrand, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa.
Phumla MadiPerinatal HIV Research Unit, University of the Witwatersrand, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa.
Avy ViolariPerinatal HIV Research Unit, University of the Witwatersrand, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa.
Rachel KidmanProgram in Public Health and Department of Family, Population and Preventive Medicine, Stony Brook University (State University of New York), Stony Brook, New York.

Funding

Violence and onward HIV transmission in perinatally-infected adolescentsR01MH119878 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI KIDMAN, RACHEL, VIOLARI, AVY · 2019 to 2023
$2.8M
NIMH NIH HHS R01 MH119878
6 · The paper itself

Abstract

purposeSuicide is the second leading cause of death among adolescents. Understanding the determinants of suicidal behavior within this vulnerable group is critical to early intervention. We aimed to identify risk and protective factors for suicidality over time among adolescent boys from Soweto, South Africa.

methodsIn this prospective, longitudinal study between 2020 and 2023, adolescent boys (N = 451) aged 15-19 years in a current relationship, with and without HIV, completed a baseline and follow-up survey 1 year apart. Measures included self-reported exposure to childhood adversity, intimate partner violence, mental health, socioeconomic factors, and psychosocial resources. Logistic regression models established associations between hypothesized factors at baseline and suicidality at follow-up.

resultsHalf of the sample (52.3%) was living with HIV (ALHIV). There were high levels of suicidality at baseline (17.7%) and follow-up (19.1%). At baseline, ALHIV had significantly higher levels of suicidality (24.3%) compared to those living without HIV (12.1%; p < 0.05); however, HIV was not a significant predictor of suicidality at follow-up. Participants' exposure to childhood adversity, sexual violence perpetration, depression, and HIV stigma (in ALHIV) at baseline were significantly associated with suicidality at follow-up. Social support and emotional regulation were associated with lower risk of suicidality. DISCUSSION: Among South African adolescent boys, suicidality is shaped by multiple contextual factors, including violence and mental health. Positive self-beliefs may buffer some of these effects. Our findings highlight the need to focus on violence prevention and trauma mitigation, and to create layered interventions within multiple systems.

Indexed as

Adverse Childhood ExperiencesHIV InfectionsSuicidal IdeationSuicideAdolescentHumansIntimate Partner ViolenceLongitudinal StudiesMaleProspective StudiesProtective FactorsRisk FactorsSouth AfricaYoung AdultAdolescent mental healthMale mental healthSelf-harmSuicidalityViolence

Identifiers

PMID40815247
PMCPMC13202623

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.