ArticleBMJ public health2025
Self-harm and suicidal behaviours among undergraduate students in Gandaki Province, Nepal: a cross-sectional study.
Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Self-harm and suicidal behaviours are major public health issues among adolescents. Suicide is considered the third cause of death among 15-29-year-old individuals worldwide. The study aimed to determine the prevalence of self-harm and suicidal behaviours among undergraduate students in Nepal and identify the sociodemographic, behavioural and psychological factors associated with these behaviours. Methods: A school-based cross-sectional study was conducted among undergraduates from four schools of Vyas Municipality, Nepal. The Deliberate Self-Harm Behaviour Scale and the General Health Questionnaire-28 were the standard tools used to measure self-harm and suicidal behaviour. Results: Among 538 participants, the prevalence of self-harm behaviour, suicidal ideation, plans and attempts was found to be 15.8% (n=85), 30.3% (n=163), 3.2% (n=17) and 1.9% (n=10), respectively. Relationship difficulty was significantly associated with self-harm (adjusted OR (AOR)=2.42, 95% CI 1.10 to 5.35, p=0.028), while relationship difficulty (AOR=3.29, 95% CI 1.44 to 7.54, p=0.005) and family mental health issues (AOR=4.69, 95% CI 1.64 to 13.47, p=0.004) were significantly associated with suicidal ideation. Conclusions: Relationship difficulty and family mental health issues are identified as major causes of the alarmingly high rates of self-harm and suicidal acts among Nepalese adolescents.
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