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Background <p>Suicide poses a significant global health challenge and is a leading cause of death among adolescent girls. Although suicidal ideation and attempts are known to increases sharply during female adolescence, and help-seeking behaviors are especially rare in low-income countries, no studies have been conducted on this population in Ethiopia. This study aimed to assess the magnitude, factors related to suicidal ideation and attempts, and help-seeking behaviors.</p> Methods <p>A community-based cross-sectional study was carried out in Illu Abba Bor Zone, involving 847 participants selected through multistage cluster sampling. Data, collected using interviewer-administered WHO Composite International Diagnostic Interview (CIDI) and General Help-Seeking Questionnaires, were analyzed using SPSS Version 26.0. Bivariate and multivariate analyses were performed to identify factors associated with the outcomes.</p> Results <p>Of the 847 sampled girls, 810 participated, yielding a response rate of 95.6%. The prevalence of suicidal ideation, suicidal plan and attempts was 25.3%, 19.8%, and 16.1%, respectively. Their help-seeking behaviors for suicidality were 14.6%. Risk factors for suicidal ideation included experiencing gender-based violence (AOR = 3.68, 95% CI: 1.94, 6.46), anxiety (AOR = 2.04, 95% CI: 1.42, 4.21), food insecurity (AOR = 1.93, 95% CI: 1.19, 3.48), and premenstrual dysphoric disorder (AOR = 3.54, 95% CI: 1.78, 6.21). For suicidal attempts, associated factors were depression (AOR = 3.14, 95% CI: 2.01, 6.52), gender-based violence (AOR = 4.56, 95% CI: 2.12, 9.34), social phobia (AOR = 1.84, 95% CI: 1.27, 3.13), and a family history of suicide (AOR = 2.14, 95% CI: 1.41, 3.65).</p> Conclusions <p>Findings indicate that one in four adolescent girls experienced suicidal ideation, one in six made attempts, but rates of help-seeking behaviors were low. Immediate intervention is crucial; it is essential to design and implement comprehensive, multi-level strategies targeting suicide prevention. Promoting community mental health, help-seeking behaviors for suicidality, and reducing violence against girls are vital steps needed to tackle mental health issues.</p>

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Suicidal ideation, attempts and help-seeking behaviors among adolescent girls in, Southwest Ethiopia: a community-based cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月27日

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  • Tesfaye Segon,
  • Aman Dule,
  • Dagmawit Alemayehu,
  • Mekidem Aderaw,
  • Mamaru Melkam,
  • Techilo Tinsae,
  • Girum Nakie,
  • Getasew kibralew,
  • Gebresilassie Tadesse,
  • Tirusew Wondie,
  • Endris Seid,
  • Mulat Kassa,
  • Gebeyaw Molla Kassie,
  • Zelalem Belayneh,
  • Yigreme Ali,
  • Alemayehu Molla

摘要

Background

Suicide poses a significant global health challenge and is a leading cause of death among adolescent girls. Although suicidal ideation and attempts are known to increases sharply during female adolescence, and help-seeking behaviors are especially rare in low-income countries, no studies have been conducted on this population in Ethiopia. This study aimed to assess the magnitude, factors related to suicidal ideation and attempts, and help-seeking behaviors.

Methods

A community-based cross-sectional study was carried out in Illu Abba Bor Zone, involving 847 participants selected through multistage cluster sampling. Data, collected using interviewer-administered WHO Composite International Diagnostic Interview (CIDI) and General Help-Seeking Questionnaires, were analyzed using SPSS Version 26.0. Bivariate and multivariate analyses were performed to identify factors associated with the outcomes.

Results

Of the 847 sampled girls, 810 participated, yielding a response rate of 95.6%. The prevalence of suicidal ideation, suicidal plan and attempts was 25.3%, 19.8%, and 16.1%, respectively. Their help-seeking behaviors for suicidality were 14.6%. Risk factors for suicidal ideation included experiencing gender-based violence (AOR = 3.68, 95% CI: 1.94, 6.46), anxiety (AOR = 2.04, 95% CI: 1.42, 4.21), food insecurity (AOR = 1.93, 95% CI: 1.19, 3.48), and premenstrual dysphoric disorder (AOR = 3.54, 95% CI: 1.78, 6.21). For suicidal attempts, associated factors were depression (AOR = 3.14, 95% CI: 2.01, 6.52), gender-based violence (AOR = 4.56, 95% CI: 2.12, 9.34), social phobia (AOR = 1.84, 95% CI: 1.27, 3.13), and a family history of suicide (AOR = 2.14, 95% CI: 1.41, 3.65).

Conclusions

Findings indicate that one in four adolescent girls experienced suicidal ideation, one in six made attempts, but rates of help-seeking behaviors were low. Immediate intervention is crucial; it is essential to design and implement comprehensive, multi-level strategies targeting suicide prevention. Promoting community mental health, help-seeking behaviors for suicidality, and reducing violence against girls are vital steps needed to tackle mental health issues.