title: Self-reported suicidality and its predictors among adolescents from a pre-university college in Bangalore, India.
abstract: There is increasing concern about suicide rates in the vulnerable developmental stage of adolescence. The experiences and expressions of suicidality among adolescents are often "hidden" and occur due to complex and cumulative interactions of multiple factors. A cross-sectional survey assessed self-reported suicidal ideation, suicide attempts and helpseeking behaviour among adolescents attending a pre-university college in Bangalore, India. This formed part of a 2-year teacher training project for Adolescent Mental Health and Suicide Prevention in the college. 1087 male and female adolescents aged 16-18 years, completed the Columbia Teen Screen which assessed self-reported suicide attempt/s (lifetime, past 3 months) as well as suicidal ideation (current, past 3 months) and associated intensity, severity and duration. Adolescents' perceptions about the need for help and mental health consultation were also assessed. Emotional and behavioural difficulties were reported on the Strengths and Difficulties Questionnaire. The results indicated that 25.4% of the adolescents reported suicidal ideation (past 3 months) and 12.9% of the total sample expressed their need for seeking help. The rate of suicide attempt was 12.9% (lifetime) and 6% (past 3 months). Logistic Regression analysis identified factors associated with recent suicidal ideation and attempt. Females had higher rates of suicide ideation and attempts than males (Ideation OR = 1.4, CI = 1.04-1.9; Attempt OR = 2.2, CI = 1.0-4.5) and adolescents with abnormal emotional and behavioural problems were at higher risk for suicidal ideation (emotional difficulties OR = 4.6, CI = 3.2-6.6; hyperactivity/inattention OR = 2.1, CI = 1.3-3.2). The findings add to the limited database on youth suicidality in India and have implications for prevention and intervention.
authors: Department of Psychiatry, St. John's Medical College & Hospital, Bangalore 560034, India. Electronic address: poornimabhola@gmail.com.
authors: Poornima
authors: P
authors: Bhola
authors: Department of Psychiatry, St. John's Medical College & Hospital, Bangalore 560034, India. Electronic address: dorothyrekha@gmail.com.
authors: Dorothy P
authors: DP
authors: Rekha
authors: Department of Psychiatry, St. John's Medical College & Hospital, Bangalore 560034, India. Electronic address: vidyasnarayanan@gmail.com.
authors: Vidya
authors: V
authors: Sathyanarayanan
authors: Department of Psychiatry, St. John's Medical College & Hospital, Bangalore 560034, India. Electronic address: sheilaphdaniel@gmail.com.
authors: Sheila
authors: S
authors: Daniel
authors: St. John's Research Institute, Bangalore 560034, India. Electronic address: tinku.sarah@sjri.res.in.
authors: Tinku
authors: T
authors: Thomas
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D008603:Mental Health; D012307:Risk Factors; D013334:Students / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology*
keywords: Adolescents; Predictors; Screening; Suicidal ideation; Suicide attempts