title: Suicidal ideation among single, pregnant adolescents: The role of sexual and religious knowledge, attitudes and practices.
abstract: Pregnant adolescents are a high-risk population for suicide. However, a knowledge gap still exists on how sexual and religious knowledge, attitudes and practices (KAP) influence suicidal ideation (SI) in teenage pregnancy. We aim to explore the interplay between psychiatric diagnoses, sociodemographic factors and KAP of sexual and religious issues as risk factors of SI among 114 pregnant Malaysian adolescents from 6 rehabilitation centers and a tertiary hospital. Single sexual partner was an independent predictor of SI, suggesting the role of less sexual experience as a risk factor for SI after controlling for major depression. Participants who were unsure versus those who agreed with the statement that most religions' viewed sex outside marriage as wrong had a lower risk of SI after controlling for major depression. Pregnant adolescents with a single sexual partner were significantly associated with current SI. Ambivalence towards religious prohibitions on premarital sex may protect against suicidal ideation.
authors: Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia. Electronic address: laifchan@gmail.com.
authors: L F
authors: LF
authors: Chan
authors: Biostatistics Unit, National Clinical Research Centre, Kuala Lumpur, Malaysia.
authors: B
authors: B
authors: Mohamad Adam
authors: Department of Pediatrics, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia; Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
authors: K N
authors: KN
authors: Norazlin
authors: School of Psychology and Human Development, Faculty of Social Sciences and Humanities, University Kebangsaan Malaysia, Bangi, Selangor, Malaysia.
authors: M I
authors: MI
authors: Siti Haida
authors: Child & Adolescent Psychiatry Unit, Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
authors: V Y
authors: VY
authors: Lee
authors: Department of Medical Social Welfare, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
authors: A W
authors: AW
authors: Norazura
authors: Child & Adolescent Psychiatry Unit, Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
authors: K
authors: K
authors: Ek Zakuan
authors: Child & Adolescent Psychiatry Unit, Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.
authors: Susan M K
authors: SM
authors: Tan
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008296:Malaysia; D008297:Male; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology*; D012069:Religion and Psychology; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D059020:Suicidal Ideation; D055815:Young Adult
keywords: Risk factors; Sexual & religious KAP; Suicidal ideation; Teenage pregnancy