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Self-Harm, Suicidal Ideation and Attempts among School-Attending Adolescents in Bamako, Mali

Wu, Yedong; Coulibaly, Souleymane Papa; Sidibe, Aissata Mahamadou; Hesketh, Therese; (2022) Self-Harm, Suicidal Ideation and Attempts among School-Attending Adolescents in Bamako, Mali. Children , 9 (4) , Article 542. 10.3390/children9040542. Green open access

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Abstract

Suicide and self-harm are major public health concerns for adolescents globally, but there is a dearth of related research in West Africa. This study aims to examine the prevalence and associated factors for self-harm, suicidal ideation and suicide attempts among adolescents in the West African country of Mali. A questionnaire survey was conducted among adolescents attending school or university in August 2019 in Bamako, the capital of Mali. Logistical constraints necessitated convenience sampling. Outcome measures were self-harm and suicide ideation and attempts. Predictor variables included sociodemographic characteristics, bullying and mental health problems. There were 606 respondents who completed questionnaires; their mean age was 16.1 (SD = 2.4); 318 (52.5%) were identified as male; and 44.4% reported self-harm at some point in their life, with 21% reporting suicide ideation and 9.7% actual suicide attempts. For all three outcomes, older age, knowing somebody personally who had experienced self-harm or taken their own life, moderate to severe depression or anxiety, and being a victim of bullying were highly significant risk factors for self-harm, suicidal ideation and suicide attempts in these adolescents, while high self-esteem decreased the risk. The study suggests that self-harm and suicidal behaviour are relatively common in Malian adolescents who are still in education. However, much more research is needed to better understand this phenomenon.

Type: Article
Title: Self-Harm, Suicidal Ideation and Attempts among School-Attending Adolescents in Bamako, Mali
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/children9040542
Publisher version: https://doi.org/10.3390/children9040542
Language: English
Additional information: © 2022 MDPI. This is an open access article distributed under the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/).
Keywords: adolescence; self-harm; suicide; suicide ideation; suicide attempts; depression; anxiety; adolescents; Mali
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10148175
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