Psychosocial Correlates of Suicidal Ideation in Rural South African Adolescents

• Published in: Child psychiatry and human development 2014-04, Vol.45 (2), p.153-162
• Main Authors: Shilubane, Hilda N., Ruiter, Robert A. C., Bos, Arjan E. R., van den Borne, Bart, James, Shamagonam, Reddy, Priscilla S.
• Format: Article
• Language: English
• Subjects: Adolescent; Adolescent Behavior - psychology; Adolescents; Adult and adolescent clinical studies; Alcohol Abuse; Behavioral Science and Psychology; Biological and medical sciences; Child & adolescent psychiatry; Child and School Psychology; Coercion; Correlation analysis; Cross-Sectional Studies; Depression - psychology; Domestic violence; Drug Use; Emotions; Family Involvement; Family Relationship; Government School Relationship; Health Promotion; High School Students; Humans; Interpersonal Relationship; Medical sciences; Methods Research; Multiple Regression Analysis; Open Universities; Original Article; Peer Groups; Psychiatry; Psychology; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychosocial factors; Research and Development; Research Design; Resistance (Psychology); Risk Factors; Rural Areas; Rural communities; Rural Population; Sampling; Sexual Behavior - psychology; Social Services; Social Support; South Africa; Suicidal Ideation; Suicide; Suicide, Attempted - psychology; Suicides & suicide attempts; Urban Areas; Violence - psychology; Young Adult; Young Adults; Young people
• ISSN: 0009-398X; 1573-3327
• DOI: 10.1007/s10578-013-0387-5

Suicide is a prevalent problem among young people in Southern Africa, but prevention programs are largely absent. This survey aimed to identify the behavioral and psychosocial correlates of suicidal ideation among adolescents in Limpopo. A two-stage cluster sample design was used to establish a representative sample of 591 adolescents. Bivariate correlations and multiple linear regression analyses were conducted. Findings show that suicidal ideation is prevalent among adolescents. The psychosocial factors perceived social support and negative feelings about the family and the behavioral factors forced sexual intercourse and physical violence by the partner were found to increase the risk of suicidal ideation. Depression mediated the relationship between these psychosocial and behavioral risk factors and suicidal ideation. This study increased our understanding of the psychosocial and behavioral predictors of adolescent suicidal ideation. The findings provide target points for future intervention programs and call for supportive structures to assist adolescents with suicidal ideation.