Gender moderates the association between polyvictimization and suicidal ideation among adolescents in the United Arab Emirates

Itani, Taha; Fischer, Florian; Kraemer, Alexander

doi:10.1080/02673843.2017.1377089

Cited by 7 publications

(6 citation statements)

References 37 publications

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“…Further, being male and having a close relationship with one or both parents were identified as significant protective factors for suicide risk in bivariate analyses, but the relationships were not significant in the adjusted model. This is consistent with previous studies that females have higher suicide risk (Itani et al, 2018; Vijayakumar et al, 2005) and social support from family lowers suicide risk (Holt & Espelage, 2005; Turner et al, 2013). Given the significant result of being male, future studies may investigate the associations between ACEs and suicide risk, stratified by sex, to better understand suicide risk by sex and possibly narrow down its intervention efforts to more specific population among Zambian youth.…”

Section: Discussionsupporting

confidence: 93%

Adverse Childhood Experiences and Associated Mental Distress and Suicide Risk: Results From the Zambia Violence Against Children Survey

Lee

Massetti

Perry

et al. 2021

J Interpers Violence

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Purpose: Adverse childhood experiences (ACEs) are a global public health concern. Little research exists on the prevalence and health consequences of ACEs in Zambia. The current study examined associations between individual and cumulative ACEs, mental distress, and suicide risk among Zambian youth. Methods: Data from Zambia Violence Against Children and Youth Survey were used (18-24 years old, n=1034). Bivariate and adjusted logistic models were performed with independent variables (i.e., experienced physical violence (PV), sexual violence (SV), and emotional violence (EV); witnessed intimate partner violence (IPV) and community violence (CV); orphan status; cumulative ACE exposure) and dependent variables (i.e., mental distress and suicide risk). Adjusted models controlled for demographic and social characteristics. Results: 76.8% of Zambian youth experienced one or more ACEs, and more than 30% witnessed CV (38.4%) or IPV (30.2%), or experienced PV (35.1%), prior to age 18. 27.5% were orphans, and less than 20% experienced EV (17.3%) or SV (15.4%) in childhood. 42.4% experienced mental distress in the past 30 days, and 12.5% reported lifetime suicidal thoughts or suicide attempts. PV, EV, cumulative ACE exposure, older age, being single, and stronger friendships were significantly related to experiencing mental distress. Cumulative ACEs exposure was associated with significantly higher suicide risk. Conclusions: Preventing ACEs can reduce mental distress and suicide risk among Zambian youth. Youth with cumulative ACE exposure can be prioritized for mental health intervention. More research is warranted to investigate the broad-based prevention of ACEs, especially PV and EV, and protective factors that can promote resilience among youth who have experienced ACEs.

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Section: Discussionsupporting

confidence: 93%

Adverse Childhood Experiences and Associated Mental Distress and Suicide Risk: Results From the Zambia Violence Against Children Survey

Lee

Massetti

Perry

et al. 2021

J Interpers Violence

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“…Indeed, we confirmed that poly-victimised adolescents were more prone to self-harm and attempted suicide than students who had experienced one type of maltreatment (Baldwin et al, 2018;Itani et al, 2017;Soler et al, 2013;Turner et al, 2012). Moreover, we found that this risk increases with the number of different maltreatment types adolescents were exposed to.…”

Section: Discussionsupporting

confidence: 80%

“…A meta‐analysis published in 2018 demonstrated that outcomes include neurobiological abnormalities, mental disorders, deficits in cognitive functioning, sexual aggression, risky sexual behaviour and many more (Carr et al, 2018). Additionally, various studies indicate that exposure to maltreatment, particularly poly‐victimisation, can lead to self‐directed violence such as self‐harming and suicidal behaviours (Baldwin et al, 2018; Itani et al, 2017; Soler et al, 2013; Turner et al, 2012). In the scientific literature, these potentially traumatic events that might have long‐term deleterious impacts on health and well‐being are referred to as adverse childhood experiences (ACEs) (Boullier & Blair, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Different studies report that the risk of suicidal ideation and behaviour among poly‐victimised adolescents is two‐ to 10‐fold higher compared to non‐victimised peers (Baldwin et al, 2018; Itani et al, 2017; Soler et al, 2013; Turner et al, 2012). One reason for this might be that poly‐victimisation generally represents a life condition (Turner et al, 2012) that denotes a persistent exposure to an abusive or neglectful environment (Hu et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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The risk of self‐harm and suicide attempts in maltreated and poly‐victimised adolescents from Lithuanian vocational schools

et al. 2022

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Background: Worldwide statistics highlight that many adolescents suffer from various types of maltreatment, which often tend to co-occur in the form of poly-victimisation. The experience of maltreatment at a young age causes physical and mental health problems, and can also lead to self-harm and suicide.The aim: To explore the possible impact of maltreatment and polyvictimisation on adolescent self-harm and suicide attempts. Participants and settings: In total, 1898 students (15-18 years old) from Lithuanian vocational schools completed the survey (65.5% male). Method: The impact of maltreatment and poly-victimisation on self-harm and suicide attempts was tested using multivariable binary logistic regressions. Results: Different maltreatment types were significantly associated to selfharm (odds ratio from 2.47 to 3.80, p < 0.001) and suicide attempts (odds ratio from 3.15 to 7.58, p < 0.001). The odds ratios for self-harm and suicide attempt increased as the number of different types of maltreatment experienced increased. A history of experiencing four types of poly-victimisation increased adolescent risk for self-harm (OR = 18.57, p < 0.001, 95% CI: 5.77-59.72) and suicide attempts (OR = 45.54, p < 0.001, 95% CI: 14.37-144.28) the most. Conclusion: Adolescents with experience of maltreatment, particularly if polyvictimised, are at greater risk of engaging in self-harming and suicidal behaviours.adolescents, maltreatment, poly-victimisation, self-harm, suicide attempts Key Practitioner Messages • Adolescents with experience of maltreatment are more likely to engage in self-harm or suicidal behaviours compared to non-victimised peers. • Sexual abuse is associated with the greatest probability of suicide attempt compared to other forms of maltreatment. • The risk of self-directed violence increases as the number of maltreatment types experienced increases.

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“…Suicidality and deaths by suicide in the Arab World are likely to occur due to a variety of factors. For instance, younger women were found to be more likely to report thoughts of suicide, which is similar to studies from elsewhere in the World, which likewise find that women are likely to report attempts (Dardas et al, 2017 ; Han et al, 2015 ; Itani et al, 2018 ; Kessler et al, 2005 ; Kronfol, 2012 ; O’Loughlin & Sherwood, 2005 ). Past studies from the Arab World had also shown that women who have experienced suicidality are likely to be younger (Halabi et al, 2020 ; Khan & Reza, 1998 ).…”

Section: Discussionsupporting

confidence: 74%

Suicidality in the Arab World: Results from an Online Screener

Daouk

Dailami

Barakat

et al. 2023

Community Ment Health J

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Suicide in the Arab World is grossly understudied. This study sought to understand suicidality among Arabic-speaking individuals visiting an online depression screener. A large sample (N = 23,201) from the Arab World was recruited online. 78.9% (n = 17,042) reported suicidality (thoughts of death or suicide, or a suicide attempt) and 12.4% reported a suicide attempt in the past 2 weeks. Binary logistic regressions indicated that women tended to report more suicidality, and that suicidality tended to decline with age (all ps < 0.001), across all levels of suicidality. Comparing countries with n ≥ 1000 (Algeria, Egypt, Jordan, Morocco, and Saudi Arabia), several 3-way (gender * age * country) and 2-way interactions indicated that some countries departed from the usual pattern of responses. For instance, in Algeria, neither gender nor age differences were observed in reported attempts. Women and younger adults in the Arab World may be at higher risk of suicidality. Differences between and within countries warrant further exploration.

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Gender moderates the association between polyvictimization and suicidal ideation among adolescents in the United Arab Emirates

Cited by 7 publications

References 37 publications

Adverse Childhood Experiences and Associated Mental Distress and Suicide Risk: Results From the Zambia Violence Against Children Survey

Adverse Childhood Experiences and Associated Mental Distress and Suicide Risk: Results From the Zambia Violence Against Children Survey

The risk of self‐harm and suicide attempts in maltreated and poly‐victimised adolescents from Lithuanian vocational schools

Suicidality in the Arab World: Results from an Online Screener

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