Social support-oriented coping and resilience for self-harm protection among adolescents

Wal, Wilmie van der; George, Ancel Andrew

doi:10.1080/14330237.2018.1475508

Cited by 14 publications

(8 citation statements)

References 23 publications

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“…Similar to the risk factor evidence from high-income countries, personal, familial, school, and interpersonal factors have also been reported by recent studies from sub-Saharan Africa. Among in-school adolescents in sub-Saharan Africa, depression, anxiety, loneliness, food deprivation, alcohol and substance use, truancy, bullying victimization, being sexually active, engaging in physical fights, and having fewer close friends have been found to be positive correlates of suicide attempts (Aggarwal et al, 2017; Asante et al, 2017; Omigbodun et al, 2008; Quarshie et al, 2020b; Shayo & Lawala, 2019), while parental monitoring, social support, parental understanding or care, and checking of homework by parents have been identified as being negatively associated with suicide attempts among in-school adolescents (Asante et al, 2017; Quarshie et al, 2020b; Shayo & Lawala, 2019; van der Wal & George, 2018).…”

Section: Aims Of the Studymentioning

confidence: 99%

Suicide Attempts Among 1,437 Adolescents Aged 12–17 Years Attending Junior High Schools in Ghana

Quarshie

Andoh–Arthur

2022

Crisis

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Abstract. Background: Emerging research on suicidal behaviors among adolescents in Ghana has been conducted mainly among senior high school students. Aims: We aimed to estimate the 12-month prevalence of suicide attempts and describe some of the general and gender-specific associated factors among adolescents attending junior high schools (JHSs) in Ghana. Method: We analyzed data from the 2012 Ghana Global School-Based Student Health Survey. The sample consisted of 1,437 adolescents aged 12–17 years. We performed bivariate and multivariable analyses to assess the associations between 12-month suicide attempts and some psychosocial factors. Results: The overall 12-month prevalence estimate of suicide attempts was 27.6%, with comparable estimates between males (26.4%) and females (28.8%). In the final adjusted multivariable models, bullying victimization (AOR = 2.57; 95% CI = 1.53, 4.31), alcohol use (AOR = 1.94; 95% CI = 1.10, 3.41), and having no close friends (AOR = 0.36; 95% CI = 0.17, 0.75) were associated with increased odds of suicide attempts among males, whereas anxiety (AOR = 2.57; 95% CI = 1.54, 4.29) and being sexually active (AOR = 2.42; 95% CI = 1.25, 4.68) were associated with increased odds of suicide attempts in females. Limitations: The correlational nature of this study did not allow for causal inferences. Conclusion: The study underscores adolescent suicide attempts as a public health concern in Ghana.

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Section: Aims Of the Studymentioning

confidence: 99%

Suicide Attempts Among 1,437 Adolescents Aged 12–17 Years Attending Junior High Schools in Ghana

Quarshie

Andoh–Arthur

2022

Crisis

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“…The majority of the 55 prevalence studies (n = 46; 83•6%) focused on suicidal self-harm, seven studies (12•7%) focused on non-suicidal self-harm [48,50,52,53,60,70,76], while two studies simultaneously reported the prevalence estimates of both suicidal selfharm (suicidal attempt) and non-suicidal self-harm (selfinjury) [28,72].…”

Section: Main Findingsmentioning

confidence: 99%

Self-harm with suicidal and non-suicidal intent in young people in sub-Saharan Africa: a systematic review

2020

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Background Self-harm, whether attributed to suicidal or non-suicidal motives, is associated with several poor outcomes in young people, including eventual suicide. Much of our understanding of self-harm in young people is based on literature from Europe (particularly, the UK), North America, and Australia. We aimed to synthesise the available evidence on prevalence, the commonly reported self-harm methods, correlates, risk and protective factors, and reasons for self-harm, in adolescents (aged 10–25 years) in sub-Saharan Africa. Method We searched MEDLINE, PsycINFO, PubMed, African Journals OnLine, and African Index Medicus for records from 1950 through August 2019, without language restrictions. We supplemented the database searches by searching relevant portals for postgraduate theses, reference harvesting, contacting authors for unpublished studies, and hand searching relevant print sources. We applied narrative synthesis to the evidence. Results Seventy-four studies from 18 sub-Saharan African countries met the inclusion criteria. The median lifetime prevalence estimate was 10·3% (interquartile range [IQR] 4·6% – 16·1%); median 12-month prevalence estimate was 16·9% (IQR: 11·5% – 25·5%); median 6-month prevalence estimate was 18·2% (IQR: 12·7% – 21·8%); and the median 1-month prevalence estimate was 3·2% (IQR: 2·5–14·8%). Studies from Western sub-Saharan Africa reported the highest 12-month prevalence estimates (median = 24·3%; IQR = 16·9% – 27·9%). Clinical samples commonly reported overdose, whereas self-cutting was most commonly reported in non-clinical samples. Academic failure, sexual, emotional, and physical abuse, romantic relationship problems, family conflict, depression, and previous self-harm were identified as key correlates of self-harm. No study reported protective factors against self-harm. Conclusion Variation in estimates was explained by small sample sizes and variation in definitions and measures used. Exploration of associations, risks and protective factors was based upon concepts and measures derived from high income countries. More detailed and culturally sensitive research is needed to understand the context-specific risks and protective factors for self-harm in adolescents in sub-Saharan Africa.

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“…2012; Silmi et al . 2017; Van der Wal & George 2018). Family relationship and school connectedness may be either a protective or perpetuating factor or both.…”

Section: Introductionmentioning

confidence: 99%

“…This may include self-control; an individual's resilience; or the enhancement of coping skills, family relationships, peer and teacher relationships; and school connectedness. However, there is evidence that the following have the most influence on DSH among adolescents: family relationship, school connectedness, resilience, sex (adolescent females), self-control, and stress (Loh et al 2013;Moran et al 2012;Silmi et al 2017;Van der Wal & George 2018). Family relationship and school connectedness may be either a protective or perpetuating factor or both.…”

Section: Introductionmentioning

confidence: 99%

Deliberate self‐harm among adolescents: A structural equation modelling analysis

Singtakaew

Chaimongkol

2021

Int J Mental Health Nurs

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Deliberate self-harm is an intentional behaviour involving direct destruction of body tissues that causes non-fatal physical trauma to the extent that bleeding or bruising occurs without conscious suicidal intent. Adolescents' self-harm is an important issue in mental health work due to its high prevalence in Thailand. This study aims to test a causal model of deliberate self-harm and identify how sex, family relationship, school connectedness, stress, resilience, and self-control influenced deliberate self-harm behaviour in Thai adolescents. A model-testing, crosssectional study was conducted to test a causal model of deliberate self-harm in Thai adolescents. Multi-stage random sampling was used to recruit 360 adolescents. Adolescents completed six selfreport instruments: the family relationship questionnaire, student-school connectedness scale, resilience factors scale for Thai adolescents, self-control questionnaire, Perceived Stress Scale-10 (Thai version), and Deliberate Self-Harm Inventory. Internal consistencies ranged from 0.81 to 0.89. Data were analysed by using descriptive statistics and structural equation modelling. The findings found sex, resilience, stress, and school connectedness had direct effects on deliberate selfharm (b = À0.139, b = À0.266, b = 0.163, and b = À0.671, respectively). Resilience and stress also mediated the links between sex (female), family relationship, school connectedness, and deliberate self-harm. The variables accounted for 65.2% of the variance in the prediction of deliberate self-harm behaviour in Thai adolescents. These findings suggest the causal model of deliberate self-harm fit the empirical data. Interventions to reduce stress and strengthen school connectedness, family relationship, and resilience among Thai adolescents should be implemented, particularly for boys, to prevent deliberate self-harm.

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Social support-oriented coping and resilience for self-harm protection among adolescents

Cited by 14 publications

References 23 publications

Suicide Attempts Among 1,437 Adolescents Aged 12–17 Years Attending Junior High Schools in Ghana

Suicide Attempts Among 1,437 Adolescents Aged 12–17 Years Attending Junior High Schools in Ghana

Self-harm with suicidal and non-suicidal intent in young people in sub-Saharan Africa: a systematic review

Deliberate self‐harm among adolescents: A structural equation modelling analysis

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