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Title of Journal: Soc Psychiat Epidemiol

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Abbravation: Social Psychiatry and Psychiatric Epidemiology

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Steinkopff-Verlag

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DOI

10.1002/ar.1092330206

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1433-9285

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Suicidal expressions among young people in Nicarag

Authors: Andrés Herrera Rodríguez Trinidad Caldera Gunnar Kullgren Ellinor Salander Renberg
Publish Date: 2006/06/02
Volume: 41, Issue: 9, Pages: 692-697
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Abstract

Suicidal behaviour is a major public health problem among adolescents In Nicaragua as well as in most other countries young people aged 15–24 have the highest rate of attempted suicide according to hospital records The aims of this study were to investigate selfreported lifeweariness death wishes suicidal ideation suicidal plans and suicide attempts ie suicidal expressions among young men and women in the community and to identify factors associated with suicidal expressionsThe sample was derived from an established study base in the city of León Nicaragua From 352 randomly selected subjects aged 15–24 years 278 individuals 145 males and 133 females were interviewed using the Attitudes Towards Suicide ATTS questionnaire including questions on suicidal expressionsThe overall 1year prevalence of any suicidal expression was 448 among males and 474 among females A suicide attempt in the past year was reported by 21 of males and 15 of females There was no significant gender difference in reporting of the separate types of suicidal expressions except for death wishes where females reported higher prevalence 338 vs 207 Exposure to suicidal expressions among significant others was significantly associated with own serious suicidal expressions The study failed to identify any association between suicidal expressions and sociodemographic factors such as poverty or educational levelThe present study highlights that suicidal behaviour is a significant public health problem among young people in Nicaragua The finding that suicidal behaviour among significant others appears to have a contagious effect on adolescents needs to be addressed in the prevention of suicidal behaviourThis study was funded by the Swedish Agency for Research Cooperation SIDA/SAREC We want to express our gratitude to psychologists Claudia Obando and Ever Tellez for their contributions during the fieldwork In addition we would like to thank Rodolfo Pëna head of the Demographic Health Surveillance System and Julio Rocha who coordinated the referral process for cases in need of treatment

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