CoChat
Sign Up
Cited by 29Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseChild and Adolescent Psychosocial and Emotional Development

Clinical risk factors among youth at high risk for suicide in South Africa and Guyana

Thornton, Veronica J., Asanbe, Comfort B., Denton, Ellen‐ge D.·2019·Depression and Anxiety
DOI 10.1002/da.22889
Open this paper in CoChat — free account

Abstract

INTRODUCTION: Suicide is the second leading cause of death among youth worldwide, but low- and middle-income countries (LMICs) account for 78% of all suicides. The LMICs South Africa and Guyana rank high in the global suicide rates. To better understand and prevent suicide among the youth, the present study targets youths at high risk for suicide, in an LMIC, to contextually and representatively identify clinical risk factors for suicide. METHODS: One hundred-ninety youths, aged 11-21, separated from biological parents at the time of assessment, in South Africa and Guyana, were administered the Child Behavior Checklist and Behavior Assessment System for Children to assess clinical symptoms. The youths were asked about current suicide ideation and previous attempt(s). Self-report responses to clinical items yielded scale scores for depression, social stress, atypicality, somatization, anxiety, and ADHD. Using an integrative data analytic technique, clinical scale scores were standardized and used to predict suicidal behaviors in a binary logistic regression analysis. RESULTS: Approximately 22% of Black South African youths and 60% of Guyanese youths endorsed suicide ideation and attempt or suicide attempt only. In fully adjusted analyses, the odds of atypicality and somatization were 1.96 and 1.67 times greater among the youths who endorsed suicidal ideation when compared with those who did not (p < .04). Youth social stress was significantly associated with the suicide attempt, controlling for model covariates (odds ratio [OR], 1.88, p = .05). Gender moderated the effect of somatization on youth suicide. CONCLUSION: Our results contextualize how social stress, atypicality, and somatization relate to LMIC youth suicide. Further study on high-risk samples will contribute to generalizable suicide-prevention models.

Integrity signals

Registry

Crossref · 10.1002/da.22889

Cites

53 of 53 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Thornton, V. J., Asanbe, C. B., & Denton, E. D.
Affiliations
  • University of North Carolina at Greensboro (US)
  • College of Staten Island (US)
Corresponding author
Denton, Ellen‐ge D.
ORCID
Venue
Depression and Anxiety
Publisher
Wiley
Published
2019-03-21
Volume
36
Issue
5
Pages
423-432
ISSN
  • 1091-4269 (ISSN-L)
  • 1520-6394
DOI
10.1002/da.22889
OpenAlex
W2924794635
Cited by
29
References
53
Citations by year
2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 2 · 2020: 10
FWCI
5.26
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Depression and Anxiety (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
youth suicide, suicide risk factors, suicidal ideation, suicide attempts, atypical depression, somatization, social stress, gender differences, low- and middle-income countries, South Africa, Guyana, child and adolescent mental health, suicide prevention
MeSH terms
Adolescent, Adult, Anxiety Disorders, Child, Depressive Disorder, Female, Guyana, Humans, Male, Risk Factors, Somatoform Disorders, South Africa, Stress, Psychological, Suicide, Attempted, Young Adult, Suicidal Ideation

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review