Risk and protective factors for suicidal ideation and behaviour in Rwandan children

Suicide is a leading cause of death for young people. Children living in sub-Saharan Africa, where HIV rates are disproportionately high, may be at increased risk. To identify predictors, including HIV status, of suicidal ideation and behaviour in Rwandan children aged 10-17. Matched case-control st...

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Bibliographic Details
Published in:British journal of psychiatry 2015-09, Vol.207 (3), p.262-268
Main Authors: Ng, Lauren C., Kirk, Catherine M., Kanyanganzi, Frederick, Fawzi, Mary C. Smith, Sezibera, Vincent, Shema, Evelyne, Bizimana, Justin I., Cyamatare, Felix R., Betancourt, Theresa S.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
AIDS
Behavior
Caregivers
Caregivers - psychology
Case-Control Studies
Child
Children
Children & youth
Conduct disorder
Conduct Disorder - epidemiology
Conduct Disorder - psychology
Depressive Disorder - epidemiology
Depressive Disorder - psychology
Female
Health problems
High risk
HIV
HIV Infections - epidemiology
HIV Infections - psychology
HIV Seronegativity
Human immunodeficiency virus
Humans
Male
Mental depression
Mental disorders
Mental Health
Parenting - psychology
Parents & parenting
Protective Factors
Psychiatry
Public health
Risk Factors
Rwanda - epidemiology
Sample size
Social Support
Stereotyping
Stigma
Suicidal Ideation
Suicide
Suicides & suicide attempts
Teenagers
Workers
Young adults
Youth
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Summary:Suicide is a leading cause of death for young people. Children living in sub-Saharan Africa, where HIV rates are disproportionately high, may be at increased risk. To identify predictors, including HIV status, of suicidal ideation and behaviour in Rwandan children aged 10-17. Matched case-control study of 683 HIV-positive, HIV-affected (seronegative children with an HIV-positive caregiver), and unaffected children and their caregivers. Over 20% of HIV-positive and affected children engaged in suicidal behaviour in the previous 6 months, compared with 13% of unaffected children. Children were at increased risk if they met criteria for depression, were at high-risk for conduct disorder, reported poor parenting or had caregivers with mental health problems. Policies and programmes that address mental health concerns and support positive parenting may prevent suicidal ideation and behaviour in children at increased risk related to HIV.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.114.154591