Suicidal behaviors among Bangladeshi university students: Prevalence and risk factors

Background Bangladeshi university students are considered to be highly suicide-prone compared to other populations and cohorts. However, no prior epidemiological studies have assessed the suicidality (i.e., past-year suicidal ideation [SI], lifetime suicide plan [SP], and lifetime suicide attempt [SA]) among Bangladeshi students, including the variables such as past-year stressful life events and family mental health history. This is arguably a major knowledge gap in the country. Therefore, the present study investigated the prevalence and associated risk factors for suicidal behaviors among Bangladeshi university students. Methods A cross-sectional study was conducted utilizing a convenience sampling method among a total of 1844 university students between October and November 2019. Data were collected based on the information related to socio-demographics, perceived health-related questions, past-year stressful life events, family mental health history, and suicidal behaviors (i.e., SI, SP, and SA). Chi-square tests and binary logistic regressions were used to analyze the data utilizing SPSS statistical software. Results The prevalence of past-year suicidal ideation, lifetime suicide plans, and suicide attempts were 13.4%, 6.0%, and 4.4%, respectively. Females reported significantly higher suicidal behavior than males (i.e., 20.6% vs.10.2% SI; 9% vs. 4.6% SP; and 6.4% vs.3.6% SA). Risk factors for SI were being female, year of academic study, residing in an urban area, using psychoactive substances, experiencing both past year physical and mental illness, experiencing any type of stressful past-year life events, experiencing campus ragging (i.e., senior students abusing, humiliating and/or harassing freshers or more junior students), experiencing family mental illness history, and having family suicide attempt history. SP was associated with several factors including being female, year of academic study, using psychoactive substance, experiencing both past-year physical and mental illness, and experiencing any type of stressful past-year life events. Risk factors for SA were being female, year of academic study, using psychoactive substances, experiencing past-year mental illness, experiencing any type of stressful past-year life events, and having family suicide attempt history. Conclusions University students appear to be a vulnerable group for experiencing suicidal behaviors. The present findings warrant rigorous action and early intervention programs such as counseling and other mental health professional services by university authorities. Longitudinal studies are highly recommended involving countrywide representative samples.

Remembering the War: An Autoethnography of Survival

This is an autoethnography of World War II (WW2) survival and trauma based on a recovered family archive and a reflexive engagement with my own childhood memories. Driven by subjective imperatives to bear witness to forgotten war experiences, and to explore family mental health problems, I delve into not just personal memories but forgotten voices found in the archive whose stories have never been told thus offering a perspective of multiple subjects. My grandmother’s witness testimony of concentration camp survival recorded in 1946 compels me to research and reflect on life in the state of exception and the long-term and intergenerational impact on survivors. This autoethnographic work helps me examine the character of survival of war trauma as a form of exclusion from community and often an incomplete return from bare life to polis. Through engaging with the archive, I find some partial answers to questions about my family members, and reconstruct my family memory narrative.

Impacts of the COVID-19 Pandemic on Family Mental Health in Canada: Findings from a Multi-Round Cross-Sectional Study

Pandemic-related disruptions, including school, child care, and workplace closures, financial stressors, and relationship challenges, present unique risks to families’ mental health. We examined the mental health impacts of the coronavirus disease 2019 (COVID-19) pandemic among parents with children <18 years old living at home over three study rounds in May 2020 (n = 618), September 2020 (n = 804), and January 2021 (n = 602). Data were collected using a cross-sectional online survey of adults living in Canada, nationally representative by age, gender, household income, and region. Chi-square tests and logistic regression compared outcomes between parents and the rest of the sample, among parent subgroups, and over time. Parents reported worsened mental health compared with before the pandemic, as well as not coping well, increased alcohol use, increased suicidal thoughts/feelings, worsened mental health among their children, and increases in both negative and positive parent–child interactions. Mental health challenges were more frequently reported among parents with pre-existing mental health conditions, disabilities, and financial/relationship stressors. Increased alcohol use was more frequently reported among younger parents and men. Sustained mental health challenges of parents throughout nearly a year of the pandemic suggest that intervention efforts to support family mental health may not be adequately meeting families’ needs. Addressing family stressors through financial benefit programs and virtual mental health supports should be further explored.

Factors Correlating with the Emotional and Behavioral Problems among Adolescents with Legal Problems

BACKGROUND: The prevalence of emotional and behavioral problems (EBP) among adolescents (12–18 years) in Indonesia is 28.4%. These problems are related to age, sex, family economic level, father’s education, peer relationships, psychosocial skills, and family mental health status. However, factors related to EBPs among adolescents who are dealing with law cases have not been widely reported. AIM: The purpose of this study is to find out factors correlating with the EBPs among adolescents with legal problems. MATERIALS AND METHODS: A cross-sectional design was used in this study. Fifty-nine adolescents with legal problems who were sheltered at the Social Protection and Rehabilitation Centre for Adolescents (SPRCA) and the Guidance Institution for Children (GIC) served respondents. Strengths and Difficulties Questionnaires were used to measure the EBP among adolescents. The Pearson Product Moment and linear regressions were used to analyze the data. RESULTS: The prevalence of the EBP among adolescents with legal problems at SPRCA and GIC is 67.8%. The correlations of emotional problems, behavioral problems, hyperactivity, and peer problems with the EBP among adolescents with legal problems are 67.8%, 64.4%, 13.6%, and 57.6%, respectively. Age and psychosocial skills have an effect of 15.7% on the EBP among adolescents. CONCLUSION: Age and psychosocial skills correlate with the EBP among adolescents with legal problems at the SPRCA and GIC.

Effectiveness of Ayah 3A (Asih Asuh Anak) as a Supportive Media for Parenting to Improve Family Mental Health

This study describes the effectiveness of the “Father 3A (Asih Asuh Anak)” program to support online parenting to improve family mental health. Sixty participants were involved, namely fathers of children and adolescents aged 7-18 years in densely populated areas. Information was sent as text messages via Short Message Service (SMS) or WhatsApp (WA). This study was conducted to solve the community’s need for online tools that support family mental health. The method of the “Ayah 3A” program was sending some messages about parent-child attachments, co-parenting, and daily self-care which were sent at a scheduled time. The shared material was adapted from theoretical concepts and previous studies’ findings. Besides provided online material, face-to-face meetings were also held for consultation sessions with psychologists. The effectiveness of this program was evaluated by a questionnaire of parenting skills and mental health. Meanwhile, evaluation of program implementation showed that 86% of the whole sample (n = 52) returned post-intervention questionnaires, and 66% of subjects followed this program completely. The results revealed that it was improving in knowledge and skill of parenting (p = 0.035; ES = 3.86) and mental health (p = 0.012; ES = 1.85). Besides, feedback evaluation from participants both quantitative and qualitative, regarding this program was quite effective.

Demographic and Mental Health Assessments in the Adolescent Brain and Cognitive Development Study: Updates and Longitudinal Trajectories

The Adolescent Brain Cognitive Development (ABCD) Study of 11,880 youth incorporates a comprehensive range of measures assessing predictors and outcomes related to mental health across childhood and adolescence in participating youth, as well as information about family mental health history. We have previously described the logic and content of the mental health assessment battery at Baseline and Year 1. Here, we describe changes to that battery and issues and clarifications that have emerged, as well as additions to the mental health battery at the 2-, 3-, 4-, and 5-year follow-ups. We capitalize on the recent release of longitudinal data for caregiver and youth report of mental health data to evaluate trajectories of dimensions of psychopathology as a function of demographic factors. For both caregiver and self-reported mental health symptoms, males showed age-related decreases in internalizing and externalizing symptoms, while females showed an increase in internalizing symptoms with age. Multiple indicators of socioeconomic status (caregiver education, family income, financial adversity, neighborhood poverty) accounted for unique variance in both caregiver and youth-reported externalizing and internalizing symptoms. These data highlight the importance of examining developmental trajectories of mental health as a function of key factors such as sex and socioeconomic environment.