Abstract
The key strategy to address suicide in adolescents is school-based suicidal prevention by adapting a screening instrument to the local culture and policymakers’ perception of suicide. This study aimed to develop an instrument for the early detection of risk for suicidal ideation and identify influential risk factors for suicidal ideation among high school students in Jakarta, Indonesia. This study was conducted in 2018 with a mixed-method design (quantitative and qualitative approaches). It was found that 5% of students had suicidal ideation in July–November 2018, and 13.8% had a high-risk factor for suicidal ideation. The instrument developed in this study consisted of 16 items and had been proven valid and reliable for screening. Students with depression and those screened positive utilizing the developed instrument had 4.41 and 5.39 times the risk of developing suicidal ideation. A recommendation to the counseling teacher associations is to reduce suicidal stigma, encourage students to be open to talking about mental health issues, and prioritize adolescents at risk of suicide for further assessment.
References
1. World Health Organization. Adolescent health and development. Geneva: World Health Organization; 2020.
2. United Nations International Children's Emergency Fund (UNICEF). Adolescent mortality. New York: United Nations International Children's Emergency Fund; 2016.
3. World Health Organization. Depressive disorder (depression). Geneva: World Health Organization; 2023.
4. Bridge JA, Greenhouse JB, Ruch D, et al. Association between the release of Netflix’s 13 Reasons Why and suicide rates in the United States: An interrupted time series analysis. J Am Acad Child Adolesc Psychiatry. 2020; 59 (2): 1–14. DOI: 10.1016/j.jaac.2019.04.020.
5. Badan Litbang Kesehatan. Global school-based student health survey: Indonesia 2015 fact sheet. Jakarta: World Health Organization; 2019.
6. Yusuf N, Prasetyo S. Assessing self-rated instrument to detect suicidal thought among high school students in Jakarta. KnE Life Sci. 2019; 4 (10): 415–421. DOI: 10.18502/kls.v4i10.3813.
7. Nahrin R, Al-Mamun F, Kaggwa MM, et al. Prevalence and factors associated with suicidal ideation among students taking university entrance tests: Revisited and a study based on Geographic Information System data. BJPsych Open. 2023; 9 (4): e129. DOI: 10.1192/bjo.2023.526.
8. Lester L, Cross D. The relationship between school climate and mental and emotional wellbeing over the transition from Primary to Secondary School. Psycho Well Being. 2015; 5 (1): 9. DOI: 10.1186/s13612-015-0037-8.
9. Centers for Disease Control and Prevention. Suicide was the tenth leading cause of death in the United States. Atlanta: Centers for Disease Control and Prevention; 2019.
10. World Health Organization. Preventing suicide: A community engagement toolkit. Geneva: World Health Organization; 2018.
11. Yusuf NR, Sabarinah, Thabrany H. Development of a risk-factors questionnaire to assess suicidal ideation among high school students of DKI Jakarta Province, Indonesia. Indian J Public Heal Res Dev. 2019; 10 (8): 2147–2151. DOI: 10.5958/0976-5506.2019.02174.0.
12. Nahm FS. Receiver operating characteristic curve: overview and practical use for clinicians. Korean J Anesthesiol. 2022; 75 (1): 25–36. DOI: 10.4097/kja.21209.
13. Polanco-Roman L, Gomez J, Miranda R, et al. Stress-Related Symptoms and Suicidal Ideation: The Roles of Rumination and Depressive Symptoms Vary by Gender. Cognit Ther Res. 2016; 40 (5): 606-616. DOI: 10.1007/s10608-016-9782-0.
14. Lim M, Lee S, Park JI. Differences between impulsive and non-impulsive suicide attempts among individuals treated in emergency rooms of South Korea. Psychiatry Investig. 2016; 13 (4): 389–396. DOI: 10.4306/pi.2016.13.4.389.
15. Bilsen J. Suicide and youth: Risk factors. Front Psychiatry. 2018; 9: 540. DOI: 10.3389/fpsyt.2018.00540.
16. Baiden P, Tadeo SK. Investigating the association between bullying victimization and suicidal ideation among adolescents: Evidence from the 2017 Youth Risk Behavior Survey. Child Abuse Negl. 2020; 102: 104417. DOI: 10.1016/j.chiabu.2020.104417.
17. Baiden P, Stewart SL, Fallon B. The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada. Psychiatry Res. 2017; 255: 238–247. DOI: 10.1016/j.psychres.2017.05.018.
18. Im Y, Oh W-O, Suk M. Risk factors for suicide ideation among adolescents: Five-year national data analysis. Arch Psychiatr Nurs. 2017; 31 (3): 282–286. DOI: 10.1016/j.apnu.2017.01.001.
19. Aulia N, Yulastri Y, Sasmita H. Psychological factors as the main risk of suicidal ideation in adolescents in Rengat City, Indragiri Hulu Regency. J Penelit Kesehat Suara Forikes. 2020; 11: 48–52. DOI: 10.33846/sf11nk110.
20. Balaji M, Vijayakumar L, Phillips M, et al. The young lives matters. Wellcome Open Res. 2020; 5: 262. DOI: 10.12688/wellcomeopenres.16364.1.
21. Gordon M, Melvin G. Risk assessment and initial management of suicidal adolescents. Aust Fam Physician. 2014; 43 (6): 367–372.
22. Jiang Y, Xiao H, Yang F. Accompanying your children: Living without parents at different stages of pre-adulthood and individual physical and mental health in adulthood. Front Public Health. 2023; 11: 992539. DOI: 10.3389/fpubh.2023.992539.
23. Donath C, Graessel E, Baier D, et al. Is parenting style a predictor of suicide attempts in a representative sample of adolescents? BMC Pediatr. 2014; 14 :113. DOI: 10.1186/1471-2431-14-113.
24. Obeid S, Al Karaki G, Haddad C, et al. Association between parental divorce and mental health outcomes among Lebanese adolescents: Results of a national study. BMC Pediatr. 2021; 21: 455. DOI: 10.1186/s12887-021-02926-3.
25. Shain B. Teen suicide: A closer look at three key factors. Itasca, IL: American Academy of Pediatrics; 2016.
26. Carswell K, Harper-Shehadeh M, Watts S, et al. Step-by-step: A new WHO digital mental health intervention for depression. mHealth. 2018; 4: 34. DOI: 10.21037/mhealth.2018.08.01.
27. Carpiniello B, Pinna F. The reciprocal relationship between suicidality and stigma. Front Psychiatry. 2017; 8: 35. DOI: 10.3389/fpsyt.2017.00035.
28. Liu J, Yang L, Zheng Y, et al. Rural-urban differences in prevalence and correlates of suicidal ideation in adolescent patients with depression in a large sample of Chinese. J Affect Disord. 2023; 322: 118-124. DOI: 10.1016/j.jad.2022.11.032.
29. Hart CM, Ritchie TD, Hepper EG, et al. The balanced inventory of desirable responding short form (BIDR-16). SAGE Open. 2015; 5 (4). DOI: 10.1177/2158244015621113.
Recommended Citation
Yusuf NR , Prasetyo S , Good BJ ,
et al.
Early Detection of Risk Factor for Suicidal Ideation Among Senior High School Students in Jakarta: Updated Measurement.
Kesmas.
2024;
19(4):
223-232
DOI: 10.21109/kesmas.v19i4.1089
Available at:
https://scholarhub.ui.ac.id/kesmas/vol19/iss4/1