Prevalence and influencing factors of suicide behaviors among adolescents in Anyang city

Objective To explore the prevalence and influencing factors of suicide behaviors among adolescents in Anyang city of Henan province and to provide evidences for relevant prevention and intervention.Methods Totally 5 055 students aged 10-24 years were selected with multistage stratified cluster sampling from 24 high schools,vocational schools,colleges,and universities in Anyang municipality and a self-administered anonymous questionnaire survey was conducted among the students with the Questionnaire on Health Related Behaviors for Chinese Adolescents issued by China Center for Disease Control and Prevention.Results Of the 5 040 students with eligible response,8.9%and 5.0% reported having ideation and plan for suicide during the previous one year;2.3%reported making suicide attempt and the senior high school students reported a higher incidence rate of suicide attempt during the previous one year than the junior high school and university students (P<0.01) and the students in rural areas reported a higher incidence rate of suicide attempt than those in urban areas (P<0.01);no gender difference was observed in the suicide attempt incidence rate (P>0.05).There were high self-reported prevalence rates of stress (84.5%),loneliness (74.8%),and insomnia (65.1%) among the students.The results of logistic regression analyses revealed that from reconstituted family(odds ratioOR=5.076),having fast food frequently (OR=3.526),experience of fighting with others (OR=1.841),depression (OR=2.112),suicidal ideation (OR=15.102),run-away ideation (OR=15.102),run-away behavior (OR=3.268),and drug use (OR=4.311) were risk factors of the suicide behavior among the students.Conclusion Comprehensive interventions on suicide should carried out in the society,families,and schools to prevent the occurrence of suicide among adolescents.