Factors associated with single and multiple suicide attempts in adolescents attending school in Argentina: national cross-sectional survey in 2018

[摘要] Background Factors associated with single suicide attempts (SSA) and multiple suicide attempts (MSA) may differ.AimsThe study aimed to assess the factors associated with MSA inadolescents with a history of suicide attempts during the past12 months in Argentina.MethodNational cross-sectional data from the Global School-basedStudent Health Survey in Argentina in 2018 were analysed.Students who reported having a history of suicide attempts in thepast 12 months were included in the final sample (n = 8507).Students with MSA were compared with students with an SSAthrough multiple logistic regression.ResultsIn a subsample of adolescents attending school (mean age 14.8years, s.d. = 1.3), 59.4% had an SSA and 40.6% had MSA in thepast 12 months. In the final adjusted logistic regression model,compared with participants with SSA, both male and femalestudents with MSA more frequently had no close friends,reported feeling more lonely and had more anxiety-inducedsleep disturbances. Furthermore, among female participants,having been physically attacked, having participated in physicalfights, low parental support, current tobacco use and lifetimeamphetamine use were associated with MSA. Among malestudents, multiple sexual partners were associated with MSA.Furthermore, among both boys and girls, compared withparticipants without psychosocial distress, participants with one,two, three or more psychosocial distress factors had higher oddsof MSA. Compared with students with one or two social orenvironmental risk factors, students with seven or eight social orenvironmental risk factors had higher odds of MSA; comparedwith students who had zero or one health risk behaviours, students with six or more health risk behaviours had higher odds ofMSA.ConclusionsPsychosocial distress (anxiety-induced sleep disturbance, having no close friends and loneliness) increased the odds of MSAamong both sexes. The odds of MSA were increased by interpersonal violence, low parental support and substance useamong girls, and by having multiple sexual partners among boys.This suggests the potential relevance of these variables in identifying multiple suicide attempters among adolescents attendingschool in Argentina.

[学科分类] 计算机科学（综合）

[关键词] Multiple suicide attempts;risk factors;adolescents;Argentina