Background
Method
Definitions
The settings
Instruments
Study design and sample
Nicaragua
Cambodia
Ethical considerations
Internal consistency and social desirability
Nicaragua | Cambodia | |||
---|---|---|---|---|
Boys | Girls | Boys | Girls | |
Anxious/depressed | 0.68 | 0.76 | 0.69 | 0.72 |
Withdrawn/depressed | 0.59 | 0.67 | 0.60 | 0.62 |
Somatic complaints | 0.72 | 0.66 | 0.66 | 0.67 |
Social problems | 0.66 | 0.70 | 0.67 | 0.54 |
Thought problems | 0.66 | 0.61 | 0.66 | 0.67 |
Attention problems | 0.68 | 0.70 | 0.30 | 0.56 |
Rule breaking behavior | 0.72 | 0.68 | 0.60 | 0.57 |
Aggressive behavior | 0.78 | 0.76 | 0.73 | 0.74 |
Internalizing symptoms | 0.84 | 0.85 | 0.82 | 0.84 |
Externalizing symptoms | 0.85 | 0.83 | 0.79 | 0.78 |
Analysis
Results
Prevalence of suicidal expression by gender and country
Suicidal expressions | Boys | Girls | ||||
---|---|---|---|---|---|---|
Nicaragua n = 188 % | Cambodia n = 151 % | p | Nicaragua n = 180 % | Cambodia n = 165 % | p | |
Life weariness | 34.0 | 26.5 | n.s. | 34.4 | 24.8 | n.s. |
Death thought | 36.2 | 25.8 | .042 | 43.3 | 26.1 | .001 |
Death wishes | 25.0 | 14.6 | .018 | 33.9 | 17.6 | .001 |
Suicide ideation | 17.6 | 8.6 | .017 | 27.8 | 13.3 | .001 |
Plans/attempt | 10.1 | 16.6 | n.s. | 12.8 | 12.7 | n.s. |
Any expression | 57.4 | 54.3 | n.s. | 63.3 | 49.1 | .008 |
Mental health syndromes (YSR) by gender and country
YSR syndrome | Mean (SD) | P | Mean (SD) | P | ||
---|---|---|---|---|---|---|
Boys | Girls | |||||
Nicaragua n = 188 | Cambodia n = 151 | Nicaragua n = 180 | Cambodia n = 165 | |||
Anxious depressed |
4.3 (2.6)
|
8.2(3.5)
|
0.00
|
5.2(2.9)
|
9.7(4.0)
|
0.00
|
Withdrawn depressed | 3.9 (1.9) | 4.3(2.4) | n.s. |
4.1(2.1)
|
4.9(2.5)
|
0.00
|
Somatic Complaints |
3.1(2.3)
|
6.3(3.2)
|
0.00
|
4.0(2.2)
|
6.9(3.2)
|
0.00
|
Social Problems |
4.5(2.4)
|
6.4(3.2)
|
0.00
|
4.4(2.5)
|
7.1(2.8)
|
0.00
|
Thought Problem |
2.8(2.1)
|
5.3(3.2)
|
0.00
|
2.5(1.9)
|
4.9(3.2)
|
0.00
|
Attention Problems |
4.5(2.3)
|
7.6(3.0)
|
0.00
|
4.2(2.3)
|
8.1(2.6)
|
0.00
|
Rule breaking Behavior | 4.8(2.8) | 4.3(2.8) | n.s. | 3.1(2.3) | 3.1(2.2) | n.s. |
Aggressive Behavior |
6.8(3.5)
|
8.4(3.8)
|
0.00
|
6.4(3.2)
|
8.8(4.1)
|
0.00
|
Internalizing Syndrome |
11.6(5.8)
|
18.7(7.2)
|
0.00
|
13.6(6.1)
|
21.3(8.2)
|
0.00
|
Externalizing Syndrome | 11.8 (5.8) | 12.7(5.8) | n.s. |
9.5(5.0)
|
11.9(5.3)
|
0.00
|
Total problem score |
38.3 (16.5)
|
47.5 (14.1)
|
0.00
|
37.4 (17.2)
|
49.2 (14.7)
|
0.00
|
Exposure to suicide from significant others by gender and country
Association between YSR-syndromes and exposure to suicide
Girls | Boys | |||||||
---|---|---|---|---|---|---|---|---|
Nicaragua | Cambodia | Nicaragua | Cambodia | |||||
OR | p | OR | p | OR | P | OR | p | |
Anxious/depressed | 1.506 | .000 | 1.086 | n.s. | 1.556 | .000 | 1.083 | n.s. |
Withdrawn/depressed | 1.275 | .032 | 1.328 | .002 | 1.650 | .000 | 1.164 | n.s. |
Somatic complaints | 1.545 | .000 | 1.143 | n.s. | 1.248 | .028 | 1.189 | .016 |
Social problems | 1.363 | .001 | 1.053 | n.s. | 1.478 | .001 | 1.061 | n.s. |
Internalizing | 1.236 | .000 | 1.064 | .023 | 1.205 | .000 | 1.054 | n.s. |
Externalizing | 1.181 | .021 | 1.044 | n.s. | 1.156 | .001 | 1.017 | n.s. |
Total YSR problems | 1.066 | .000 | 1.032 | n.s. | 1.068 | .000 | 1.019 | n.s. |
Exposure to suicide | 2.871 | .021 | 2.793 | .040 | 6.333 | .000 | 2.000 | n.s. |