Suicidal ideation among students of a medical college in Western Nepal: a cross-sectional study.
Menezes RG, Subba SH, Sathian B, Kharoshah MA, Senthilkumaran S, Pant S, Arun M, Kundapur R, Jain A, Lobo SW, Ravi Shankar P.
Source
Department of Forensic Medicine, Srinivas Institute of Medical Sciences & Research Centre, Mangalore, India. mangalore971@yahoo.co.in
Abstract
Many studies have been conducted in the developed countries to know the magnitude and factors influencing suicidal ideation among medical students, but such data are sparse in developing countries. This cross-sectional study was therefore conducted to find out the prevalence of suicidal ideation and factors influencing such ideation among students of a medical college in Western Nepal. A total of 206 students were selected using random sampling and questioned about their socio-demographic factors, other risk factors and suicidal ideation using a preformed validated questionnaire. The data were analyzed using SPSS for Windows Version 16.0 and the EPI Info 3.5.1 Windows Version. Descriptive statistics and testing of hypothesis were applied for the statistical methodology. The univariate and multivariate logistic regression methods were used to examine the association between different variables. Suicidal ideation in the last one year was present in nearly one tenth of the study population and in almost one fifth of them life-time suicidal ideation was present. Factors that were associated with suicidal ideation were primarily dissatisfaction with academic performance, being in the clinical semesters, having history of drug abuse and feeling neglected by parents. Most common reason reported for suicidal ideation was family related followed by self-related. Recognition of suicidal ideation among students and their associated factors can help in detecting it on time, making the right interventions and controlling the problem. Understanding the magnitude of the problem and their epidemiology via scientific study like this would be the first step in this process.
Lang Speech Hear Serv Sch. 2012 Jul;43(3):344-58. doi: 10.1044/0161-1461(2012/11-0031). Epub 2012 May 4.
University of Alberta, Edmonton, Canada. marilyn.langevin@ualberta.ca
Abstract
PURPOSE:
This pretest-posttest study examined the feasibility of using a curriculum-level stuttering education and bullying awareness and prevention program to improve peer attitudes toward children who stutter and attitudes toward bullying. Knowledge about potential responses to bullying and students' liking of the program also were examined.
METHOD:
Data were obtained from 608 children who participated in the stuttering education and bullying prevention initiative that used the Teasing and Bullying: Unacceptable Behaviour (TAB; Langevin, 2000) Program. Participants completed the Peer Attitudes Toward Children Who Stutter (PATCS; Langevin, 2009; Langevin & Hagler, 2004; Langevin, Kleitman, Packman, & Onslow, 2009) scale, the Provictim scale (Rigby & Slee, 1991, 1993), and bullying involvement and knowledge questionnaires.
RESULTS:
Statistically and practically significant improvements were found for both questionnaires. Children who did not know someone who stutters had higher change scores on the PATCS than children who knew someone who stutters. In general, children who were uninvolved in bullying had the most positive changes in attitudes and liked the TAB program the most. Victims liked the program significantly more often than children who were perpetrators of bullying or were dually involved in bullying.
CONCLUSION:
Findings suggest that the TAB program may have the potential to effect positive changes in peer attitudes toward children who stutter and toward bullying. Further research using a randomized experimental design is warranted.
Life history interviews with 11 boys diagnosed with attention-deficit/hyperactivity disorder who had sexually offended: a sad storyline.
Tidefors I, Strand J.
Source
Department of Psychology, University of Gothenburg, Gothenburg, Sweden. inga.tidefors@psy.gu.se
Abstract
Little is known of the possible relationship between a diagnosis of attention-deficit/hyperactivity disorder (ADHD) and sexually offensive behavior in adolescents. Our aim was to understand how adolescents with ADHD who had sexually offended described their childhood experiences and spoke about their diagnostic symptoms. The boys' early lives and relations were unpredictable, and emotional, physical, and sexual limits had been crossed. However, many boys saw themselves or their diagnosis, rather than their parents, school, or "society," as the underlying cause of their behavior. They used different strategies, for example repressing memories or regarding traumatic experiences as normal, to manage their lives. Most boys had difficulty with emotions and expressed sadness or frustration through anger. They spoke of being inattentive and restless in school and impulsive before and during their sexual offenses. The psychiatric assessment was described as a "messy" experience that strengthened their belief that something was wrong with them. Some had incorporated neuropsychiatric language into otherwise limited vocabularies and tended to use their diagnostic symptoms to excuse their offenses. The focus in the assessment on the boys themselves and their behaviors may darken their understandings of themselves, their experiences of abuse, and the offenses they have committed. Further research is needed into the possible consequences of a diagnosis of ADHD on adolescents' self-image and sense of self-control.