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Depressed mood, suicidal behaviors, and health risk behaviors among youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey.
BMC Public Health. 2020 Apr 15; 20(1):489.BP

Abstract

BACKGROUND

The current study investigated the prevalence of depressed mood, suicide ideation, suicide plan, and suicide attempt and their associations with health risk behaviors among high school adolescents in the Commonwealth of the Northern Mariana Islands (CNMI).

METHODS

This is a cross-sectional study analyzing self-reported data from the 2017 CNMI Youth Risk Behavior Survey (n = 1943). Modified Poisson regression models were used to identify the associations between 17 health risk behavior variables, including violence-related behaviors, substance use behaviors, sexual behaviors, and early risk-taking behaviors, and four variables related to depressed mood and suicidal behaviors.

RESULTS

40.7% adolescents reported being depressed, 25.0% reported suicide ideation, 22.8% reported formulating a suicide plan, and 13.6% attempted suicide. Female adolescents were more likely to report depressed mood and all included suicidal behaviors (p < 0.001). Being in a physical fight and forced sexual intercourse were associated with depressed mood, suicide ideation, suicide plan, and suicide attempt for both female and male adolescents. Use of "soft drugs" such as current smoking was associated with depressed mood (ARR = 2.33, 95% CI = 1.56-3.45, p < 0.001), suicide ideation (ARR = 1.23, 95% CI = 1.08-1.43, p < 0.001), suicide plan (ARR = 1.19; 95% CI = 1.05-1.35; p < 0.001), and suicide attempt (ARR = 1.18; 95% CI = 1.06-1.30; p < 0.001) for females, whereas use of "hard drugs" such as heroin was associated with depressed mood (ARR = 2.27, 95% CI = 1.37-3.85, p < 0.01), suicide ideation (ARR = 1.30, 95% CI = 1.01-1.67, p < 0.05), suicide plan (ARR = 1.82; 95% CI = 1.22-2.70; p < 0.01), and suicide attempt (ARR = 2.78; 95% CI = 1.47-5.26; p < 0.01) for male adolescents.

CONCLUSION

The prevalence of depressed mood, suicide ideation, suicide plan, and suicide attempt among CNMI adolescents was high, especially in female adolescents. While there were gender differences, many of the health risk behaviors were associated with depressed mood and suicidal behaviors. As sociodemographic factors are difficult to change, modifiable factors should be targeted to improve the mental health of adolescents.

Authors+Show Affiliations

Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. shibanuma@m.u-tokyo.ac.jp.Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32293384

Citation

Sakamoto, Jennifer Lisa, et al. "Depressed Mood, Suicidal Behaviors, and Health Risk Behaviors Among Youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey." BMC Public Health, vol. 20, no. 1, 2020, p. 489.
Sakamoto JL, Shibanuma A, Jimba M. Depressed mood, suicidal behaviors, and health risk behaviors among youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey. BMC Public Health. 2020;20(1):489.
Sakamoto, J. L., Shibanuma, A., & Jimba, M. (2020). Depressed mood, suicidal behaviors, and health risk behaviors among youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey. BMC Public Health, 20(1), 489. https://doi.org/10.1186/s12889-020-08663-z
Sakamoto JL, Shibanuma A, Jimba M. Depressed Mood, Suicidal Behaviors, and Health Risk Behaviors Among Youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey. BMC Public Health. 2020 Apr 15;20(1):489. PubMed PMID: 32293384.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Depressed mood, suicidal behaviors, and health risk behaviors among youths in the Commonwealth of the Northern Mariana Islands: the 2017 CNMI Youth Risk Behavior Survey. AU - Sakamoto,Jennifer Lisa, AU - Shibanuma,Akira, AU - Jimba,Masamine, Y1 - 2020/04/15/ PY - 2019/09/10/received PY - 2020/04/06/accepted PY - 2020/4/16/entrez PY - 2020/4/16/pubmed PY - 2020/9/15/medline KW - Adolescent KW - CNMI KW - Depressed mood KW - Pacific Island KW - Risk behavior KW - Suicidal behavior SP - 489 EP - 489 JF - BMC public health JO - BMC Public Health VL - 20 IS - 1 N2 - BACKGROUND: The current study investigated the prevalence of depressed mood, suicide ideation, suicide plan, and suicide attempt and their associations with health risk behaviors among high school adolescents in the Commonwealth of the Northern Mariana Islands (CNMI). METHODS: This is a cross-sectional study analyzing self-reported data from the 2017 CNMI Youth Risk Behavior Survey (n = 1943). Modified Poisson regression models were used to identify the associations between 17 health risk behavior variables, including violence-related behaviors, substance use behaviors, sexual behaviors, and early risk-taking behaviors, and four variables related to depressed mood and suicidal behaviors. RESULTS: 40.7% adolescents reported being depressed, 25.0% reported suicide ideation, 22.8% reported formulating a suicide plan, and 13.6% attempted suicide. Female adolescents were more likely to report depressed mood and all included suicidal behaviors (p < 0.001). Being in a physical fight and forced sexual intercourse were associated with depressed mood, suicide ideation, suicide plan, and suicide attempt for both female and male adolescents. Use of "soft drugs" such as current smoking was associated with depressed mood (ARR = 2.33, 95% CI = 1.56-3.45, p < 0.001), suicide ideation (ARR = 1.23, 95% CI = 1.08-1.43, p < 0.001), suicide plan (ARR = 1.19; 95% CI = 1.05-1.35; p < 0.001), and suicide attempt (ARR = 1.18; 95% CI = 1.06-1.30; p < 0.001) for females, whereas use of "hard drugs" such as heroin was associated with depressed mood (ARR = 2.27, 95% CI = 1.37-3.85, p < 0.01), suicide ideation (ARR = 1.30, 95% CI = 1.01-1.67, p < 0.05), suicide plan (ARR = 1.82; 95% CI = 1.22-2.70; p < 0.01), and suicide attempt (ARR = 2.78; 95% CI = 1.47-5.26; p < 0.01) for male adolescents. CONCLUSION: The prevalence of depressed mood, suicide ideation, suicide plan, and suicide attempt among CNMI adolescents was high, especially in female adolescents. While there were gender differences, many of the health risk behaviors were associated with depressed mood and suicidal behaviors. As sociodemographic factors are difficult to change, modifiable factors should be targeted to improve the mental health of adolescents. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/32293384/Depressed_mood_suicidal_behaviors_and_health_risk_behaviors_among_youths_in_the_Commonwealth_of_the_Northern_Mariana_Islands:_the_2017_CNMI_Youth_Risk_Behavior_Survey_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08663-z DB - PRIME DP - Unbound Medicine ER -