The Global School-based Student Health Survey conducted in Morocco in ... The annual global age-standardized suicide rate per. 100 000 population among ...
Suicidal attempts and the suicidal risk among Moroccan students: A school-based cross-sectional study B. Zarrouq Zarrouq,, I. Rammouz, Rammouz, K. Bendaou, Bendaou, A. Bout, S. Khlafa, Khlafa, N. Berhili, Berhili, H. Hlal, Hlal, B. Lyoussi, Lyoussi, C. Nejjari, Nejjari, K. El Rhazi Sidi Mohammed Ben Abdallah University , Fez, Morocco
1
BACKGROUND (1) Global epidemiology of suicide and suicide attempts
Suicide is the second leading cause of death in 15-29 years old. Over 800 000 people die due to suicide every year. There are indications that for each adult who died of suicide there may have been more than 20 others attempting suicide (Preventing suicide: a global imperative, World Health Organization, 2014). 2
BACKGROUND (2) Epidemiology of suicide and suicide attempts in Morocco In the general population, only one study was performed: prevalence of suicide attempts was 2.1% and prevalence of suicidal ideation was 6.3% (Agoub M. and al., 2006). The Global School-based Student Health Survey conducted in Morocco in December 2010 from a representative sample of students aged 13 to 15 years, showed that 16.7% of students seriously considered suicide and 14.2% have even attempted suicide at least once in the last 12 months (Report of Ministry of Health, 2010). 3
BACKGROUND (3) Epidemiology of suicide and suicide attempts in Morocco
• According to the report of the WHO on suicide: the number of suicide for all ages in 2012 in Morocco was 1628 (198 women vs 1431 men). • The annual global age-standardized suicide rate per 100 000 population among 15-29 years was 5.9 (1.7 among females, vs 10.1 among males) (Preventing suicide: a global imperative, World Health Organization, 2014)
SPECIFIC AIMS To determine the prevalence of suicide attempt and suicidal risk among secondary school students in the north central region of Morocco. To examine the association between selfreported substance use and the suicidal risk among the studied population. 5
METHODS (1) Study type A cross-sectional study was conducted from April 2012 to November 2013. Population study Public secondary school of the North-Center of Morocco (regions of Fez-Boulemane and TazaTaounate- Elhouceima). Sampling Stratified cluster random sampling. The sampling unit was the class. 6
METHODS (2) DATA COLLECTION Anonymous self-administered questionnaire consisting of 3 sections: • A Socio-demographic Section • A Section on the use of tobacco, alcohol and psychoactive substances • A section on suicide risk 7
METHODS (3) Toxicological analyzes • Urine samples of students from secondary schools in the North Centre of Morocco were collected. • Specific qualitative immunochromatographic tests to detect 9 addictive substances (cannabis, benzodiazepines, metamphetamin, tricyclic antidepressants, cocaine, amphetamines, barbiturates, morphine and ecstasy) have been performed.
METHODS (4) Suicidality (M.I.N.I) (
9
RESULTS (1) Table I: Sociodemographic characteristics of the study population (n=1363) Socio-demographic characteristics Age Sex
Location
Socio-economic level
%
17.6 (± 1.6) Male
668
49
Female
695
51
Urban
1176
86.3
Rural
187
13.7
Low
241
17.8
Medium
1055
78
56
4.1
Married
1201
81.3
Divorced
47
3.2
Widowers
74
5
Separated
35
2.4
High Parents' marital status
n
10
RESULTS (2) • A total of 1300 students completed the questionnaire (response rate = 97.7%). • The overall risk of suicide was 36.7% (95%CI: 34% - 39.3%) with significant differences among boys and girls (27.4% versus 45.5%, p
