@article{ref1,
title="Sexual behavior and suicide attempts among adolescents aged 12-15 years from 38 countries: a global perspective",
journal="Psychiatry research",
year="2019",
author="Smith, Lee and Jackson, Sarah E. and Vancampfort, Davy and Jacob, Louis and Firth, Joseph and Grabovac, Igor and McDermott, Daragh and Yang, Lin and López-Sánchez, Guillermo F. and Niederkrotenthaler, Thomas and Veronese, Nicola and Koyanagi, Ai",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The aim was to investigate the relationship between sexual behaviors and suicide attempts by using data from 38 countries from four World Health Organization regions. <br><br>METHODS: Cross-sectional data from 116,820 adolescents aged 12-15 years participating in the Global School-based Student Health Survey 2009-2016 were analyzed. Data on sexual behaviors were collected: (i) ever having had intercourse; among those who reported having had intercourse, (ii) multiple (≥2) lifetime sexual partners and (iii) condom use in last sexual intercourse and past 12-month suicide attempts were self-reported. Associations were analyzed using multivariable logistic regression. <br><br>RESULTS: The prevalence of sexual intercourse and suicide attempts were 13.2% and 9.1%, respectively. A positive association between sexual intercourse and suicide attempts was found in 32 of the 38 countries (pooled OR for whole sample 2.12 [95% CI 1.98-2.27]). Having had multiple sexual partners was associated with increased odds of suicide attempts (pooled OR for whole sample 1.58 [1.27-1.96]). Condom non-use was only associated with suicide attempts among boys in the Americas (OR: 1.75 [1.25-2.45]). <br><br>CONCLUSION: Engaging in sexual intercourse was associated with increased risk of suicide attempt. Moreover, having had multiple sexual partners may also increase the risk of suicide attempts.<br><br>Copyright © 2019. Published by Elsevier B.V.<p /> <p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2019.112564",
url="http://dx.doi.org/10.1016/j.psychres.2019.112564"
}