@article{ref1,
title="Community-based participatory research: suicide prevention for youth at highest risk in Guyana",
journal="Suicide and life-threatening behavior",
year="2021",
author="Denton, Ellen-Ge D.",
volume="51",
number="2",
pages="189-196",
abstract="Studied mostly in developed countries, the increased prevalence of suicide among youth, worldwide, is a preventable public health concern. Guyana, a developing country in South America, has the highest rate of youth death by suicide. Based on the diathesis-stress model, this community-based study aimed to identify both psychiatric and biological factors associated with repeated suicide attempts among high-risk youth. <br><br>OBJECTIVE: We measured psychiatric symptoms, childhood traumas, and cortisol to identify correlates with recurrent suicide attempts. <br><br>METHOD: Poisson regression tested the association between psychiatric symptoms, trauma, and cortisol levels on number of suicide attempts among 50 youths from three child welfare orphanages in Guyana. Sixty-six percent were female, and the average age was 14 years. DSM-5 symptom measure was administered and saliva samples collected. <br><br>RESULTS: Fifty percent of the youth endorsed suicide attempt. Within this subsample, a minimum of one and maximum of five suicide attempts were self-reported. Participants' number of suicide attempts was positively associated with number of past traumas, psychosis, and depression symptoms. <br><br>CONCLUSION: Suicide prevention screening among at-risk youth should target severity of psychosis and depression reports and number of traumatic life experiences.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12693",
url="http://dx.doi.org/10.1111/sltb.12693"
}