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Licensed Unlicensed Requires Authentication Published by De Gruyter June 1, 2019

Suicidal ideation and suicide attempt among Indonesian adolescent students

I Gusti Ngurah Edi Putra ORCID logo EMAIL logo , Putu Ayu Emmy Savitri Karin and Ni Luh Putu Ariastuti ORCID logo


Suicide among young people is growing as a public health threat worldwide. With a paucity of studies on this issue in Indonesia, this study aimed to identify factors associated with suicidal behaviors (suicidal ideation and suicide attempt) among Indonesian adolescents. This was a cross-sectional study using secondary data analysis from the Global School-based Student Health Survey (GSHS) of Indonesia in 2015. The samples were 8634 school-going adolescents aged 13–18 years old. The data analysis consisted of univariate, bivariate and multivariate analysis. The chi-square (χ2) test was employed to identify proportion differences of suicidal behaviors by independent variables whereas multiple logistic regression was used to develop models for factors associated with suicidal ideation and suicide attempt. This study found that 4.75% and 2.46% reported for having suicidal ideation and suicide attempt in the last 12 months, respectively. The effects of intrapersonal factors (sex, age, loneliness, anxiety, current use of tobacco and alcohol) and interpersonal factors (physically attacked, bullying victimization, having no close friends, parental understanding and having sexual intercourse) varied by suicidal behavior and sex. Therefore, developing comprehensive approaches for prevention of mental health problems, including suicidal behaviors in the school setting is essential by asking for a collaboration of schools, parents, public health centers (PHCs), related stakeholders and non-governmental organizations (NGOs).


The authors would like to thank the MoH Indonesia in collaboration with the WHO that conducted the GSHS and made the dataset and report available online. In addition, we would also like to thank students who participated in this study.

  1. Conflict of Interest: The authors declared no potential conflict of interest.

  2. Funding sources: This study did not receive any funding.


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Received: 2019-02-15
Accepted: 2019-04-04
Published Online: 2019-06-01

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