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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Volume 29, Issue 2


Prevalence and correlates of suicidal ideation and attempts among children and adolescents

Hugues Sampasa-Kanyinga / Lorette C. Dupuis / Robin Ray
Published Online: 2015-11-10 | DOI: https://doi.org/10.1515/ijamh-2015-0053


Suicide is a potentially preventable public health issue. It is therefore important to examine its immediate precursors, including suicidal ideation and attempts, to help in the development of future public health interventions. The present study reports the prevalence of suicidal ideation and attempts in the past 12 months in children and adolescents and identifies correlates of such behaviors in a large and diverse sample of middle and high school students. Data were drawn from a representative sample of Ottawa students (n=1922) aged 11–20 years (14.4±1.9 years) from three cycles (2009, 2011 and 2013) of the Ontario Student Drug Use and Health Survey (OSDUHS), a cross-sectional school-based appraisal of students in grades 7–12 across Ontario, Canada. Overall, 10.8% of students exhibited suicidal ideation and 3.0% reported suicide attempts in the past 12 months. The conditional probability of making an attempt was 25.5% among suicide ideators. Multivariable analyses indicated that being a girl and using alcohol and cannabis were positively associated with suicidal ideation, while tobacco was positively associated with suicide attempts. Being a victim of school bullying was significantly associated with reports of suicidal ideation and attempts, whereas school connectedness had protective effects against both suicidal ideation and attempts. These results indicate that suicidal ideation and attempts are related to other risky behaviors. Suicide-prevention efforts should be integrated within broader health-promoting initiatives.

Keywords: adolescents; bullying; school climate; suicidal ideation; suicide attempt


  • 1.

    Pan SY, Desmeules M, Morrison H, Semenciw R, Ugnat AM, et al. Adolescent injury deaths and hospitalization in Canada: magnitude and temporal trends (1979–2003). J Adolescent Health 2007;41:84–92.CrossrefGoogle Scholar

  • 2.

    Skinner R, McFaull S. Suicide among children and adolescents in Canada: trends and sex differences, 1980–2008. Can Med Assoc J 2012;184:1029–34.CrossrefGoogle Scholar

  • 3.

    Boak A, Hamilton HA, Adlaf EM, Beitchman JH, Wolfe D, et al. The mental health and well-being of Ontario students, 1991–2013. Detailed OSDUHS findings (CAMH Research Document Series No 38) Toronto, ON, 2014.Google Scholar

  • 4.

    Ottawa Public Health. State of Ottawa’s Health, 2014. Ottawa (ON): Ottawa Public Health, 2014.Google Scholar

  • 5.

    Glenn CR, Nock MK. Improving the short-term prediction of suicidal behavior. Am J Prev Med 2014;47(3 Suppl 2):S176–80.CrossrefPubMedGoogle Scholar

  • 6.

    Esposito-Smythers C, Spirito A. Adolescent substance use and suicidal behavior: a review with implications for treatment research. Alcohol Clin Exp Res 2004;28(5 Suppl):77S-88S.CrossrefGoogle Scholar

  • 7.

    Wu P, Hoven CW, Liu X, Cohen P, Fuller CJ, et al. Substance use, suicidal ideation and attempts in children and adolescents. Suicide Life Threat Behav 2004;34:408–20.PubMedCrossrefGoogle Scholar

  • 8.

    Dawes MA, Mathias CW, Richard DM, Hill-Kapturczak N, Dougherty DM. Adolescent Suicidal Behavior and Substance Use: Developmental Mechanisms. Subst Abuse 2008;2:13–28.PubMedGoogle Scholar

  • 9.

    Messias E, Castro J, Saini A, Usman M, Peeples D. Sadness, suicide, and their association with video game and internet overuse among teens: results from the youth risk behavior survey 2007 and 2009. Suicide Life Threat Behav 2011;41: 307–15.PubMedCrossrefGoogle Scholar

  • 10.

    Rehbein F, Kleimann M, Mossle T. Prevalence and risk factors of video game dependency in adolescence: results of a German nationwide survey. Cyberpsychol Behav soc Netw 2010;13:269–77.CrossrefPubMedGoogle Scholar

  • 11.

    Juan W, Xiao-Juan D, Jia-Ji W, Xin-Wang W, Liang X. The associations between health risk behaviors and suicidal ideation and attempts in an urban Chinese sample of adolescents. J Affect Disorders 2010;126:180–7.CrossrefGoogle Scholar

  • 12.

    Sampasa-Kanyinga H, Lewis RF. Frequent use of social networking sites is associated with poor psychological functioning among children and adolescents. Cyberpsychol Behav Soc Netw 2015;18:380–5.CrossrefPubMedGoogle Scholar

  • 13.

    Fuller-Thomson E, Hamelin GP, Granger SJ. Suicidal ideation in a population-based sample of adolescents: implications for family medicine practice. ISRN Family Med 2013;2013:282378.Google Scholar

  • 14.

    Taylor AH. Physical activity and depression in obesity. In: Bouchard C, Katzmarzyk PT, editors. Physical activity and obesity. Champaign, IL: Human Kinetics, 2010:295–8.Google Scholar

  • 15.

    Messias E, Kindrick K, Castro J. School bullying, cyberbullying, or both: correlates of teen suicidality in the 2011 CDC Youth Risk Behavior Survey. Compr Psychiatry 2014;55:1063–8.CrossrefPubMedGoogle Scholar

  • 16.

    Sampasa-Kanyinga H, Roumeliotis P, Xu H. Associations between cyberbullying and school bullying victimization and suicidal ideation, plans and attempts among Canadian schoolchildren. PloS one 2014;9:e102145.PubMedCrossrefGoogle Scholar

  • 17.

    Schneider SK, O’Donnell L, Stueve A, Coulter RW. Cyberbullying, school bullying, and psychological distress: a regional census of high school students. Am J Public Health 2012;102:171–7.CrossrefPubMedGoogle Scholar

  • 18.

    UNICEF Office of Research. Child Well-being in Rich Countries: A comparative overview. Innocenti Report Card 11, 2013. UNICEF Office of Research, Florence.Google Scholar

  • 19.

    Ottawa Public Health. Ottawa Student Drug Use and Health Report, 2014. Ottawa (ON): Ottawa Public Health. Available at: http://ottawa.ca/healthreports (Accessed June 25, 2015).

  • 20.

    Joffe RT, Offord DR, Boyle MH. Ontario Child Health Study: suicidal behavior in youth age 12–16 years. Am J Psychiat 1988;145:1420–3.CrossrefGoogle Scholar

  • 21.

    Garrison CZ, McKeown RE, Valois RF, Vincent ML. Aggression, substance use, and suicidal behaviors in high school students. Am J Public Health 1993;83:179–84.CrossrefPubMedGoogle Scholar

  • 22.

    Lewinsohn PM, Rohde P, Seeley JR. Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clin Psychol: Sci Pr 1996;3:25–46.Google Scholar

  • 23.

    Beautrais AL. Gender issues in youth suicidal behaviour. Emerg Med (Fremantle) 2002;14:35–42.PubMedCrossrefGoogle Scholar

  • 24.

    Waldrop AE, Hanson RF, Resnick HS, Kilpatrick DG, Naugle AE, et al. Risk factors for suicidal behavior among a national sample of adolescents: implications for prevention. J Trauma Stress 2007;20:869–79.CrossrefPubMedGoogle Scholar

  • 25.

    Bagley C, Bolitho F, Bertrand L. Mental health profiles, suicidal behavior, and community sexual assault in 2112 Canadian adolescents. Crisis 1995;16:126–31.PubMedCrossrefGoogle Scholar

  • 26.

    Kirchner T, Ferrer L, Forns M, Zanini D. Self-harm behavior and suicidal ideation among high school students. Gender differences and relationship with coping strategies. Actas Esp Psiquiatr 2011;39:226–35.PubMedGoogle Scholar

  • 27.

    Kwok SY, Shek DT. Socio-demographic correlates of suicidal ideation among Chinese adolescents in Hong Kong. Int J Adolesc Med Health 2008;20:463–72.Google Scholar

  • 28.

    Gong Y, Zhang L, Wang Z, Liang Y. Pathway analysis of risk factors for severe suicidal ideation: a survey in rural China. Can J Public Health 2011;102:472–5.PubMedGoogle Scholar

  • 29.

    Resnick MD, Bearman PS, Blum RW, Bauman KE, Harris KM, et al. Protecting adolescents from harm. Findings from the national longitudinal study on adolescent health. J Am Med Assoc 1997;278:823–32.CrossrefGoogle Scholar

  • 30.

    Whitlock J, Wyman PA, Moore SR. Connectedness and suicide prevention in adolescents: pathways and implications. Suicide Life Threat Behav 2014;44:246–72.CrossrefPubMedGoogle Scholar

  • 31.

    Logan JE. Prevention factors for suicide ideation among abused pre/early adolescent youths. Inj Prev 2009;15:278–80.PubMedCrossrefGoogle Scholar

  • 32.

    Langille D, Rasic D, Kisely S, Flowerdew G, Cobbett S. Protective associations of school connectedness with risk of depression in Nova Scotia adolescents. Can J Psychiat [Revue canadienne de psychiatrie] 2012;57:759–64.Google Scholar

  • 33.

    Shochet IM, Dadds MR, Ham D, Montague R. School connectedness is an underemphasized parameter in adolescent mental health: results of a community prediction study. J Clin Child Adolesc Psychol 2006;35:170–9.CrossrefPubMedGoogle Scholar

  • 34.

    Wingspread Declaration on School Connections. Wingspread Declaration on School Connections. J School Health 2004;74:2.Google Scholar

  • 35.

    Durklheim E. Le suicide. Paris: F Alcan, 1987.Google Scholar

  • 36.

    Joiner T. Why people die by suicide. Cambridge, MA: Harvard University Press, 2005.Google Scholar

  • 37.

    Borowsky IW, Ireland M, Resnick MD. Adolescent suicide attempts: risks and protectors. Pediatrics 2001;107:485–93.PubMedCrossrefGoogle Scholar

  • 38.

    Langille DB, Asbridge M, Cragg A, Rasic D. Associations of school connectedness with adolescent suicidality: gender differences and the role of risk of depression. Can J Psychiat [Revue canadienne de psychiatrie] 2015;60:258–67.Google Scholar

  • 39.

    Boak A, Hamilton HA, Adlaf EM, Mann RE. Drug use among Ontario students: 1977–2013. Detailed OSDUHS findings (CAMH Research Document Series No. 36). Toronto, ON, 2013.Google Scholar

  • 40.

    May A, Klonsky ED. Validity of suicidality items from the Youth Risk Behavior Survey in a high school sample. Assessment 2011;18:379–81.CrossrefGoogle Scholar

  • 41.

    Faulkner GE, Adlaf EM, Irving HM, Allison KR, Dwyer J. School disconnectedness: identifying adolescents at risk in Ontario. Canada J Sch Health 2009;79:312–8.CrossrefGoogle Scholar

  • 42.

    Bonny AE, Britto MT, Klostermann BK, Hornung RW, Slap GB. School disconnectedness: identifying adolescents at risk. Pediatrics 2000;106:1017–21.CrossrefPubMedGoogle Scholar

  • 43.

    Tremblay MS, Leblanc AG, Janssen I, Kho ME, Hicks A, et al. Canadian sedentary behaviour guidelines for children and youth. Appl Physiol Nutr Metab 2011;36:59–64; 5–71.CrossrefGoogle Scholar

  • 44.

    Hirsch JK. A review of the literature on rural suicide: risk and protective factors, incidence, and prevention. Crisis 2006;27:189–99.CrossrefPubMedGoogle Scholar

  • 45.

    Fergusson DM, Horwood LJ. Male and female offending trajectories. Dev Psychopathol 2002;14:159–77.CrossrefPubMedGoogle Scholar

  • 46.

    Holt MK, Vivolo-Kantor AM, Polanin JR, Holland KM, DeGue S, et al. Bullying and suicidal ideation and behaviors: a meta-analysis. Pediatrics 2015;135:e496–509.CrossrefPubMedGoogle Scholar

  • 47.

    Kim YS, Leventhal B. Bullying and suicide. A review. Int J Adolesc Med Health 2008;20:133–54.PubMedGoogle Scholar

  • 48.

    Bond L, Butler H, Thomas L, Carlin J, Glover S, et al. Social and school connectedness in early secondary school as predictors of late teenage substance use, mental health, and academic outcomes. J Adolescent Health 2007;40:357 e9–18.Google Scholar

  • 49.

    Dornbusch S, Erickson K, Laird J, Wong C. The relation of family and school attachment to adolescent deviance in diverse groups and communities. J Adolescent Res 2001;16:396–422.CrossrefGoogle Scholar

  • 50.

    Resnick MD, Harris LJ, Blum RW. The impact of caring and connectedness on adolescent health and well-being. J Paediatr Child Health 1993;29(Suppl 1):S3–9.CrossrefPubMedGoogle Scholar

  • 51.

    Shochet IM, Smyth T, Homel R. The impact of parental attachment on adolescent perception of the school environment and school connectedness. Aust NZ J Fam Ther 2007;28:109–18.CrossrefGoogle Scholar

  • 52.

    Kaminski JW, Puddy RW, Hall DM, Cashman SY, Crosby AE, et al. The relative influence of different domains of social connectedness on self-directed violence in adolescence. J Youth Adolesc 2010;39:460–73.CrossrefPubMedGoogle Scholar

  • 53.

    Centers for Disease Control and Prevention. Promoting individual, family, and community connectedness to prevent suicidal behavior. Atlanta, GA: Cent Dis Control Prev, 2008.Google Scholar

  • 54.

    Carson V, Pickett W, Janssen I. Screen time and risk behaviors in 10- to 16-year-old Canadian youth. Prev Med 2011;52:99–103.CrossrefPubMedGoogle Scholar

  • 55.

    Vijayakumar L, Kumar MS, Vijayakumar V. Substance use and suicide. Curr Opin Psychiatry 2011;24:197–202.CrossrefPubMedGoogle Scholar

  • 56.

    Bagge CL, Lee HJ, Schumacher JA, Gratz KL, Krull JL, et al. Alcohol as an acute risk factor for recent suicide attempts: a case-crossover analysis. J Stud Alcohol Drugs 2013;74:552–8.PubMedCrossrefGoogle Scholar

  • 57.

    Repko M, van den Brink W, Huyser J. Can depressed patients stop smoking? A review. Tijdschr Psychiatr 2007;49:753–62.PubMedGoogle Scholar

  • 58.

    Ribeiro EB, Bettiker RL, Bogdanov M, Wurtman RJ. Effects of systemic nicotine on serotonin release in rat brain. Brain Res 1993;621:311–8.CrossrefPubMedGoogle Scholar

  • 59.

    Goodman E, Capitman J. Depressive symptoms and cigarette smoking among teens. Pediatrics 2000;106:748–55.PubMedCrossrefGoogle Scholar

  • 60.

    Kenny PJ, File SE, Rattray M. Nicotine regulates 5-HT(1A) receptor gene expression in the cerebral cortex and dorsal hippocampus. Eur J Neurosci 2001;13:1267–71.CrossrefPubMedGoogle Scholar

About the article

Corresponding author: Hugues Sampasa-Kanyinga, Ottawa Public Health, 100 Constellation Crescent, Ottawa, Ontario, K2G 6J8 Canada, Phone: +613-580-6744, Fax: +613-580-9601, E-mail: hugues.sampasa@ottawa.ca

Received: 2015-06-03

Accepted: 2015-09-16

Published Online: 2015-11-10

Published in Print: 2017-04-01

Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150053, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0053.

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