Abstract

BackgroundAdolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors.MethodsIn this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts.ResultsOf the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide.ConclusionsWomen with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.

Highlights

  • IntroductionWe aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors

  • Adolescent pregnancy is a risk factor for suicide

  • Young women with experiences of adolescent pregnancy were investigated for the prevalence of suicide attempts and its association with socio-demographic and pregnancy-related factors, health status, and social support

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Summary

Introduction

We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Adolescent pregnancy, defined as pregnancy between ages 10–19 years, is a major public health problem around the world. It occurs in high, middle, and lowincome countries, with the highest prevalence in lowincome countries (e.g. Bangladesh) [1]. Adolescent pregnancy may compromise the educational and occupational opportunities of the young mother It harms their psychological health, even increases the risk of suicide [5, 6]. Since females are at a higher risk of suicide attempts and pregnancy further increased the risk, it is necessary to explore suicide attempts among young women with adolescent pregnancy. The prevalence of suicide attempts in this special population remains unclear

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