profile pic

Adolescent Psychiatry

Editor-in-Chief

ISSN (Print): 2210-6766
ISSN (Online): 2210-6774

Research Article

Comparative Association of Substance Use, Psychosocial Factors, and Suicidal Ideation in Turkish Youth

Author(s): Parna Prajapati*, Ali Unlu and Andres Pumariega

Volume 14, Issue 1, 2024

Published on: 26 January, 2024

Page: [32 - 41] Pages: 10

DOI: 10.2174/0122106766257273240122105336

Price: $65

Abstract

Objective: The existing literature on the contribution of substance use and psychosocial risk factors in the development of suicidal ideation in the Turkish youth provides limited information. This study aims to compare the relative association of substance use and psychosocial risk factors with suicidal ideation in a sample of high school students in Istanbul.

Methods: High school students were administered a survey of 66 questions in the school setting. The total number of students surveyed was 31,604 by the Istanbul Department of Education, and the primary questions and their sub-questions generated dependent and independent variables that were used in this study. The relationship between substance use, psychosocial factors, and suicidal ideation was explored in this study. Logistic regression was used with independent variables, such as substance use, light users, and heavy users and dependent variable as suicidal ideation. The variation explained by this model was compared to the variation explained by the psychosocial factors (age, gender, school type, immigration status, perceived family affluence, parental education, school grades, self-esteem scale, faith scale, anomie scale, anxiety scale, depression scale, irritability scale, antisocial personality scale, time with peers, time with family, parental involvement, family substance use, and peer influence) while exploring the strength of the associations for each factor.

Results: Psychosocial factors explained 33.8 % variance in the dependent variable, i.e., suicidal ideation, whereas substance use among those participants explained only 2.2 % variance in predicting suicidal ideation. Restricting analyses to heavy drug users found a consistently low explained variance of about 1.5 % of suicidal ideation in this population.

Conclusion: The psychosocial factors are stronger predictors of suicidal ideation as compared to the substance use risk factors in a sample of Turkish youth.

Altuner, D., Engin, N., Gurer, C., Akyay, I., Akgul, A. (2009). Substance use and crime: The results of a survey research. J. Med. Invest., 7(2), 87-94.
Ayvasik, H.B., Sümer, H.C. (2010). Individual differences as predictors of illicit drug use among Turkish college students. J. Psychol., 144(6), 489-505.

[http://dx.doi.org/10.1080/00223980.2010.496671] [PMID: 21053764]
Bearman, P.S., Moody, J. (2004). Suicide and friendships among American adolescents. Am. J. Public Health, 94(1), 89-95.

[http://dx.doi.org/10.2105/AJPH.94.1.89] [PMID: 14713704]
Canbaz, S., Terzi, Ö. (2018). The prevalence of suicidal ideation in adolescents and associated risk factors: An example from Turkey. Adv. Ther., 35(6), 839-846.

[http://dx.doi.org/10.1007/s12325-018-0720-2] [PMID: 29873007]
Dalkilic, (2013). Risk factors for Suicidal ideation among high school students in Istanbul. Adolesc. Psychiatry, 3, 102-113.

[http://dx.doi.org/10.2174/2210676611303010018]
Davidson, L.L.M. (2013). Risk Factors for Youth Suicide.. Taylor & Francis.

[http://dx.doi.org/10.4324/9780203714751]
Dogan, A., Göregenli, M., Karakus, P. (2016). Youth mental health context in Turkey. Crisis, 28, 131-139.
Erol, N., Şimşek, Z., Öner, Ö., Munir, K. (2005). Effects of internal displacement and resettlement on the mental health of Turkish children and adolescents. Eur. Psychiatry, 20(2), 152-157.

[http://dx.doi.org/10.1016/j.eurpsy.2004.09.033] [PMID: 15797700]
Evren, C., Ogel, K., Demirci, A.C., Evren, B., Yavuz, B.G., Bozkurt, M. (2014). Prevalence of lifetime tobacco, alcohol and drug use among 10th grade students in Istanbul. Klinik Psikofarmakol. BBülteni, 24(3), 201-210.

[http://dx.doi.org/10.5455/bcp.20140131023259]
Hibell, B., Guttormsson, U., Ahlström, S., Balakireva, O., Bjarnason, T., Kokkevi, A., Kraus, L. (2012). The 2011 ESPAD Report: Substance use among students in 36 european countries. Stockholm: The swedish council for information on alcohol and other drugs (CAN). Available from: http://www.espad.org/ Uploads/ESPAD_reports/2011/
Johnston, L.D., Miech, R.A., O’Malley, P.M., Bachman, J.G., Schulenberg, J.E., Patrick, M.E. (2019). Monitoring the Future National Survey Results on Drug Use, 1975-2018: Overview, Key Findings on Adolescent Drug Use.. Institute for Social Research.

[http://dx.doi.org/10.3998/2027.42/150621]
Kristjansson, A.L. (2008). Concepts and Measures in the 2006 and 2008 Youth in Europe Survey.. Reykjavik: Icelandic Centre for Social Research and Analysis.
The National Center on Addiction and Substance Abuse at Columbia University. (2011). Available from: http://www.casacolumbia.org/addiction-research/reports/adolescent-substance-use
Hibell, B., Andersson, B., Bjarnason, T., Ahlström, S., Balakireva, O., Kokkevi, A., Morgan, M. (2003). ESPAD report.. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs.
King, C.A., Arango, A., Ewell Foster, C. (2018). Emerging trends in adolescent suicide prevention research. Curr. Opin. Psychol., 22, 89-94.

[http://dx.doi.org/10.1016/j.copsyc.2017.08.037] [PMID: 28961458]
Klonsky, E.D., May, A.M. (2014). Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research. Suicide Life Threat. Behav., 44(1), 1-5.

[http://dx.doi.org/10.1111/sltb.12068] [PMID: 24313594]
Kokkevi, A., Richardson, C., Florescu, S., Kuzman, M., Stergar, E. (2007). Psychosocial correlates of substance use in adolescence: A cross-national study in six European countries. Drug Alcohol Depend., 86(1), 67-74.

[http://dx.doi.org/10.1016/j.drugalcdep.2006.05.018] [PMID: 16837140]
National Research Council. (2009). Committee on the prevention of mental disorders and substance abuse among children, youth, and young adults: Research advances and promising interventions. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities.. Washington: National Academies Press US.
Ogel, K., Tamar, D., Evren, C., Cakmak, D. (2000). Prevalence of substance use among high school students in Istanbul. J. Clin. Psychiatry, 3(4), 242-245.
[PMID: 10830143]
Ögel, K., Çorapçioglu, A., Sir, A., Tamar, M., Tot, S., Dogan, O. (2004). Tobacco, alcohol, and substance use prevalence among elementary and secondary school participants in nine cities of Turkey. Turk. J. Psychiat., 15, 112-118.
Pumariega, A.J., Burakgazi, H., Unlu, A., Prajapati, P., Dalkilic, A. (2014). Substance abuse: Risk factors for Turkish youth. Klinik Psikofarmakol. BBülteni, 24(1), 5-14.

[http://dx.doi.org/10.5455/bcp.20140317061538]
Shafii, M., Steltz-Lenarsky, J., Derrick, A.M., Beckner, C., Whittinghill, J.R. (1988). Comorbidity of mental disorders in the post-mortem diagnosis of completed suicide in children and adolescents. J. Affect. Disord., 15(3), 227-233.

[http://dx.doi.org/10.1016/0165-0327(88)90020-1] [PMID: 2975295]
Simsek, O.G.N., Karatas, N. (2011). Determining the prevalence of suicide attempts and related familial factors among high school students in Nevsehir city center. J. Social Policy Stud., 25(25), 63-71.

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy