Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-06-29T09:47:10.288Z Has data issue: false hasContentIssue false

Suicide ideation, psychological adjustment and mental health service support: A screening study in an Irish secondary school sample

Published online by Cambridge University Press:  13 June 2014

Ciara Brennan
Affiliation:
Sandford Parish National School, Ranelagh, Dublin 6, Ireland
Sinéad McGilloway*
Affiliation:
Mental Health and Social Research Unit, Department of Psychology, NUI Maynooth, Maynooth, Co. Kildare, Ireland
*
*Correspondence E-mail Sinead.McGilloway@nuim.ie

Abstract

Objective: The aim of this exploratory study was to investigate the extent of suicide ideation, psychological maladjustment and views of mental health service support in a sample of secondary school pupils.

Method: A cross-sectional survey was conducted on a purposive sample of participants (n=93) recruited from a secondary school located in the south east of Ireland. Participants completed a Background Information Questionnaire (BIQ); the Suicide Ideation Questionnaire (SIQ); and the Reynolds Adolescence Adjustment Screening Inventory (RAASI).

Results: Approximately ten percent of participants displayed high levels of suicide ideation whilst one third reported having previously had suicidal thoughts; one quarter reported psychological adjustment difficulties, although these varied by age and sex. Participants' drug use and their levels of parental closeness were both individual factors that significantly predicted both suicide ideation and psychological adjustment. Females reported higher levels of parental closeness than males. Forty percent of respondents rated mental health support services as insufficient to meet their needs.

Conclusion: The findings raise serious concerns about the extent of suicidal thoughts amongst young people in Ireland; they also highlight a potentially important role for parents in this regard. Further research should ascertain national prevalence rates whilst appropriate school-based mental health education/promotion and support services should also be implemented.

Type
Original Paper
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.WHO. World Health Organisation, European Ministerial Conference 2005. Mental health: facing the challenges, building solutions (2005).Google Scholar
2.Lynch, F, Mills, C, Daly, I, Fitzpatrick, C. Challenging times: a study to detect Irish adolescents at risk of psychiatric disorders and suicidal ideation. J Adolesc 2004; 27(4): 441451.CrossRefGoogle ScholarPubMed
3.Central Statistics Office. Vital Statistics Fourth Quarter & Yearly Summary 2006. Released 31 July 2007. http://www.cso.ie/newsevents/pr_vitalstatsq4andyear2006.htmGoogle Scholar
4.Barron, S, Balanda, K, Graham, A, Fahy, L. Irish Health Poverty Index (interim release). INIsPHO Data Briefing No.2008:1. Dublin: Institute of Public Health, 2008.Google Scholar
5.Friedman, AC. Prevalence and correlates of suicidal ideation and self-reported attempts in an adolescent community population. Dissertation Abstracts International Section A: Humanities and Social Sciences 1998; 59 (1): 0322.Google Scholar
6.Leo, DD, Cerin, E, Spathonis, K, Burgis, S. Lifetime risk of suicide ideation and attempts in an Australian community: Prevalence, suicidal process,and help-seeking behaviour. J Affective Disorders 2005; 86: 215224.CrossRefGoogle Scholar
7.Gmitrowicz, A, Szymczak, W, Kotlicka-Antczak, M, Rabe-Joblonska, J. Suicidal ideation and suicide attempts in Polish adolescents: Is it a suicidal process? Int J Adolesc and Med Health 2003; 15 (2): 113124.CrossRefGoogle ScholarPubMed
8.Miros, NJ. Depression, anger, and coping skills as predictors of suicidal ideation in young adults: Examination of the diathesis-stress-hopelessness theory. Dissertation Abstracts International: Section B: The Sciences and Engineering 2000; 61(6): 3286.Google Scholar
9.Wong, JPS, Stewart, SM, Ho, SY, Rao, U, Lam, TH. Exposure to suicide and suicidal behaviors among Hong Kong adolescents. Soc Sci & Med 2005; 61: 591599.CrossRefGoogle ScholarPubMed
10.O'Sullivan, M, Fitzgerald, M. Suicidal ideation and acts of self-harm among Dublin school children. J Adolesc 1998; 21: 427433.CrossRefGoogle ScholarPubMed
11.Miotto, P., De Coppi, M., Frezza, M., Petretto, D., Masala, C., & Preti, A.(Suicidal ideation and aggressiveness in school-aged youths. Psychiatry Research 2003, 120, 247255.CrossRefGoogle ScholarPubMed
12.Burke, S, Kerr, R, McKeon, P. Male secondary school students' attitudes towards using mental health services. Ir J Psych Med 2008; 25(2): 5256.CrossRefGoogle ScholarPubMed
13.Reynolds, WM. Reynolds Adolescent Adjustment Screening Inventory. Professional Manual Psychological Assessment Resources. Odessa FL: Psychological Assessment Resources, 2001.Google Scholar
14.Reynolds, WM. Suicide Ideation Questionnaire. Odessa, FL: Psychological Assessment Resources, 1987.Google Scholar
15.World Health Organisation. Global Status on Alcohol – Binge drinking defined. Geneva: World Health Organisation, 2004.Google Scholar
16.Bensley, L S, Van Eenwyk, J, Spieker, S J, Schoder, J. Self-reported abuse history and adolescent problem behaviours I: Antisocial and suicidal behaviours, Journal of Adolescent Health, 1999, 24, 163172.CrossRefGoogle Scholar
17.Sullivan, C, Arensman, E, Keeley, HS, Corcoran, P, Perry, IP. Young People's Mental Health: a report of the Lifestyle and Coping Survey. National Suicide Research Foundation, 2004.Google Scholar
18.Rowley, J, Ganter, K, Fitzpatrick, C. Suicidal thoughts and acts in Irish adolescents. Ir J Psych Med 2001; 18(3): 8286.CrossRefGoogle ScholarPubMed
19.Fergusson, DM, Beaturais, AL, Horwood, LJ. Vulnerability and resiliency to suicidal behaviour in young people. Psych Med 2003; 33: 6173.CrossRefGoogle ScholarPubMed
20.Kracen, A. The Mental Health Initiative: a resource manual for mental health promotion and suicide prevention in third level institutions. A partnership initiative between Trinity College Dublin and the Northern Area Health Board. Supported by the National Suicide Review Group, the Department of Health and Children, and the Department of Education and Science, 2003.Google Scholar
21.Eckert, TL, Miller, DN, Riley-Tillman, TC, DuPaul, GJ. Adolescent suicide prevention: Gender differences in students' perceptions of the acceptability and intrusiveness of school-based screening programs. J School Psychol 2006, 44: 271285.CrossRefGoogle Scholar
22.Jenkins, R, Singh, B. Suicide prevention strategies – an international perspective. Int Rev Psychiatr 2000; 12(1): 714.Google Scholar
23.Connor, JJ, Rueter, MA. Parent-Child Relationships as Systems of Support or Risk for Adolescent Suicidality. J Family Psych 2006; 20(1): 143155.CrossRefGoogle ScholarPubMed
24.Stanley, H. Family characteristics that influence and differentiate adolescent non-single, and multiple suicide attempts. Dissertation Abstracts International: Section B: The Sciences and Engineering 2004; 65(5–B), 2008.Google Scholar
25.Evan, DL, Foa, EB, Gur, RE, Hendin, H, O'Brien, CP, Seligman, MEP, Walsh, BT. Treating and Preventing Adolescent Mental Health Disorders: What we know and what we don't know. London: Oxford University Press, 2005.CrossRefGoogle Scholar
26.Borowsky, IW, Ireland, M, Resnick, MD. Adolescent suicide attempts: Risks and protectors. Pediatrics 2001; 107: 485493.CrossRefGoogle ScholarPubMed
27.Séguin, M, Lynch, J, Labelle, R, Gagnon, A. Personal and family risk factors for adolescent suicidal ideation and attempts. Arch Suicide Res 2004; 8(3): 227238.CrossRefGoogle ScholarPubMed
28.Bridge, JA, Goldstein, TR, Brent, DA. Adolescent suicide and suicidal behaviour. J Child Psych and Psychiatry 2006; 47(3): 372394.CrossRefGoogle Scholar
29.McCrystal, P, Percy, A, Higgins, K. Drug use patterns and behaviours of young people at an increased risk of drug use during adolescence. Int J Drug Policy 2006; 17(5): 393401.CrossRefGoogle Scholar
30.Fombonne, E. Suicidal behaviours in vulnerable adolescents. Time trends and their correlates. Br J Psychiatry 1998; 173: 556–7.CrossRefGoogle ScholarPubMed
31.Cleary, A, Nixon, E, Fitzgerald, M. Psychological health and well-being among young Irish adults. Ir J Psych Med 2007; 24(4): 139144.CrossRefGoogle ScholarPubMed
32.Department of Health and Children. A Vision for Change. Dublin: Department of Health and Children, 2006.Google Scholar
33.McGilloway, S, Donnelly, M, Scott, D. Teenagers in adult psychiatric inpatient care in Northern Ireland. Ir J Psych Med 2000; 17(2): 5458.CrossRefGoogle Scholar
34.O'Shea, E, Gannon, B, Kennelly, B. Eliciting preferences for resource allocation in mental health care in Ireland, Health Policy 2008. doi: 10.1016/j.healthpol.2008.03.018.CrossRefGoogle ScholarPubMed
35.Health Service Executive. Reach Out: National Strategy for Action on Suicide Prevention 2005-2014. Dublin: The Health Service Executive, 2005.Google Scholar
36.Northern Ireland Executive. Building a Better Future – Programme for Government 2008-2011. Belfast: Northern Ireland Executive, 2008.Google Scholar
37.Donnelly, M, McGilloway, S. Mental Disorders. In: Yarnell, J, Ed. Epidemiology and Prevention: A Systems-Based Approach. London: Oxford University Press, 2007.Google Scholar