Marisa Casale1, Mark Boyes2, Marija Pantelic3, Elona Toska4, Lucie Cluver5. 1. Department of Social Policy and Intervention, University of Oxford, UK; School of Public Health, University of the Western Cape, South Africa. Electronic address: maj.casale@icloud.com. 2. Department of Social Policy and Intervention, University of Oxford, UK; School of Psychology, Faculty of Health Sciences, Curtin University, Australia. 3. Department of Social Policy and Intervention, University of Oxford, UK; International HIV/AIDS Alliance, UK. 4. Department of Social Policy and Intervention, University of Oxford, UK; AIDS and Society Research Unit, University of Cape Town, South Africa; Department of Sociology, University of Cape Town, South Africa. 5. Department of Social Policy and Intervention, University of Oxford, UK; Department of Psychiatry and Mental Health, University of Cape Town, South Africa.
Abstract
BACKGROUND: Adolescents living with HIV represent a high-risk population for suicidal ideation and attempts, especially in low-income settings. Yet little is known about risk and protective factors for suicide in this population. METHODS: A moderated mediation model was employed to test for potential (a) effects of stigma on suicidal ideation and attempts, both direct and mediated through depression and (b) direct and stress-buffering effects of social support resources on depression and suicidal ideation and attempts, among 1053 HIV-positive 10-19-year-old adolescents from a resource-scarce health district in South Africa. The survey data was collected using full community sampling of 53 clinics and tracing to over 180 communities. Effects of two support resources were tested: perceived support availability from the adolescents' social network and structured clinic support groups. Stigma was measured using the ALHIV-SS scale, depression through the CDI short form and social support through items from the MOS-SS. RESULTS: Stigma was a risk factor for depression (B = 0.295; p < 001) and for suicidal thoughts and behaviour (B = 0.185; p < .001). Only perceived support availability was directly associated with less depression (B = -0.182, p < .001). However, both perceived support availability and support group participation contributed to the overall stress-buffering effects moderating the direct and indirect relationships between stigma and suicidal thoughts and behaviour. LIMITATIONS: The data used in this study was self-reported and cross-sectional. CONCLUSIONS: Findings suggest that strengthening multiple social support resources for HIV-positive adolescents, through early clinic and community-based interventions, may protect them from experiencing poor mental health and suicidal tendencies.
BACKGROUND: Adolescents living with HIV represent a high-risk population for suicidal ideation and attempts, especially in low-income settings. Yet little is known about risk and protective factors for suicide in this population. METHODS: A moderated mediation model was employed to test for potential (a) effects of stigma on suicidal ideation and attempts, both direct and mediated through depression and (b) direct and stress-buffering effects of social support resources on depression and suicidal ideation and attempts, among 1053 HIV-positive 10-19-year-old adolescents from a resource-scarce health district in South Africa. The survey data was collected using full community sampling of 53 clinics and tracing to over 180 communities. Effects of two support resources were tested: perceived support availability from the adolescents' social network and structured clinic support groups. Stigma was measured using the ALHIV-SS scale, depression through the CDI short form and social support through items from the MOS-SS. RESULTS: Stigma was a risk factor for depression (B = 0.295; p < 001) and for suicidal thoughts and behaviour (B = 0.185; p < .001). Only perceived support availability was directly associated with less depression (B = -0.182, p < .001). However, both perceived support availability and support group participation contributed to the overall stress-buffering effects moderating the direct and indirect relationships between stigma and suicidal thoughts and behaviour. LIMITATIONS: The data used in this study was self-reported and cross-sectional. CONCLUSIONS: Findings suggest that strengthening multiple social support resources for HIV-positive adolescents, through early clinic and community-based interventions, may protect them from experiencing poor mental health and suicidal tendencies.
Authors: Scholastic Ashaba; Christine E Cooper-Vince; Dagmar Vořechovská; Godfrey Zari Rukundo; Samuel Maling; Dickens Akena; Alexander C Tsai Journal: Afr J AIDS Res Date: 2019-07-24 Impact factor: 1.300
Authors: Scholastic Ashaba; Christine Cooper-Vince; Samuel Maling; Emily N Satinsky; Charles Baguma; Dickens Akena; Denis Nansera; Francis Bajunirwe; Alexander C Tsai Journal: J Affect Disord Rep Date: 2021-01-23
Authors: Katherine G Merrill; Jacquelyn C Campbell; Caitlin E Kennedy; Virginia M Burke; Sam Miti; Christiana Frimpong; Michele R Decker; Elizabeth A Abrams; Jonathan K Mwansa; Julie A Denison Journal: Glob Public Health Date: 2021-01-11