Relative social standing and suicide ideation among Kenyan males

the interpersonal theory of suicide in context

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: The purpose of this study is to investigate the association between subjective social status and suicide ideation in a sample of young Kenyan men (age 18–34 years). Situating insights from the interpersonal theory of suicide within social determinants of health framework, we consider whether lower subjective social status predicts lower collective self-esteem (CSE), hopelessness, less meaning in life and more loneliness, and whether these characteristics mediate associations between subjective social status and suicide ideation. Method: A community-based, semi-rural sample (n = 532) of young men, aged 18–34 years, was collected using a standardized questionnaire. The survey questionnaire included the following validated scale items: the short form of the Social and Emotional Loneliness Scale for Adults, CSE, Herth Hope Index, the Meaning in Life Questionnaire, and the Modified Scale for Suicide Ideation. Regression and mediation analyses were used to test hypotheses. Results: Nearly 12% of respondents reported suicide ideation. Suicide ideation was significantly more common among survey respondents who reported lower subjective social standing. In the first of two mediation models, we found that lower CSE and more loneliness mediate the association between lower subjective social status and suicide ideation. In the second model, we found that respondents with lower CSE and more loneliness expressed lower hope and meaning in life, which also mediated pathways to suicide ideation. Conclusions: Findings show a novel synthesis of social determinants literature with the interpersonal theory of suicide. Suicide ideation, along with other mental and social outcomes, may figure more prominently than previously appreciated in the benefits of socio-economic equality. Those who do not participate equally in socio-economic development may be at greater risk of engaging in suicide ideation and behaviors. Suicide prevention research and programmatic responses should adopt a health equity perspective to ensure that prevention is targeted where people are more likely to engage in suicide ideation.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalSocial Psychiatry and Psychiatric Epidemiology
DOIs
StateAccepted/In press - Aug 18 2017

Fingerprint

Suicide
suicide
Loneliness
Self Concept
self-esteem
social status
Hope
mediation
questionnaire
Social Determinants of Health
determinants
Economic Development
Surveys and Questionnaires
health
economics
equality
equity
Regression Analysis
Economics
regression

Keywords

  • Kenya
  • Self-esteem
  • Subjective social standing
  • Suicide ideation
  • Young men

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

Cite this

@article{d740f580300e41ec8fbb7e42be19fe90,
title = "Relative social standing and suicide ideation among Kenyan males: the interpersonal theory of suicide in context",
abstract = "Purpose: The purpose of this study is to investigate the association between subjective social status and suicide ideation in a sample of young Kenyan men (age 18–34 years). Situating insights from the interpersonal theory of suicide within social determinants of health framework, we consider whether lower subjective social status predicts lower collective self-esteem (CSE), hopelessness, less meaning in life and more loneliness, and whether these characteristics mediate associations between subjective social status and suicide ideation. Method: A community-based, semi-rural sample (n = 532) of young men, aged 18–34 years, was collected using a standardized questionnaire. The survey questionnaire included the following validated scale items: the short form of the Social and Emotional Loneliness Scale for Adults, CSE, Herth Hope Index, the Meaning in Life Questionnaire, and the Modified Scale for Suicide Ideation. Regression and mediation analyses were used to test hypotheses. Results: Nearly 12{\%} of respondents reported suicide ideation. Suicide ideation was significantly more common among survey respondents who reported lower subjective social standing. In the first of two mediation models, we found that lower CSE and more loneliness mediate the association between lower subjective social status and suicide ideation. In the second model, we found that respondents with lower CSE and more loneliness expressed lower hope and meaning in life, which also mediated pathways to suicide ideation. Conclusions: Findings show a novel synthesis of social determinants literature with the interpersonal theory of suicide. Suicide ideation, along with other mental and social outcomes, may figure more prominently than previously appreciated in the benefits of socio-economic equality. Those who do not participate equally in socio-economic development may be at greater risk of engaging in suicide ideation and behaviors. Suicide prevention research and programmatic responses should adopt a health equity perspective to ensure that prevention is targeted where people are more likely to engage in suicide ideation.",
keywords = "Kenya, Self-esteem, Subjective social standing, Suicide ideation, Young men",
author = "Michael Goodman and H. Serag and Philip Keiser and S. Gitari and Benny Raimer",
year = "2017",
month = "8",
day = "18",
doi = "10.1007/s00127-017-1427-4",
language = "English (US)",
pages = "1--10",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "D. Steinkopff-Verlag",

}

TY - JOUR

T1 - Relative social standing and suicide ideation among Kenyan males

T2 - the interpersonal theory of suicide in context

AU - Goodman, Michael

AU - Serag, H.

AU - Keiser, Philip

AU - Gitari, S.

AU - Raimer, Benny

PY - 2017/8/18

Y1 - 2017/8/18

N2 - Purpose: The purpose of this study is to investigate the association between subjective social status and suicide ideation in a sample of young Kenyan men (age 18–34 years). Situating insights from the interpersonal theory of suicide within social determinants of health framework, we consider whether lower subjective social status predicts lower collective self-esteem (CSE), hopelessness, less meaning in life and more loneliness, and whether these characteristics mediate associations between subjective social status and suicide ideation. Method: A community-based, semi-rural sample (n = 532) of young men, aged 18–34 years, was collected using a standardized questionnaire. The survey questionnaire included the following validated scale items: the short form of the Social and Emotional Loneliness Scale for Adults, CSE, Herth Hope Index, the Meaning in Life Questionnaire, and the Modified Scale for Suicide Ideation. Regression and mediation analyses were used to test hypotheses. Results: Nearly 12% of respondents reported suicide ideation. Suicide ideation was significantly more common among survey respondents who reported lower subjective social standing. In the first of two mediation models, we found that lower CSE and more loneliness mediate the association between lower subjective social status and suicide ideation. In the second model, we found that respondents with lower CSE and more loneliness expressed lower hope and meaning in life, which also mediated pathways to suicide ideation. Conclusions: Findings show a novel synthesis of social determinants literature with the interpersonal theory of suicide. Suicide ideation, along with other mental and social outcomes, may figure more prominently than previously appreciated in the benefits of socio-economic equality. Those who do not participate equally in socio-economic development may be at greater risk of engaging in suicide ideation and behaviors. Suicide prevention research and programmatic responses should adopt a health equity perspective to ensure that prevention is targeted where people are more likely to engage in suicide ideation.

AB - Purpose: The purpose of this study is to investigate the association between subjective social status and suicide ideation in a sample of young Kenyan men (age 18–34 years). Situating insights from the interpersonal theory of suicide within social determinants of health framework, we consider whether lower subjective social status predicts lower collective self-esteem (CSE), hopelessness, less meaning in life and more loneliness, and whether these characteristics mediate associations between subjective social status and suicide ideation. Method: A community-based, semi-rural sample (n = 532) of young men, aged 18–34 years, was collected using a standardized questionnaire. The survey questionnaire included the following validated scale items: the short form of the Social and Emotional Loneliness Scale for Adults, CSE, Herth Hope Index, the Meaning in Life Questionnaire, and the Modified Scale for Suicide Ideation. Regression and mediation analyses were used to test hypotheses. Results: Nearly 12% of respondents reported suicide ideation. Suicide ideation was significantly more common among survey respondents who reported lower subjective social standing. In the first of two mediation models, we found that lower CSE and more loneliness mediate the association between lower subjective social status and suicide ideation. In the second model, we found that respondents with lower CSE and more loneliness expressed lower hope and meaning in life, which also mediated pathways to suicide ideation. Conclusions: Findings show a novel synthesis of social determinants literature with the interpersonal theory of suicide. Suicide ideation, along with other mental and social outcomes, may figure more prominently than previously appreciated in the benefits of socio-economic equality. Those who do not participate equally in socio-economic development may be at greater risk of engaging in suicide ideation and behaviors. Suicide prevention research and programmatic responses should adopt a health equity perspective to ensure that prevention is targeted where people are more likely to engage in suicide ideation.

KW - Kenya

KW - Self-esteem

KW - Subjective social standing

KW - Suicide ideation

KW - Young men

UR - http://www.scopus.com/inward/record.url?scp=85027701028&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027701028&partnerID=8YFLogxK

U2 - 10.1007/s00127-017-1427-4

DO - 10.1007/s00127-017-1427-4

M3 - Article

SP - 1

EP - 10

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

ER -