Volume 13, Issue 1, 2024
Stigmatisation and Suicidal Ideation among Higher Institution Students in Southwestern (SW) Nigeria
Muyideen Babatunde TAHIR & Ayodeji Olawunmi BADEJO
Abstract
This study examined the relationship between stigmatisation and suicidal ideation among higher institution students in Southwestern Nigeria. It also aimed to understand how perceived stigma impacted mental health offshoots, particularly suicidal thoughts. A correlational research design was used. The population consisted of all matriculated students in higher institutions in Southwestern Nigeria using convenient sampling techniques, such as probabilistic sampling, to select 445 participants within the higher institutions in SW, Nigeria. Data was collected through structured questionnaires that measured levels of stigma, suicidal ideation, and demographic variables on offline and online Google forms. A Cronbach’s alpha reliability coefficient of 0.83 was obtained. Descriptive statistics, Pearson Correlation Product Moment and simple linear regression analysis were used for the research questions and hypotheses. The findings revealed a significant correlation between high levels of stigmatisation and the frequency of suicidal ideation among the students. The recommendations are promoting interventions and anti-stigma campaigns within higher institution settings to mitigate the adverse effects of stigmatisation on student well-being and thinking. Furthermore, the government should enact anti-stigma laws entrenched with political ‘willpower’ to enhance the policies and check progress among undergraduate students.
Keywords
Suicidal Ideation, Stigmatisation, Higher Institution, Students, Southwestern
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References
Adewuya, A. O., & Oladipo, E.O. (2019). Prevalence and association factors for suicidal behaviour (Ideation, planning and attempt) among high school adolescents in Lagos, Nigeria. European Child & Adolescent Psychiatry. 29, 1503-1512.
Ahmad, K., Beatson, A., Campbell, M., Hashmi, R., Keating, B., Mulcahy, A. Riedel, A., & Wang, S. (2023). The impact of gender and age on bullying role, self-harm and suicide: Evidence from a cohort study of Australian children. PLoS ONE 18(1).
Alemu, W. G., Due, C., Muir-Cochrane, E., Mwanri, L., & Ziersch, A. (2023). Internalised stigma among people with mental illness in Africa, pooled effect estimates and subgroup analysis on each domain: systematic review and metaanalysis. BMC psychiatry, 23(1), 480. https://doi.org/10.1186/s12888-02304950-
Badejo, A. O., & Tahir, M. B. (2022). The severity of suicidal ideation among students in Lagos state tertiary institutions. Eko Journal of Educational Research, 10.
Breet, E., Lochner, C., Roos, J., Kessler, R., & Stein, D. (2021).Reducing nonfatal suicidal behaviour among University students: actuarial analysis of potential effects of
treating common mental disorders. Jason Bantjes. 51 (1). https://orcid.org/0000- 0002-3626-9883 jbantjes@sun.ac.za.
Casale, M., Boyes, M., Pantelic, M., & Toska, E. (2018). Suicidal thoughts and behaviour among South African adolescents living with HIV: Can social support buffer the impact of stigma? Journal of Affective Disorders.
Chang, E.C. (2017). Hope and hopelessness as predictors of suicide ideation in Hungarian college students. Death Studies.
Cohen, S. (2022). Suicide prevention. UCLA Health. https://www.uclahealth.org/news/suicide-ratehighest-among-teens-and-young-adults.
Day, J. (2021). Social Exclusion: Definition, Impact, Examples, Future Opportunities. Liberties. https://www.liberties.eu/en/stories/socialexclusion/43579
Eboh, A. (2023). Stigmatisation of mental health illness: Understanding social processes and implications for mental care. 4.
Elegbede, B. C., Mumuni, M. A., & Ogungbemile, O. S. (2019). Counselling strategies for curbing adolescent drug abuse. Journal of Professional Counselling (JPC), 2(2), 199.
Gonzalves, L., Ferrer, E., Robins, R., Guyer, A., & Hastings, P. (2023). Psychosocial predictors of suicidal thoughts and behaviours in Mexican-origin youths: An 8-year prospective cohort study. Clin Psychol Sci., 11(3), 425–443. doi: 10.1177/21677026221102924.
Harmer, B., Lee, S., Duong, T., & Saadabadi, A. (2022). Suicidal Ideation. Statpearls Publishing. https:/pubmed.ncbi.nlm.nih.gov/33351435/.
Harmer, B., Lee, S., Duong, T., & Saadabadi, A. (2023). Suicidal Ideation. Statpearls Publishing. In: StatPearls [Internet].
Hong, H. J. & Shin, S. H. (2021). Suicidal ideation of men with Alcohol use disorder in South Korea: A structural equation modelling analysis. Int J Environ Res Public Health. 18(7), 3353. DOI: 10.3390/ijerph18073353.
Iceson, T., Begerano, O., Levinson, M., Savariego, J., & Margalit, M. (2021). Learning difficulty and loneliness in college and beyond The mediating role of self-efficiency, proactive coping and hope. Int J Environ Res Public Health. Doi: 10.3390/ijerph181910508.
Igbaede, I., Liu, X., Olawade, D., Ling, J., Odetayo, A. & David-Olawade, A. (2023). Prevalence and predictors of bullying among in-school adolescents in Nigeria. J Taibah Univ Med Sci., 18(6): 1329– 1341. Doi: 10.1016/j.jtumed.2023.05.009
Ileyemi, M. (2022). Seven hundred thirty thousand people commit suicide annually. Premium Times. https://www.premiumtimesng.com/health/healt h-news
Ivey-Stephenson, A., Crosby, A., Hoenig, J., Gyawali, S., Park-Lee, S. & Hedden, S. (2022). Suicidal thoughts and behaviours among Adults Aged ≥18 Years - United States, 2015-2019. MMWR Surveill Summ, 71(1), 1-19. doi: 10.15585/mmwr.ss7101a1.
Keller, S., McNeil, W., Honea, J., & Miller, L.P. (2019). A look at culture and stigma of suicide: a textual analysis of community theatre performances. Int. J Environ Res Public Health, 16(3) 352.
Kota, K., Salazar, L., Culberth, R., Crosby, R., & Jones, J. (2020). Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. BMC Public Health, 20, 25.
Kuehner, C. (2017). Why is depression more common among women than among men? Lancet Psychiatry, 4(2), 146-158. doi: 10.1016/S2215-0366(16)30263-2.
Kukoyi, O., Orok, E., Oluwafemi, F., Oni, O., Oluwadare, T., Ojo, T., Bamitale, T., Jaiysimi, B., & Iyamu, D. (2023). Factors influencing suicidal ideation and self-harm among undergraduate students in a Nigerian Private University. Middle East Curr Psychiatry, 30, (1). https://doi.org/10.1186/s43045-022-00274- 1.
Liamputtong, P., & Rice, Z.S. (2021). Stigma, Discrimination, and Social Exclusion. In: Liamputtong, P. (eds) Handbook of Social Inclusion. Springer, Cham. Pg. 1-17.
https://doi.org/10.1007/978-3-030-48277-0_6- 1.
Nathan, N.A., & Nathan, I. N. (2020). Suicide, stigma, and utilising social media platforms to gauge public perceptions. Front Psychiatry.
Nesterko, Y., Haase, E., Schofelder, A., & Glaesmer, H. (2022). Suicidal ideation among recently arrived refugees in Germany. BMC Psychiatry, 22(1), 183. doi:10.1186/s12888-022-03844-z.
Nobile, B., Olie, E., Dubois, J., Guillaume, S., Gorwood, P. & Courtet, P. (2022). Characteristics and treatment outcome of suicidal depression: Two large naturalistic cohorts of depressed outpatients. Aust. N Z J Psychiatry, 56(4), 347-364. doi: 10.1177/00048674211025697. DOI: 10.1177/00048674211025697.
Nyorere, O. I., James, I. O., & Udom, I. E. (2020). Personal-psycho characteristics and attitude towards suicidal behaviour among University students in southeastern states of Nigeria. British Journal of Education. 8(3), 16-26.
Oexle, N., Waldmann, T., Staiger, T., Xu, Z., & Rusch, N. (2018). Mental illness stigma and suicidality: the role of public and individual stigma. Epidemiology and psychiatric sciences, 27(2), 169–175. https://doi.org/10.1017/S2045796016000949
Oladunni, A. A. Sina-OdunsI, A. B., Nuga, B.B., Adebis, Y.A. Bolarinwa, O. A. & Prisno, D. E. (2021). Psychosocial factors of stigma and relationship to healthcare services among adolescent living with HIV/AIDS in Kano State, Nigeria. Heliyon. 7(4). E06687. Doi: 10.1016/j.heliyon.
Olaseni, J.T. (2018). Rumination and academic hardiness as predictors of suicidal ideation among Nigerian adolescents. Abnorm Behav Psychol, 4, 1.
Onu, S., Mabia, C.I., Chinenyenwa, F., & Babatunde, S.I. (2020). Suicidal ideation among undergraduates in Nigeria: the predictive role of personality traits and academic stress. International Journal of Innovative Research & Growth, 9 (2), 17-21.
Owusu-Ansah, F.E., Addae, A. A., Peasah, B. O., Oppong-Asante, K., & Osafo, J. (2020). Suicide among University students: Prevalence, risks and protective factors. Health Psychology and Behavioural Medicine. 8 (1), 220-223.
Pereira, A., Francisco, M., & Cardoso, S. (2019). Stigmatising attitude towardssuicide by gender and age. CES Psicologia, 12(1), 3-16.
Pitman, A. L., Stevenson, F., Osborn, D. P., & King,
M. M. (2018). The stigma associated with bereavement by suicide and other sudden deaths: A qualitative interview study. Soc. Sci Med., 198, 121– 129. doi: 10.1016/j.socscimed.2017.12.035.
Purse, M. (2020). What is suicidal ideation? A look at dangerous Thought Patterns
Quarshie, E. N., Cheataa-Plange, H. V., Annor, F., & Asare-Doku, W. (2019). Prevalence of suicidal behaviour among nursing and midwifery college students in Ghana. Nursing Open.
Raschke, N., Mohsenpour, A., Aschentrup, L., Fischer, F., & Wrona, K. (2022). Socioeconomic factors associated with suicidal behaviours in South Korea: system review on the current state of the evidence. 22(129). BMC Public Health.
Ropaj, E. (2023). Hope and suicidal ideation and behaviour. Curr Opin Psychol. DOI: 10.1016/j.copsyc.101491.
Safai, Y. & West, M. (2022). What is suicidal Ideation? https://www.medicalnewstoday.com/articles/19 3026.
Sheehan, L. (2017). The specificity of public stigma: A comparison of suicide and depression related stigma. Psychiatry Research, 256, 40-56.
Tasfi, J. T., & Mostofa, S. M. (2024). Understanding complex causes of suicidal behaviour among graduates in Bangladesh. BMC Public Health, 24(1), 560. https://doi.org/10.1186/s12889-024-17989-x.
Uchendu, O.J., Ijomone, E. A., & Nwachokor, N. F. (2019). Suicide in Warri, Delta state, Nigeria: An autopsy study. Ann Trop Pathol., 10(1), 16- 19.
Valentine, S.E, & Shipherd, J.C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clin Psychol Rev., 66, 24- 38.
Varthana, T. (2023). How can social stigmas affect students’ academic outcomes? https://varthana.com/school/how-can-socialstigmas-affect-students-academic outcome.
Veale, J., Peter, T., Travers, R., & Saewy, E. (2017). Enacted stigma, mental health and protective factors among transgender youth in Canada. Transcend Health. 2(1), 207-216.
Wang, R., Zheng, S., Ouyang, X., Zhang, S., Ge, M., Yang, M., Sheng, X., Yang, K., Xia, L., & Zhou X. (2023). Suicidality and its association with stigma in clinically stable patients with Schizophrenia in Rural China. Psychol Res Behav Manag., 16,947- 1956 https://doi.org/10.2147/PRBM.S4130
Wang, T., Yao, Z., Liu, Q., Zhao, J., Wang, X., Wong, J. P., Vahabi, M., & Jia, C. (2023b). The mediating effect of stress between extracurricular activities and suicidal ideation in Chinese College students. Int J Environ Res Public Health, 20(4):3105.doi:
10.3390/ijerph20043105.
Westerlund, M., Hokby, S., & Hadlaezky, G. (2020). Suicidal thoughts and behaviours among Swedish suicide-bereaved women: Increased risk associated with the loss of a child, feelings of guilt and shame, and perceived avoidance from family members. Front Psychol. 11.
Wheaton, F. V., Thomas, C. S., Roman, C., & Abdou, C. M. (2018). Discrimination and depressive symptoms among African American men across the adult life course. The Journal of Gerontology. 73, (2), 208-218.
World Health Organisation. (2022). Older adolescent (15 to 19 years) and young adult (20 to 24 years) mortality. https://www.who.int/news-room/factsheets/detail/levels-and-trends-in-olderadolescent-(15-to-19-years)-and-youngadult-(20-to-24-years)-mortality.
World Health Organisation. (2023). Every 40 seconds, someone loses their life to suicide. World Suicide Prevention. World Suicide Prevention Day.
Xie, Y., Yang, Q., & Lei, F. (2023). The relationship of internet gaming addiction and suicidal ideation among adolescents: the mediating role of negative emotion and the moderating role of hope. Int J Environ Res Public Health. 20(4), 3375. doi: 10.3390/ijerph20043375.PMID: 36834070.
Zolezzi, M., Alamri, M., Shaar, S., & Rainkie, D. (2018). The stigma associated with mental illness and its treatment in the Arab culture: A systematic review. Int J. Soc Psychiatry, 64 (6), 597-609