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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

High school suicide in South Africa: teachers’ knowledge, views and training needs

Authors: Hilda N Shilubane, Arjan ER Bos, Robert AC Ruiter, Bart van den Borne, Priscilla S Reddy

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Suicidal ideation and attempted suicide are a huge problem in South Africa, especially in the rural areas. Previous research has emphasized the importance of the ability of school professionals to identify young people who are at risk of committing suicide. The objectives of this study were to assess the knowledge of teachers with regard to identifying the warning signs of suicidal behaviour, assessing the type of information they give to students in the class after a suicide of one of their class mates, and assessing their views and training needs on the prevention of suicidal behaviour in students.

Methods

Five focus group discussions were conducted with 50 high school teachers in Limpopo Province, South Africa. All focus group discussions were audio-taped, transcribed verbatim, and then analysed using an inductive approach.

Results

The results demonstrate that teachers lack knowledge of the warning signs of suicidal behaviour among students. They also report that they do not know how to support students in the event of attempted or completed suicide of another student. The school curriculum is perceived as lacking information on suicide and suicidal behaviour.

Conclusions

Teachers in Limpopo Province need to be trained to identify students at risk, and to respond to situations by referring individuals at risk to appropriate mental health professionals. School-based suicide prevention programmes that are based on theory and evidence should be developed. These programmes should include teacher training to help teachers to identify symptoms of psychosocial problems that might lead to suicide, develop their skills in handling such problems, and help students to cope with their emotions after a suicide incident in the class or at school.
Literature
1.
go back to reference Berlim MT, Perizzolo J, Lejderman F, Fleck MP, Joiner TE. Does a brief training on suicide prevention among general hospital personnel impact their baseline attitudes towards suicidal behaviour? J Affect Disord. 2007;100(1–3):233–9.CrossRefPubMed Berlim MT, Perizzolo J, Lejderman F, Fleck MP, Joiner TE. Does a brief training on suicide prevention among general hospital personnel impact their baseline attitudes towards suicidal behaviour? J Affect Disord. 2007;100(1–3):233–9.CrossRefPubMed
2.
go back to reference Radbo H, Svedung I, Anderson R. Suicide prevention in railway systems: Application of a barrier approach. Saf Sci. 2008;46:729–37.CrossRef Radbo H, Svedung I, Anderson R. Suicide prevention in railway systems: Application of a barrier approach. Saf Sci. 2008;46:729–37.CrossRef
3.
go back to reference Bertolote JM, Fleischmann A. A global perspective on the magnitude of suicide mortality. In: Wasserman D, Wasserman C, editors. Oxford Textbook of Suicidology and Suicide Prevention: a global perspective. Oxford: Oxford University Press; 2009. p. 91–8. Bertolote JM, Fleischmann A. A global perspective on the magnitude of suicide mortality. In: Wasserman D, Wasserman C, editors. Oxford Textbook of Suicidology and Suicide Prevention: a global perspective. Oxford: Oxford University Press; 2009. p. 91–8.
4.
go back to reference Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE. The interpersonal theory of suicide. Psychol Rev. 2011;117:574–600. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE. The interpersonal theory of suicide. Psychol Rev. 2011;117:574–600.
5.
go back to reference International Association for Suicide Prevention (IASP). Suicide prevention across the globe: strengthening protective factors and instilling hope. 2012;1–3. International Association for Suicide Prevention (IASP). Suicide prevention across the globe: strengthening protective factors and instilling hope. 2012;1–3.
6.
go back to reference Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009;374:881–92.CrossRefPubMed Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009;374:881–92.CrossRefPubMed
7.
go back to reference World Health Organization. Public health action for the prevention of suicide: a framework. 2012;1–26. World Health Organization. Public health action for the prevention of suicide: a framework. 2012;1–26.
8.
go back to reference Peltzer K, Kleintjies S, Wyk BV, Thopmson EA, Mashego TB. Correlates of suicide risk among secondary school students in Cape Town. Soc Behav Pers. 2008;36:493–502.CrossRef Peltzer K, Kleintjies S, Wyk BV, Thopmson EA, Mashego TB. Correlates of suicide risk among secondary school students in Cape Town. Soc Behav Pers. 2008;36:493–502.CrossRef
9.
go back to reference Madu SN, Matla MP. Family environmental factors as correlates for adolescent suicidal behaviors in the Limpopo province of South Africa. Soc Behav Pers. 2004;32(4):341–54.CrossRef Madu SN, Matla MP. Family environmental factors as correlates for adolescent suicidal behaviors in the Limpopo province of South Africa. Soc Behav Pers. 2004;32(4):341–54.CrossRef
10.
go back to reference Shilubane HN, Ruiter RAC, Bos AER, van den Borne BHW, James S, Reddy PS. Psychosocial determinants of suicide attempts among black South African adolescents: A qualitative analysis. J Youth Stud. 2012;14(2):177–89.CrossRef Shilubane HN, Ruiter RAC, Bos AER, van den Borne BHW, James S, Reddy PS. Psychosocial determinants of suicide attempts among black South African adolescents: A qualitative analysis. J Youth Stud. 2012;14(2):177–89.CrossRef
11.
go back to reference Shilubane HN, Ruiter RAC, Bos AER, van den Borne B, James S, Reddy PS. Psychosocial correlates of suicide ideation in South African Adolescents. Child Psychiatry Hum Dev. 2014;45(2):153–62.CrossRefPubMed Shilubane HN, Ruiter RAC, Bos AER, van den Borne B, James S, Reddy PS. Psychosocial correlates of suicide ideation in South African Adolescents. Child Psychiatry Hum Dev. 2014;45(2):153–62.CrossRefPubMed
12.
go back to reference Berman AL, Jobes DA, Silverman MM. Adolescent suicide: Assessment and intervention. Washington, DC: American Psychological Association; 2006.CrossRef Berman AL, Jobes DA, Silverman MM. Adolescent suicide: Assessment and intervention. Washington, DC: American Psychological Association; 2006.CrossRef
13.
go back to reference Fisher D. The literacy educator’s role in suicide prevention. J Adolesc Adult Literacy. 2005;48(5):364–73.CrossRef Fisher D. The literacy educator’s role in suicide prevention. J Adolesc Adult Literacy. 2005;48(5):364–73.CrossRef
14.
go back to reference Borges L, Loera CR. Alcohol and drug use in Suicidal behaviour. Curr Opin Psychiatry. 2010;23(3):193–204.CrossRef Borges L, Loera CR. Alcohol and drug use in Suicidal behaviour. Curr Opin Psychiatry. 2010;23(3):193–204.CrossRef
15.
go back to reference Dawes MA, Mathias CW, Richard DM, Hill-Kapturczak N, Dougherty DM. Adolescent Suicidal Behavior and Substance Use: Developmental Mechanisms. Subst Abuse: Res Treat. 2008;2:13–28. Dawes MA, Mathias CW, Richard DM, Hill-Kapturczak N, Dougherty DM. Adolescent Suicidal Behavior and Substance Use: Developmental Mechanisms. Subst Abuse: Res Treat. 2008;2:13–28.
16.
go back to reference Reddy P, Panday S, Swart D, Jinabhai CC, Amosun SL, James S, et al. Umthenthe Umhlaba Usamila: The 2nd South African National Youth Risk Behaviour Survey. South African medical research Council: Cape Town; 2010. Reddy P, Panday S, Swart D, Jinabhai CC, Amosun SL, James S, et al. Umthenthe Umhlaba Usamila: The 2nd South African National Youth Risk Behaviour Survey. South African medical research Council: Cape Town; 2010.
17.
go back to reference Timson D, Priest H, Clark-Carter D. Adolescents who self-harm: Professional staff knowledge, attitudes and training needs. J Adolesc. 2012;35:1307–14.CrossRefPubMed Timson D, Priest H, Clark-Carter D. Adolescents who self-harm: Professional staff knowledge, attitudes and training needs. J Adolesc. 2012;35:1307–14.CrossRefPubMed
18.
go back to reference Flisher AJ, Ward CL, Liang H, Onya H, Mlisa N, Terblanche S, et al. Injury-related behaviour among South African high-school students at six sites. S Afr Med. 2006;96:825–30. Flisher AJ, Ward CL, Liang H, Onya H, Mlisa N, Terblanche S, et al. Injury-related behaviour among South African high-school students at six sites. S Afr Med. 2006;96:825–30.
19.
go back to reference Walter HJ, Gouz K, Lim KG. Teachers’ beliefs about mental health needs in inner city elementary schools. J Am Acad Child Adolesc Psychiatry. 2006;45(1):61–8.CrossRefPubMed Walter HJ, Gouz K, Lim KG. Teachers’ beliefs about mental health needs in inner city elementary schools. J Am Acad Child Adolesc Psychiatry. 2006;45(1):61–8.CrossRefPubMed
20.
go back to reference Crawford S, Caltabiano NJ. The school professionals’ Role in Identification of Youth at Risk of Suicide. Aust J Teach Educ. 2009;34(2):28–39. Crawford S, Caltabiano NJ. The school professionals’ Role in Identification of Youth at Risk of Suicide. Aust J Teach Educ. 2009;34(2):28–39.
21.
go back to reference Schepp KG, Biocco L. Adolescent suicide: views of adolescents, parents and school personnel. Arch Psychiatr Nurs. 1991;2:57–63.CrossRef Schepp KG, Biocco L. Adolescent suicide: views of adolescents, parents and school personnel. Arch Psychiatr Nurs. 1991;2:57–63.CrossRef
22.
go back to reference Wyman PA, Brown CH, Inman J, Cross W, Schmeelk-Cone K, Jing Guo MS, et al. Randomized trial of a gatekeeper program for suicide prevention: 1 year impact on secondary school staff. J Consult Clin Psychol. 2008;76(1):104–15.CrossRefPubMedPubMedCentral Wyman PA, Brown CH, Inman J, Cross W, Schmeelk-Cone K, Jing Guo MS, et al. Randomized trial of a gatekeeper program for suicide prevention: 1 year impact on secondary school staff. J Consult Clin Psychol. 2008;76(1):104–15.CrossRefPubMedPubMedCentral
23.
go back to reference Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: A systematic review. JAMA 2005;294(16):2064–2074. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: A systematic review. JAMA 2005;294(16):2064–2074.
24.
go back to reference Miller DN. Child and Adolescent Suicidal Behaviour: School-Based Prevention, Assessment, and Intervention. New York: The Guilford Press; 2011. Miller DN. Child and Adolescent Suicidal Behaviour: School-Based Prevention, Assessment, and Intervention. New York: The Guilford Press; 2011.
25.
go back to reference Westefeld JS, Jenks Kettmann JD, Lovmo C, Hey C. High School Suicide: Knowledge and opinions of teachers. J Loss Trauma. 2007;12:31–42.CrossRef Westefeld JS, Jenks Kettmann JD, Lovmo C, Hey C. High School Suicide: Knowledge and opinions of teachers. J Loss Trauma. 2007;12:31–42.CrossRef
26.
go back to reference Zhang J, Li N, Tu X, Xiao S, Jia C. Risk factors for rural young suicide in China. 2011. A case-control study. J Affect Disord. 2011;129:244–51.CrossRefPubMed Zhang J, Li N, Tu X, Xiao S, Jia C. Risk factors for rural young suicide in China. 2011. A case-control study. J Affect Disord. 2011;129:244–51.CrossRefPubMed
27.
go back to reference Thanoi W. Adolescent Suicide Risk behaviors Predictive Model: Testing a model of negative life events. Rumination: Emotional distress, Resilience and Social Support. Doctoral Thesis in Nursing, mahidol University, Thailand; 2009. Thanoi W. Adolescent Suicide Risk behaviors Predictive Model: Testing a model of negative life events. Rumination: Emotional distress, Resilience and Social Support. Doctoral Thesis in Nursing, mahidol University, Thailand; 2009.
28.
go back to reference Bae S, Ye R, Chen S, Rivers PA, Singh KP. Risky behaviours and factors associated with suicide attempt in adolescents. Arch Suicide Res. 2005;9(2):193–202.CrossRefPubMed Bae S, Ye R, Chen S, Rivers PA, Singh KP. Risky behaviours and factors associated with suicide attempt in adolescents. Arch Suicide Res. 2005;9(2):193–202.CrossRefPubMed
29.
go back to reference Epstein JA, Spirito A. Gender-specific risk factors for suicidality among high school students. Arch Suicide Res. 2010;14(3):193–205.CrossRefPubMed Epstein JA, Spirito A. Gender-specific risk factors for suicidality among high school students. Arch Suicide Res. 2010;14(3):193–205.CrossRefPubMed
30.
go back to reference Ho T, Leung PW, Hung S, Lee C, Tang C. The mental health of the peers of suicide completers and attempters. JCPP. 2000;41(3):301–8.PubMed Ho T, Leung PW, Hung S, Lee C, Tang C. The mental health of the peers of suicide completers and attempters. JCPP. 2000;41(3):301–8.PubMed
31.
go back to reference Patel V, Flisher AJ, Hatrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007;369:1302–13.CrossRefPubMed Patel V, Flisher AJ, Hatrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007;369:1302–13.CrossRefPubMed
32.
go back to reference Reddy P, Panday S, Swart D, Jinabhai CC, Amosun SL, James S, et al. Umthenthe Umhlaba Usamila: The 1st South African National Youth Risk Behaviour Survey. South African medical research Council: Cape Town; 2003. Reddy P, Panday S, Swart D, Jinabhai CC, Amosun SL, James S, et al. Umthenthe Umhlaba Usamila: The 1st South African National Youth Risk Behaviour Survey. South African medical research Council: Cape Town; 2003.
33.
go back to reference Swahn MH, Bossarte RM. Gender, early alcohol use, and suicide ideation and attempts: findings from the 2005 YRBS. J Adolesc Health. 2007;41(2):175–81.CrossRefPubMed Swahn MH, Bossarte RM. Gender, early alcohol use, and suicide ideation and attempts: findings from the 2005 YRBS. J Adolesc Health. 2007;41(2):175–81.CrossRefPubMed
34.
go back to reference Chen X, Li B. Depressed mood in Chinese children: Development significance for social and school adjustment. Int J Behav Dev. 2000;24(4):472–9.CrossRef Chen X, Li B. Depressed mood in Chinese children: Development significance for social and school adjustment. Int J Behav Dev. 2000;24(4):472–9.CrossRef
35.
go back to reference Shilubane HN, Ruiter RAC, Bos AER, Reddy PS, van den Borne B. High school students’ knowledge and experience with a peer who committed or attempted suicide: a focus group study. BMC Public Health 2014, In Press. Shilubane HN, Ruiter RAC, Bos AER, Reddy PS, van den Borne B. High school students’ knowledge and experience with a peer who committed or attempted suicide: a focus group study. BMC Public Health 2014, In Press.
36.
go back to reference Hoffman WA, Myburgh C, Poggenpoel M. The lived experiences of late-adolescent female suicide survivors: “A part of me died”. Health SA Gesondheid. 2010;15(1):1–9.CrossRef Hoffman WA, Myburgh C, Poggenpoel M. The lived experiences of late-adolescent female suicide survivors: “A part of me died”. Health SA Gesondheid. 2010;15(1):1–9.CrossRef
37.
go back to reference Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernández ME. Planning health promotion programs: an intervention mapping approach. Jossey-Bass, San Francisco: CA; 2011. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernández ME. Planning health promotion programs: an intervention mapping approach. Jossey-Bass, San Francisco: CA; 2011.
Metadata
Title
High school suicide in South Africa: teachers’ knowledge, views and training needs
Authors
Hilda N Shilubane
Arjan ER Bos
Robert AC Ruiter
Bart van den Borne
Priscilla S Reddy
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1599-3

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