# Toward integrating clinical and non-clinical associates of suicidality to inform potential intervention points among youth in Nairobi metropolitan, Kenya

## TL;DR

This study explores suicidal thoughts and behaviors among youth in Nairobi, Kenya, identifying potential intervention points for suicide prevention.

## Contribution

The study integrates clinical and non-clinical factors to inform suicide prevention strategies in Nairobi's youth population.

## Key findings

- 19.9% of youth reported suicidal ideas, and 3.6% reported suicidal behavior.
- Few differences were found between urban and peri-urban areas in suicidal ideation and behavior.
- Socio-demographic factors and reported methods/reasons highlight multiple intervention targets.

## Abstract

Suicide is a significant global public health concern, particularly among adolescents, with substantial implications for economies, societies and individuals’ mental well-being. Understanding its patterns and intention and psychosocial determinants in a given context can suggest potential intervention points. This population-based cross-sectional study aimed to document suicidal ideas, behaviors and intensity among youths aged 14 to 25 in the Nairobi metropolitan area and associated socio-economic position, demographic indicators and potential intervention points. A diverse sample of 1,972 participants was recruited from urban and peri-urban settings within the Nairobi metropolitan area. Data analysis included descriptive statistics, chi-square tests and logistic regression. Our findings confirm a high prevalence of suicidal ideas and behavior in the youth (19.9% and 3.6%, respectively), with very few significant differences between the urban and peri-urban areas. The severity of suicidal ideation and behavior reported methods and reasons, and the socio-demographic profile of participants, point to multiple potential intervention targets. These findings ought to be used to design, manage and evaluate suicide prevention programs.