Suicide in Nigeria: Observations from the Content Analysis of Newspapers
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Open access Original research Gen Psych: first published as 10.1136/gpsych-2020-100347 on 13 January 2021. Downloaded from Suicide in Nigeria: observations from the content analysis of newspapers Tosin Philip Oyetunji ,1 S M Yasir Arafat ,2 Stephen Oluwaseyi Famori,3 Timilehin Blessing Akinboyewa,4 Michael Afolami,5 Moyo Faith Ajayi,4 Sujita Kumar Kar 6 To cite: Oyetunji TP, Arafat SMY, ABSTRACT under- documented due to the non- existence Famori SO, et al. Suicide Background Suicide is a global public health problem of a vital statistics system6–8 and the sensitive in Nigeria: observations and Nigeria is one of the epicentres of suicide in the nature of the subject.9 The dearth of data is from the content analysis of world. However, there is a dearth of research exploring the newspapers. General Psychiatry also shrouded in stigma, and cultural and epidemiological aspects of suicide in Nigeria. 2021;34:e100347. doi:10.1136/ religious sentiments associated with suicide To examine the demographic information and gpsych-2020-100347 Aim in Nigeria. Deaths by suicide are perceived as precipitating events for suicides in Nigeria by analysing the sinful, a taboo and caused by evil forces, so the Received 25 July 2020 contents of newspaper reports of suicide. Revised 23 September 2020 family are often times stigmatised and denied Methods We searched, collected, and analysed published 10 Accepted 01 December 2020 news reports about suicide from 10 English newspapers social opportunities. People prefer to hide in Nigeria. A total of 350 suicide reports were assessed the mode of death, declaring suicides as acci- 10 11 between January 2010 and December 2019 after dental deaths or as homicides. Many of screening and sorting. the reported cases rely on police and hospital Results The mean (SD) age of the reported cases was records, neither of which are comprehen- 36.33 (15.48) years. Majority of the reported cases were sive and might have been influenced by the male (80.6%), married (51.8%), students (33.6%), living in bereaved.7 10 Suicide is still a crime in Nigeria a semi- urban area (40.3%) and among the age group of according to section 327 of the country’s 25–34 (25.3%). Hanging (48.6%) and poisoning (32.2%) Criminal Code. were the most commonly reported methods of suicide. Financial constraints and marital conflicts were most Research evidence on suicidal behaviour in commonly assumed precipitating factors. Nigeria document the use of chemicals, self- Conclusion This study suggests that being male, married, cutting, burning with kerosene, hanging and 12–14 http://gpsych.bmj.com/ or living in semi- urban areas are associated with suicide in firearms as methods of suicide. Several Nigeria. Further community- based studies are warranted other methods arose as persons who engage © Author(s) (or their employer(s)) 2021. Re- use to generalise the findings and adopt appropriate preventive in suicide are sometimes ambivalent and permitted under CC BY- NC. No strategies. some are impulsive responses to psycholog- commercial re- use. See rights ical stressors.6 Factors attributed to suicide and permissions. Published by are personal risk factors including financial BMJ. INTRODUCTION 1 constraints, family history of suicide, loss of Department of Human Nutrition, Suicide is a global phenomenon having a deep loved ones, mental illness, physical illness, on September 24, 2021 by guest. Protected copyright. Faculty of Public Health, College 15–17 of Medicine, University of consequence not just to the dying person but substance abuse and so on. Ibadan, Ibadan, Oyo, Nigeria also towards the bereaved, the community In Nigeria, the suicide phenomenon 1 2Department of Psychiatry, and society. Despite being preventable, close remains under- explored, and there has been Enam Medical College and to a million people die by suicide while the insufficient attention to the content anal- Hospital, Savar, Bangladesh 3 low and middle-income countries account for ysis of Nigerian news portals on the demog- Department of Geology, 2 University of Ibadan, Ibadan, approximately 80% of the global suicides. raphy, methods and risk factors for suicide Oyo, Nigeria Nigeria with a population of over 200 million in Nigeria. This study aimed at assessing the 4Department of Psychology, is one of the epicentres of suicide in the world demography, methods and risk factors for Adekunle Ajasin University, with a suicide estimate of 17.3 per 100 000, suicide in Nigeria by analysing the content of Akungba- Akoko, Ondo, Nigeria which is higher than the global (10.5 per 5Department of International news portal reports of suicide. 100 000) and Africa (12.0 per 100 000) esti- Relations, Obafemi Awolowo 3 University, Ile- Ife, Osun, Nigeria mates. According to global statistics, since 6Department of Psychiatry, King 2012 there has been an increase in suicide METHODS George's Medical University, in the country.4 Moreover, Nigeria, currently, This retrospective cross-sectional study uses Lucknow, U.P, India has been reporting the highest number of data from 10 selected indigenous online 5 Correspondence to depression cases in Africa. media platforms in Nigeria. For selection, a Tosin Philip Oyetunji; Like in many developing countries, suicide list of 10 online news portals was generated tosinoyetunji123@ gmail. com in Nigeria is grossly under- reported and and reviewed independently for content Oyetunji TP, et al. General Psychiatry 2021;34:e100347. doi:10.1136/gpsych-2020-100347 1 General Psychiatry Gen Psych: first published as 10.1136/gpsych-2020-100347 on 13 January 2021. Downloaded from Statistical analysis Analyses were done using Microsoft Excel 2019 version and SPSS V.22 for data coding and entry. Descriptive statistics, such as mean, SD and frequency, was performed. Inferential statistics was done using χ2 and ANOVA for association across gender and suicide methods. For ordinal data, Kruskal- Wallis test was used to demonstrate difference in ranked variables. Level of significance was set at p value <0.05. RESULTS A total of 350 suicide reports were identified between January 2010 and December 2019 after screening and sorting from the 10 online newspapers (figure 1). The mean (SD) age of the reported cases was 36.33 (15.48) Figure 1 Flowchart showing study sample selection. and mostly among the age group of 25–34 (25.3%). Most of the reported cases were male (80.6%), married (51.8%) and living within a semi- urban area (40.3%). reliability. Criteria for selection include coverage and Most of the suicide reports were found among those in awards, and each of the platforms has over a million the middle- income category (51.1%) and highest among coverage estimates. Due to the absence of full non- English students (33.6%). Nigeria is divided into six regions with news portals in Nigeria, during the review, consideration the North West having the largest population. According was given to portals with a separate section for indige- to the extracted completed suicide reports, the highest nous language news and those with translation. Online media report rate was 0.27 per 100 000 population in the portals selected include The Daily Post, The Daily Trust, South West region followed by North Central (0.22 per The Guardian, The Vanguard, The Punch, The Nigeria 100 000), South East (0.21 per 100 000), South- South Tribune, The Premium Times, The Nation, The Chan- (0.19 per 100 000), North West (0.07 per 100 000) and nels news and The New Naija (LegitNg). North East (0.04 per 100 000) (table 1). All suicide reports were screened from the platforms According to newspaper reports, more men than between January 2010 and December 2019 using ‘suicide, women died by suicide between 2010 and 2019 whereas self- by age younger women commit suicide more than men harm, hanging, sniper, jumping in front of train/ http://gpsych.bmj.com/ car, fall from height, gun fire, and drowning’ as search did (t=4.130, p<0.001). In occupation, suicides were terms by the research team. Google was also used to reported to be higher among students compared with other professions ( 2=18.188, p=0.006). According to compliment the platform search for exhaustive inclusion. χ the ten online newspaper reviews, unknown risk factors, The suicide news was reviewed to summarise sociodemo- financial constraints and marital conflicts were the graphic profile (date, age, gender, marital status, habitat) most assumed risk factors. Gender showed a significant and suicide behaviour (methods, risk factors and types). difference with assumed risk factors for the suicides All data were reviewed from the publicly available (χ2=18.188, p=0.006), among which suicide due to finan- reports, so the study involves no human contact or on September 24, 2021 by guest. Protected copyright. cial constraints and psychiatric illness were the most engagement. The data were recorded and entered into commonly reported reasons among men in the reports. an Excel sheet. Data were sorted carefully for duplicates From the media reports, there was a significant difference using date, month, age, location and methods. Out of with place of suicides and gender (χ2=13.252, p=0.021). 571 data entered, 221 data were excluded from our anal- Suicides at home, school and bridges were reported more yses due to duplication and inconsistency with selection among women while workplace and community centres criteria (figure 1). Similar methods have been used in were reported more among men. Table 2 shows the other studies.18 19 demographic pattern of suicides with gender from 2019 to 2020. Inclusion criteria Based on the extracted suicide report, the most This study only included news of completed suicides for common reported suicides were hanging (48.6%) and Nigerian citizens across the geographical region and poisoning (32.2%).