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PREVALENCE OF DEPRESSION, SUICIDAL IDEATION AND DRUG USE AMONG SENIOR SECONDARY SCHOOL STUDENTS IN ADO EKITI

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Project Topic:
PREVALENCE OF DEPRESSION, SUICIDAL IDEATION AND DRUG USE AMONG STUDENTS IN ADO EKITI

CHAPTER ONE

1.1 BACKGROUND OF THE STUDY

1.2 STATEMENT OF THE PROBLEM

Students which are adolescents and young people in general are particularly vulnerable to experimentation and initiation into substance use habits, resulting in significant impairment, including poor school performance, teenage pregnancies, school dropout, and involvement in crime. The prevalence rates for drug use among students are generally high. There is global evidence supporting the strong relationship between student's depression and substance use. Depressed students are twice as likely to use substances when compared with their peers without depression.  Students with co-morbid depression and substance use also show more substance‒related problems and a poorer quality of life than those with only substance use problems. The presence of co-morbidity with depression among students receiving care for substance use problems also results in a poorer treatment outcome, increased rates of drop‒out, and earlier relapse rate. It is commonly assumed that externalizing problems, such as attention deficit hyperactivity disorder and conduct disorders, are strong predictors of future substance use, with scant attention being paid to the role of internalizing disorders, such as depression and anxiety. The question therefore arises as to whether there are cases of depression, suicidal behaviours and drug use among secondary school students in Ado Ekiti, Ekiti state. If there are, which preventive measures against such behaviours are appropriate? These, in the main, constitute the problem of the study.

1.3 AIMS AND OBJECTIVES OF THE STUDY

The major aim of the study is to examine the prevalence of depression, suicidal ideation and drug use among secondary school students.  Other specific objectives of the study include;

1.  To examine the risk factors of depression, suicide and drug use among students of secondary schools in Ado Ekiti, Ekiti State

2.  To examine the extent to which senior secondary school students are depressed in Ado Ekiti, Ekiti state

3.  To examine the prevalence of depression and suicidal ideation among secondary school students in Ado Ekiti, Ekiti state

4.  To examine the prevalence of depression and drug use among secondary school students in Ado Ekiti, Ekiti state

5.  To examine the impact of depression, suicidal ideation and drug use on students academic performance in secondary schools in Ado Ekiti, Ekiti state

6.  To examine the preventive measures against the prevalence of depression, suicidal behaviours and drug use based on student's characteristics (sex and of study).

1.4 RESEARCH QUESTIONS

1.  What are the risk factors of depression, suicide and drug use among students of secondary schools in Ado Ekiti, Ekiti State?

2.  To what extent are senior secondary schools students are depressed in Ado Ekiti, Ekiti state?

3.  What are the prevalence of depression and suicidal ideation among secondary school students in Ado Ekiti, Ekiti state?

4.  How is the prevalence of depression and drug use among secondary school students in Ado Ekiti, Ekiti state?

5.  What is the impact of depression, suicidal ideation and drug use on student's academic performance in secondary schools in Ado Ekiti, Ekiti state?

6.  What are the preventive measures against the prevalence of depression, suicidal behaviours and drug use based on student's characteristics (sex and year of study)?

1.5 RESEARCH HYPOTHESIS

H0: Depression, Suicidal ideation and drug use has no significant influence on secondary school students in Ado Ekiti state

H1: Depression, Suicidal ideation and drug use has a significant influence on secondary school students in Ado Ekiti state

1.6 SIGNIFICANCE OF THE STUDY

The results of the findings from the data analysed on the prevalence of depression, suicidal ideation and drug use is hoped to enable health educators to suggest intervention and prevention strategies appropriate for students at risk for suicidal behaviours. It would help sociologists and other educators to provide intervention programmes to prevent premature deaths due to risk factors across the lifespan in Nigeria. It is expected also that the results of the findings from the study will help to reduce the harmful after-effects associated with risk factors and significant others, as well as reduce the social stigma attached to depression, suicidal ideation and drug use. The finding will also help to ginger up the various secondary schools in Nigeria to establish suicide prevention strategy centres with telephone ‘hotline' services. It will also help the psychiatrists and suicidologists to identify early enough students with signs of depression, schizophrenia and other mood problems and to treat them before they start attempting suicide. It will also help guidance counsellors to plan out programmes of activities to enable the students reduce incidences and prevalence of suicidal ideation through a co-ordinated and planned programme of guidance counselling in the secondary schools. A well-coordinated and planned programme of guidance counselling for students in secondary schools in Ado Ekiti, it is expected, would decrease risk and/or increase protective factors against such behaviour. The result of the present finding, is hoped, would help to improve social integration and social regulation and might reduce social isolation and social withdrawal among the students of secondary schools in Ado Ekiti. In other words, it might help improve the relationship between the individual student and the social setting in which he or she finds him/herself, and also improve further research and expansion of body of knowledge.

1.7 SCOPE AND LIMITATION OF THE STUDY

The study is restricted to the prevalence of depression, suicidal ideation and drug use among secondary school students in Ado Ekiti, Ekiti state.

1.8      LIMITATION OF THE STUDY

Financial constraint: Insufficient fund tends to impede the efficiency of the researcher in sourcing for the relevant materials, literature or information and in the process of data collection (internet, questionnaire and interview)

Time constraint: The researcher will simultaneously engage in this study with other academic work. This consequently will cut down on the time devoted for the research work.

1.9      DEFINITION OF TERMS

Suicide: Is the act of intentionally causing one's own death. The most commonly used method of suicide varies between countries, and is partly related to the availability of effective means.

Drug Use: Drug use is a broad term to cover the taking of all psychoactive substances within which there are stages: drug-free (i.e. non-use), experimental use, recreational use and harmful use, which is further sub-divided into misuse and dependence.

Youth: Refers to young people between 13 and 25 years of age or their activities and their characteristics. The majority of youths in Nigerian secondary schools are between 13 and 19 years, a stage referred to as adolescence. The term youth therefore includes this age bracket of youths.

Depression: Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person's ability to function at work and at home.

Suicidal Ideation: Suicidal ideation lies in establishing the presence of suicidal intent. This is particularly important, as intention is a crucial link between thought and action, indicating the extent to which a person wants to die (Hjelmeland, 2017).

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