The Intersection of Adolescent Depression and Peer Violence: Baseline Results from a Randomized Controlled Trial of 1,752 Youth in Pakistan

Dr. Nargis Asad1

Research Team

Dr Rozina Karmaliani

Dr Judith McFarlane

Mr. Hussain Maqbool

Ms Yasmeen Somani

Ms Rozina Somani

Ms Saleema Gulzar

Acknowledgement to:

Right To Play: Especially Atta Muhammad & Iqbal Jatoi & Fabulous Intervention Team.

40 Participating Schools, Teachers and 1,752 Children.

• Dr Tazeen Saeed Ali• Ms Shireen Bhamani• Dr. Nargis Asad • Dr. Ryan Krone• Dr. Rene Paulson• Dr. Rachel Jewkes

Special Acknowledgement toSchools and children

3

ROAD MAP

BackgroundObjectives

MethodologyResults

DiscussionKey messages

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Hyderabad, Sindh, PAKISTAN

5

University of Sindh Campus

Market Tower (Ghanta Ghar) Sindh Museum

Pakka Qila

Rani Bagh

Mian Ghulam Nabi Kalhoro Tomb

6

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Victimization In Adolescents

Violent Behavior

Depressive Symptoms

Adolescent depression is between 15 to 20%.

Global suicide rates for 15-19 years was 7.4/100,000. (2012)

7Research Speaks!

WHO, 2012Yu et al., 2017

PresenterPresentation NotesAdolescent age group is most sensitive to developing depressive symptoms, especially during the early teen years during the transition from childhood to adolescence.

Baseline Results from A Randomized Controlled Trial of 1,752 Youth in Pakistan

Age: 11 to 14

930 822

8

Objectives:To describes the prevalence of youth depression,by genderits association with peer youth victimization and

perpetration family characteristics gender attitudes and youth academic performance

among 6th graders attending public schools in Pakistan.

9

Measures• 28 items The Children’s Depression

Inventory 2 (CDI-2)

• 16 ItemsThe Peer Victimization Scale (PVS)

• 16 itemsThe Peer Perpetration Scale (PPS)

• 7 items School Performance

• 6 items Corporal Punishment at School

• The reasons for the absences recorded.

The number of absences from school

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19.90%

14.90%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

Over the preceding twoweeks

Depression

Boys Girls 0% 20% 40% 60% 80% 100%

Girls

Boys

Peer Violence Over last 4 Weeks in 40

Public Schools

Perpetration Victimization

11

Results

β LCL UCL p-value β LCL UCL p-valueAge 0.51 0.13 0.94 0.01 -2 -2.01 -1.23

Adolescent Depression and

Peer Violence Intersection13

Key Message: 1

Engaging in peer violence Exposure to family violence Experience of corporal punishmentChild labourare risk factors for negative mental health

outcomes

14

Key Message: 2

Absence of intervention in early school age leads to adult psychological morbidity and mal -adaptiveness

15

Key Message: 3

School based mental well-being programsComprehensive family programs for positive parenting

and addressing violence issues Poverty reduction

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�����������������������The Intersection of Adolescent Depression and Peer Violence: Baseline Results from a Randomized Controlled Trial of 1,752 Youth in Pakistan�Research TeamSlide Number 3ROAD MAP Slide Number 5Slide Number 6Slide Number 7Baseline Results from A Randomized Controlled Trial of 1,752 Youth in PakistanObjectives:MeasuresSlide Number 11Slide Number 12Slide Number 13Key Message: 1Key Message: 2Key Message: 3Slide Number 17