Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana

Background: Adolescence is characterised by profound changes in physical, cognitive, emotional and social functioning and is associated with psychological distress and suicidal tendencies. The family plays a significant role in safeguarding and promoting adolescents’ mental health. However, little i...

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Main Authors: Mawuko Setordzi, Samuel Adjorlolo
Format: Article
Language:English
Published: AOSIS 2025-06-01
Series:South African Journal of Psychiatry
Subjects:
Online Access:https://sajp.org.za/index.php/sajp/article/view/2382
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author Mawuko Setordzi
Samuel Adjorlolo
author_facet Mawuko Setordzi
Samuel Adjorlolo
author_sort Mawuko Setordzi
collection DOAJ
description Background: Adolescence is characterised by profound changes in physical, cognitive, emotional and social functioning and is associated with psychological distress and suicidal tendencies. The family plays a significant role in safeguarding and promoting adolescents’ mental health. However, little is known about the influence of family functioning on adolescents’ psychological distress and suicidal tendencies in Ghana. Aim: This study examined the association between family functioning, psychological distress and suicidal tendencies among adolescents in Ghana. Setting: The study was conducted at three public senior high schools in Accra, Ghana. Methods: This cross-sectional study randomly recruited 600 students. We analysed the data using Spearman’s rho correlation and simultaneous multiple logistic regression. Results: The study revealed that poor family problem-solving had no statistically significant relationship with adolescents’ psychological distress and suicidal tendencies. After covarying by gender and age, poor family communication was not statistically and significantly associated with adolescent psychological distress but had a statistically significant positive association with suicidal tendencies. However, and more importantly, poor family affective involvement predicted both adolescents’ psychological distress and suicidal tendencies. Conclusion: These findings suggest the key role of the family in adolescents’ psychological distress and suicidal tendencies, emphasising the need for tailored family psychological interventions in Ghana. Contribution: This study contributes to the emerging literature on family functioning and its association with adolescent psychological distress and suicidal tendencies, underpinned by the McMaster model of family functioning (MMFF) in the Ghanaian setting.
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spelling doaj-art-0fa11b0bb7aa4b2e8e5c1ae6fc82b4322025-07-02T06:54:58ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862025-06-01310e1e810.4102/sajpsychiatry.v31i0.2382785Family functioning, psychological distress and suicidal tendencies among adolescents in GhanaMawuko Setordzi0Samuel Adjorlolo1Department of Mental Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana; and, Department of Nursing, Presbyterian Nursing, and Midwifery Training College, Dormaa Ahenkro, Ghanal; and, Research and Grant Institute of Ghana, Legon, Greater Accra RegionDepartment of Mental Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana; and, Research and Grant Institute of Ghana, Legon, Greater Accra RegionBackground: Adolescence is characterised by profound changes in physical, cognitive, emotional and social functioning and is associated with psychological distress and suicidal tendencies. The family plays a significant role in safeguarding and promoting adolescents’ mental health. However, little is known about the influence of family functioning on adolescents’ psychological distress and suicidal tendencies in Ghana. Aim: This study examined the association between family functioning, psychological distress and suicidal tendencies among adolescents in Ghana. Setting: The study was conducted at three public senior high schools in Accra, Ghana. Methods: This cross-sectional study randomly recruited 600 students. We analysed the data using Spearman’s rho correlation and simultaneous multiple logistic regression. Results: The study revealed that poor family problem-solving had no statistically significant relationship with adolescents’ psychological distress and suicidal tendencies. After covarying by gender and age, poor family communication was not statistically and significantly associated with adolescent psychological distress but had a statistically significant positive association with suicidal tendencies. However, and more importantly, poor family affective involvement predicted both adolescents’ psychological distress and suicidal tendencies. Conclusion: These findings suggest the key role of the family in adolescents’ psychological distress and suicidal tendencies, emphasising the need for tailored family psychological interventions in Ghana. Contribution: This study contributes to the emerging literature on family functioning and its association with adolescent psychological distress and suicidal tendencies, underpinned by the McMaster model of family functioning (MMFF) in the Ghanaian setting.https://sajp.org.za/index.php/sajp/article/view/2382adolescentsfamily problem-solvingfamily communicationfamily affective involvement.
spellingShingle Mawuko Setordzi
Samuel Adjorlolo
Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
South African Journal of Psychiatry
adolescents
family problem-solving
family communication
family affective involvement.
title Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
title_full Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
title_fullStr Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
title_full_unstemmed Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
title_short Family functioning, psychological distress and suicidal tendencies among adolescents in Ghana
title_sort family functioning psychological distress and suicidal tendencies among adolescents in ghana
topic adolescents
family problem-solving
family communication
family affective involvement.
url https://sajp.org.za/index.php/sajp/article/view/2382
work_keys_str_mv AT mawukosetordzi familyfunctioningpsychologicaldistressandsuicidaltendenciesamongadolescentsinghana
AT samueladjorlolo familyfunctioningpsychologicaldistressandsuicidaltendenciesamongadolescentsinghana