We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Most evidence on suicidal thoughts, plans and attempts comes from Western countries; prevalence rates may differ in other parts of the world.
Aims
This study determined the prevalence of suicidal thoughts, plans and attempts in high school students in three different regional settings in Kenya.
Method
This was a cross-sectional study of 2652 high school students. We asked structured questions to determine the prevalence of various types of suicidality, the methods planned or effected, and participants’ gender, age and form (grade level). We provided descriptive statistics, testing significant differences by chi-squared and Fisher's exact tests, and used logistic regression to identify relationships among different variables and their associations with suicidality.
Results
The prevalence rates of suicidal thoughts, plans and attempts were 26.8, 14.9 and 15.7%, respectively. These rates are higher than those reported for Western countries. Some 6.7% of suicide attempts were not associated with plans. The most common method used in suicide attempts was drinking chemicals/poison (18.8%). Rates of suicidal thoughts and plans were higher for older students and students in urban rather than rural locations, and attempts were associated with female gender and higher grade level – especially the final year of high school, when exam performance affects future education and career prospects.
Conclusion
Suicidal thoughts, plans and attempts are prevalent in Kenyan high school students. There is a need for future studies to determine the different starting points to suicidal attempts, particularly for the significant number whose attempts are not preceded by thoughts and plans.
Large stratovolcanoes in the Cascade Range have high equilibrium-line altitudes that support glaciers whose Holocene and latest Pleistocene advances are amenable to dating. Glacier advances produced datable stratigraphic sequences in lateral moraines, which complement dating of end moraines. New mapping of glacial deposits on Mount Rainier using LIDAR and field observations supports a single latest Pleistocene or early Holocene advance. Rainier R tephra overlies deposits from this advance and could be as old as >11.6 ka; the advance could be of Younger Dryas age. Radiocarbon ages on wood interbedded between tills in the lateral moraines of Nisqually, Carbon, and Emmons glaciers and the South Tahoma glacier forefield suggest glacier advances between 200 and 550 CE, correlative with the First Millennium Advance in western Canada, and during the Little Ice Age (LIA) beginning as early as 1300 CE.
These results resolve previous contradictory interpretations of Mount Rainier's glacial history and indicate that the original proposal of a single pre-Neoglacial cirque advance is correct, in contrast to a later interpretation of two advances of pre- and post-Younger Dryas age, respectively. Meanwhile, the occurrence of the pre-LIA Burroughs Mountain Advance, interpreted in previous work as occurring 3–2.5 ka, is questionable based on inherently ambiguous interpretations of tephra distribution.
This chapter documents the precipitous collapse of the fortunes of the papacy, and the Roman Church more generally, following the murder of John VIII in 882. A series of short-lived pontiffs must devote their energy to attempts to protect the city of Rome from physical assault, but the loss of any semblance of security in the surrounding hinterland leads to an economic collapse reflected in the archaeological record, the apparent absence of new building projects or significant gifts of precious objects, and also the discontinuation of the series of papal biographies (Liber pontificalis). The one exception is the Life of Stephen V (885–891), and this reveals the complete impoverishment of the papal treasury. The pope is reduced to making gifts of books, and this leads to a substantial discussion of what is known about book culture in Rome in the ninth century.
The Introduction sets out the methodological approach of the book, and the major themes to be addressed. It is a ‘history in art’, a notion that provides for a primary focus on the evidence adduced from material culture (archaeology, standing remains and their decoration, surviving objects including manuscripts) integrated with information derived from written sources (in this instance primarily the series of papal biographies known as the Liber pontificalis, supplemented by other documents such as the Ordines Romani and the chronicles of Frankish and Italian historians). The two other overarching themes are the gradual decline of the Roman economy, and the resulting impoverishment of the Roman Church over the course of the ninth century and its effects on papal patronage, and the continuing adherence of Roman artistic production to the broader context of Mediterranean Christian visual culture. A historiographical survey/analysis is also included.
Spanning much of the third quarter of the century, the pontificates of Benedict III (855–858), Nicholas I (858–867) and Hadrian II (867–872) reveal a declining papal involvement in the patronage of architecture, though also considerable engagement with ecclesiastical issues of the day, including dramatically renewed contacts with Constantinople and the eastern Mediterranean in the aftermath of the definitive end of Byzantine Iconoclasm and the ‘Triumph of Orthodoxy’. In addition to the growing importance of the Roman secular aristocracy, whose domestic housing has been rediscovered in recent archaeology, evidence is surveyed for the continuing presence of a substantial Greek community in Rome, and for interest in the translation of Greek texts in the circle of the papal librarian, Anastasius. Among the most prominent survivals from these years is the tomb of St Cyril, the Byzantine missionary to the Slavs, in the lower church of San Clemente.
This chapter surveys the engagement with material culture of three popes in the second quarter of the ninth century – Eugenius II, Gregory IV and Sergius II – spanning the years 824 through to 847. Although not as prolific as Paschal I in terms of patronage, all have left at least one significant project to have survived to the present day. Eugenius II’s marble clerical enclosure at Santa Sabina initiates a discussion of stone furnishings in Rome’s early medieval churches; Gregory IV’s apse mosaic in San Marco provides interesting insights into his participation in contemporary ecclesiastic politics in northern Italy, and other initiatives testify to continuing preoccupations with urban infrastructure and the cult of relics; and Sergius II’s newly reconstructed church of San Martino ai Monti attests to the continuing presence in Rome of significant teams of builders and decorators.
This brief ‘afterword’ draws together the various themes set out in the book, concluding that over the course of the ninth century the Roman Church goes from one of its highest points to what is arguably its medieval nadir. Some analysis is provided of the various factors which contributed to this dramatic decline.
This chapter is devoted entirely to the Roman church of Santa Prassede, the principal surviving architectural project of Pope Paschal I (817–824). Its function as a major urban repository for the relics of the city’s Early Christian saints and martyrs, more than 2000 of which were brought here from the extramural catacombs, determines both the architectural model (Saint Peter’s) and many aspects of the decoration in mosaic, mural painting and sculpture. Special attention is devoted to the San Zeno chapel, the burial site of Paschal’s mother, Theodora, whose mosaic programme, including her portrait, is completely preserved and reflects that function. Consideration is given to Richard Krautheimer’s suggestion that this church constitutes evidence for a ‘Carolingian renascence’ of architectural forms associated with the first Christian emperor, Constantine.
This chapter establishes the political and cultural context for what follows through an examination of the reign of Pope Leo III (795–816) and his alliance with the Franks, notably Charlemagne, whom he crowned as Roman emperor on 25 December 800. A primary focus is the political and other messages implicit or explicit in the construction and decoration of new reception spaces at the Lateran patriarchate and Saint Peter’s, aimed at reinforcing the new role of the papacy in temporal as well as spiritual matters, and the mosaic decorations for which Leo was responsible in the churches of Santa Susanna and Santi Nereo ed Achilleo. An analysis is provided of the exceptionally detailed list of papal gifts to Roman churches, known as the ‘Donation of 807’, and the chapter concludes with an analysis of the possible sources of papal wealth necessary to make such extravagant largesse possible.
This chapter provides a broader context for the achievement represented by Santa Prassede through an examination of what is known about Paschal’s numerous other building projects and patronage of material culture. Some of these survive (mosaics in the churches of Santa Maria in Domnica and Santa Cecilia in Trastevere, enamel and gilded silver reliquaries in the Sancta Sanctorum) and some are recorded in contemporary and subsequent antiquarian descriptions (funerary chapel in Saint Peter’s, restructuring of the presbytery at Santa Maria Maggiore). All can be related to papal concerns regarding relics, liturgy and the pope’s personal salvation.
This chapter is devoted to the pontificate of John VIII (872–882) and the significant physical threat to the city of Rome posed principally although not exclusively by Muslim marauders from North Africa, particularly in the aftermath of the death of Emperor Louis II in 875. Papal efforts to find new military champions were largely unsuccessful, although a significant victory was scored by the Byzantine imperial fleet at the mouth of the Tiber in 880. John VIII also constructed fortifications to defend the church and monastery of San Paolo fuori le mura, hoping to present a repeat of the sack of 846. Although the papal court is known to have been a hotbed of intellectual activity, little has survived from this era in the way of material culture except for the conversion of the temple of Portunus into the church of Santa Maria de Secundicerio by a senior lay official, Stephen secundicerius. Surviving fragments of its mural decorations reveal the influence of both apocryphal texts about the life of Mary as well as contemporary Byzantine hagiographic literature. This leads to a discussion of the place of origin of certain contemporaneous Byzantine manuscripts which share the same style as the murals, most notably the Paris Sacra Parallela (BnF gr. 923).