Bibilola Damilola Oladeji1, Babafemi Taiwo2, Olushola Mosuro3, Samuel A Fayemiwo4, Taiwo Abiona5, Angela J Fought6, Kevin Robertson7, Adesola Ogunniyi8, Isaac F Adewole9. 1. 1 Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria. 2. 2 Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. 3. 3 Department of Family Medicine, University College Hospital, Ibadan, Nigeria. 4. 4 Department of Medical Microbiology, College of Medicine, University of Ibadan, Nigeria. 5. 5 Department of Community Medicine, University of Ibadan, Nigeria. 6. 6 Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. 7. 7 Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA. 8. 8 Department of Medicine, College of Medicine, University of Ibadan, Nigeria. 9. 9 Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Nigeria.
Abstract
BACKGROUND: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. METHODS: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models. RESULTS: In this sample of 828 patients (71% female, mean age 41.3 ± 10 years), prevalence of suicidal behaviors were 15.1%, 5.8%, and 3.9% for suicidal ideation, plans, and attempts, respectively. Women were more likely than men to report suicidal ideation (odds ratio 1.7; 95% confidence interval 1.05-2.64). Depression and/or anxiety disorder was associated with increased odds of all suicidal behaviors. Suicidal behavior was associated with significantly lower overall and domain scores on the WHO-QOL. CONCLUSION: Suicidal behaviors were common and significantly associated with the presence of mental disorders and lower quality of life.
BACKGROUND: Suicidality has rarely been studied in HIV-infectedpatients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. METHODS: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models. RESULTS: In this sample of 828 patients (71% female, mean age 41.3 ± 10 years), prevalence of suicidal behaviors were 15.1%, 5.8%, and 3.9% for suicidal ideation, plans, and attempts, respectively. Women were more likely than men to report suicidal ideation (odds ratio 1.7; 95% confidence interval 1.05-2.64). Depression and/or anxiety disorder was associated with increased odds of all suicidal behaviors. Suicidal behavior was associated with significantly lower overall and domain scores on the WHO-QOL. CONCLUSION: Suicidal behaviors were common and significantly associated with the presence of mental disorders and lower quality of life.
Entities:
Keywords:
HIV/AIDS; depression; quality of life; suicidal behavior
Authors: Marcelo T Berlim; Betina S Mattevi; Daniele P Pavanello; Marco A K Caldieraro; Marcelo P A Fleck Journal: J Nerv Ment Dis Date: 2003-03 Impact factor: 2.254
Authors: Olivia Keiser; Adrian Spoerri; Martin W G Brinkhof; Barbara Hasse; Angéle Gayet-Ageron; Frédéric Tissot; Anna Christen; Manuel Battegay; Patrick Schmid; Enos Bernasconi; Matthias Egger Journal: Am J Psychiatry Date: 2009-12-15 Impact factor: 18.112
Authors: Catherine A Fleming; Demian Christiansen; David Nunes; Timothy Heeren; David Thornton; C Robert Horsburgh; Margaret James Koziel; Camilla Graham; Donald E Craven Journal: Clin Infect Dis Date: 2004-01-26 Impact factor: 9.079
Authors: Alexander M Ponizovsky; Alexander Grinshpoon; Itzhak Levav; Michael S Ritsner Journal: Compr Psychiatry Date: 2003 Nov-Dec Impact factor: 3.735
Authors: Ann P Haas; Mickey Eliason; Vickie M Mays; Robin M Mathy; Susan D Cochran; Anthony R D'Augelli; Morton M Silverman; Prudence W Fisher; Tonda Hughes; Margaret Rosario; Stephen T Russell; Effie Malley; Jerry Reed; David A Litts; Ellen Haller; Randall L Sell; Gary Remafedi; Judith Bradford; Annette L Beautrais; Gregory K Brown; Gary M Diamond; Mark S Friedman; Robert Garofalo; Mason S Turner; Amber Hollibaugh; Paula J Clayton Journal: J Homosex Date: 2011
Authors: Catherine O Egbe; Patrick S Dakum; Ernest Ekong; Brandon A Kohrt; John G Minto; Cynthia J Ticao Journal: BMC Public Health Date: 2017-06-02 Impact factor: 3.295