Kefyalew Dagne Gizachew1,2, Yigrem Ali Chekol3, Elyas Admasu Basha4, Shiferaw Abeway Mamuye5, Abate Dargie Wubetu4. 1. Department of Psychiatry, College of Health Sciences and Medicine, Debre Berhan University, P.O. Box 445, Debre Berhan, Ethiopia. kdgc08@yahoo.com. 2. Department of Psychiatry, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. kdgc08@yahoo.com. 3. Department of Psychiatry, College of Health Sciences, Dilla University, Dilla, Ethiopia. 4. Department of Psychiatry, College of Health Sciences and Medicine, Debre Berhan University, P.O. Box 445, Debre Berhan, Ethiopia. 5. School of Nursing and Midwifery, Department of Pediatric and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Abstract
BACKGROUND: Suicide is the act of intentionally causing one's own death. HIV/AIDS continues to be associated with an under-recognized risk for suicidal behavior. Suicidal behavior among people living with HIV/AIDS is not only a predictor of future attempted suicide and completed suicide, but it is also associated with poor quality of life and poor adherence with antiretroviral therapy. OBJECTIVE: The aim of this study was to assess the prevalence of suicidal ideation and attempt and associated factors among people living with HIV/AIDS in selected public hospitals of Amhara region, central Ethiopia. METHODS: Institutional based cross-sectional study design was employed. The study was conducted in four public hospitals in North Shewa Zone from May to December 2017. Study population comprised all HIV-infected individuals from Antiretroviral Therapy (ART) clinic. A total of 348 study subjects were recruited using systematic random sampling and 326 completed the interview. Suicidality module from Composite International Diagnostic Interview (CIDI) was modified to assess suicidal behavior. Crude and adjusted OR was analyzed using logistic regression and the level of significance of association was determined at P value < 0.05. RESULT: A total of 326 (93.7%) study subjects were interviewed. The magnitude of suicidal ideation and attempt was found to be 16% and 7.1%, respectively. Low monthly income, living alone, suicidal thought before knowing seropositive status, family history of suicide, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes in the last 12 months of the study period due to HIV status and ever use of khat (a psychoactive substance) was statistically significant associated factor with suicidal ideation. And low monthly income, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes and often in the previous 12 months of the study period due to HIV status and using alcohol currently were significantly associated factors with suicidal attempt. CONCLUSION: Suicidal ideation and attempt among people living with HIV/AIDS (PLWHA) in this study were higher than prevalence in the general population. This shows suicidal ideation and attempt is a mental health concern of PLWHA and it needs great attention in Ethiopia.
BACKGROUND: Suicide is the act of intentionally causing one's own death. HIV/AIDS continues to be associated with an under-recognized risk for suicidal behavior. Suicidal behavior among people living with HIV/AIDS is not only a predictor of future attempted suicide and completed suicide, but it is also associated with poor quality of life and poor adherence with antiretroviral therapy. OBJECTIVE: The aim of this study was to assess the prevalence of suicidal ideation and attempt and associated factors among people living with HIV/AIDS in selected public hospitals of Amhara region, central Ethiopia. METHODS: Institutional based cross-sectional study design was employed. The study was conducted in four public hospitals in North Shewa Zone from May to December 2017. Study population comprised all HIV-infected individuals from Antiretroviral Therapy (ART) clinic. A total of 348 study subjects were recruited using systematic random sampling and 326 completed the interview. Suicidality module from Composite International Diagnostic Interview (CIDI) was modified to assess suicidal behavior. Crude and adjusted OR was analyzed using logistic regression and the level of significance of association was determined at P value < 0.05. RESULT: A total of 326 (93.7%) study subjects were interviewed. The magnitude of suicidal ideation and attempt was found to be 16% and 7.1%, respectively. Low monthly income, living alone, suicidal thought before knowing seropositive status, family history of suicide, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes in the last 12 months of the study period due to HIV status and ever use of khat (a psychoactive substance) was statistically significant associated factor with suicidal ideation. And low monthly income, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes and often in the previous 12 months of the study period due to HIV status and using alcohol currently were significantly associated factors with suicidal attempt. CONCLUSION: Suicidal ideation and attempt among people living with HIV/AIDS (PLWHA) in this study were higher than prevalence in the general population. This shows suicidal ideation and attempt is a mental health concern of PLWHA and it needs great attention in Ethiopia.
Authors: Sarah T Lawrence; James H Willig; Heidi M Crane; Jiatao Ye; Inmaculada Aban; William Lober; Christa R Nevin; D Scott Batey; Michael J Mugavero; Cheryl McCullumsmith; Charles Wright; Mari Kitahata; James L Raper; Micheal S Saag; Joseph E Schumacher Journal: Clin Infect Dis Date: 2010-04-15 Impact factor: 9.079
Authors: Jayraan Badiee; David J Moore; J Hampton Atkinson; Florin Vaida; Mickey Gerard; Nichole A Duarte; Donald Franklin; Ben Gouaux; J Allen McCutchan; Robert K Heaton; Justin McArthur; Susan Morgello; David Simpson; Ann Collier; Christina M Marra; Benjamin Gelman; David Clifford; Igor Grant Journal: J Affect Disord Date: 2011-07-23 Impact factor: 4.839
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