Suicide Attempts Among Adult Eritrean Refugees in Tigray, Ethiopia: Prevalence and Associated Factors.

Journal: Risk management and healthcare policy

Volume: 15

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Reproductive Health, College of Health Sciences, Aksum University, Aksum, Ethiopia. Department of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.

Abstract summary 

The present study assessed the prevalence of and factors associated with suicide attempts among adult Eritrean refugees in Tigray, Ethiopia.A community-based cross-sectional study was carried out among adult refugees from February 2020 to April 2020. The exposure variables included socio-demographic, clinically related, and psychosocial characteristics, and substance use-related factors. We included 400 participants and recruited them via a systematic random sampling technique. The study participants were between 18 and 60 years old. Data were collected using a structured interviewer-administered questionnaire. We applied bivariable and multivariable logistic regression to determine predictors for suicide attempts. Multicollinearity was checked to test correlations among predictor variables, and the Hosmer and Lemeshow test (>0.2) was conducted to check the fitness of the model. Odds ratios and -values were determined to check the associations between variables, and a -value <0.05 was considered as a cut-off for statistical significance.The prevalence of suicide attempts was 7.3% (95% CI: 4.8%, 9.8%). Having current symptoms of trauma (AOR=5.6, 95% CI: 2.1, 14.9), a family history of mental disorder (AOR=3.02, 95% CI: 1.01, 9.07), a history of post-traumatic stress disorder (PTSD) (AOR=2.7, 95% CI: 1.01, 7.4), and severe hopelessness (AOR=3.9, 95% CI: 1.3, 12.7) were significantly associated with suicide attempts.This study showed that during the stay in the refugee camp, there was a high prevalence of suicide attempts compared to the prevalence of suicide attempts among the general populations of Ethiopia, Europe, and China, and the lifetime pooled prevalence across 17 countries. Current symptoms of trauma, PTSD, a family history of mental illness, and hopelessness were the factors statistically associated with the suicide attempt. Early screening, detection, and management of suicidal behavior, as well as appropriate mental healthcare, are warranted in refugee camps to reduce the number of suicide attempts.

Authors & Co-authors:  Gebremeskel Berhe Tesfa Berhe

Study Outcome 

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Statistics
Citations :  Centers for Disease Control and Prevention. Understanding Suicide: Fact Sheet. Atlanta: Centers for Disease Control and Prevention; 2015.
Authors :  3
Identifiers
Doi : 10.2147/RMHP.S311335
SSN : 1179-1594
Study Population
Male,Female
Mesh Terms
Other Terms
Eritrea;Ethiopia;Tigray;refugee;suicide attempt
Study Design
Study Approach
Country of Study
Eritrea
Publication Country
England