Prevalence and associated determinants of suicidal ideation and attempt among people with severe mental disorders in Addis Ababa, Ethiopia a cross-sectional study.

Journal: Preventive medicine reports

Volume: 35

Issue: 

Year of Publication: 

Affiliated Institutions:  Kotebe Metropolitan University, Menelik II Medical and Health Science College, Addis Ababa, Ethiopia. Amhara Public Health Institute, Public Health Emergency Management Directorate, Resilience and Recovery Team, Bahirdar, Ethiopia. Public Health Emergency Management, Addis Ababa Health Bureau, Addis Ababa, Ethiopia.

Abstract summary 

Suicidal ideation and attempts are much more common in people with severe mental disorders than in the general population. As a result, the goal of this study was to look at suicidal ideation and attempts in people with severe mental disorders in Addis Ababa, Ethiopia, in 2022. Using a simple random sample technique, a facility-based cross-sectional study involving 423 patients with severe mental disorders was conducted. The factors associated with suicidal thoughts and attempts were identified using a bivariate and multivariate logistic regression analysis model. Significant factors were determined using a p-value of less than 0.05. The prevalence of suicidal ideation and attempt was 26.4% (95% CI: 22.3-30.99%) and 18.6% (95% CI: 15.2-22.7%), respectively. Moreover, suicidal thoughts were linked with being single (AOR = 2.1.1, 95% CI: 1.01, 4.72), having poor social support (AOR = 3.1, 95% CI: 1.05, 9.422), and having comorbid depression (AOR = 2.72, 95% CI: 1.62, 4.54). Suicidal attempt was also associated with secondary education (AOR = 4.06, 95% CI: 1.50, 10.98), illness duration (AOR = 2.48, 95% CI: 1.15, 5.35), hopelessness (AOR = 3.415, 95% CI: 2.114, 15.516), and the absence of positive symptoms (AOR = 0.37, 95% CI: 0.209, 0.683). A significant proportion of patients with severe mental disorders have contemplated or actually attempted suicide. Poor psychosocial support, a higher level of education, and comorbid depression were all linked to these issues. Therefore, controllable risk factors such as education, hopelessness, and psychosocial support should be prioritized and given particular emphasis.

Authors & Co-authors:  Getahun Genanew Kassie GK Gebremariam Zewdu Minwuyelet ZM Haile Kalkidan K Worku Asmamaw Deguale AD

Study Outcome 

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Statistics
Citations :  Abdollahi A., Abu T.M. Hardiness, spirituality, and suicidal ideation among individuals with substance abuse: The moderating role of gender and marital status. J. Dual Diagn. 2015;11(1):12–21.
Authors :  4
Identifiers
Doi : 102335
SSN : 2211-3355
Study Population
Male,Female
Mesh Terms
Other Terms
Ethiopia;Severe mental disorder;Suicidal attempt;Suicidal ideation
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States