Suicidal Ideation, Attempt, and Associated Factors among Patients with Tuberculosis in Ethiopia: A Cross-Sectional Study.

Journal: Psychiatry journal

Volume: 2019

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, College of Health Science, Dilla University, Dilla, Ethiopia. Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Departments of Psychiatry, School of Medicine, College of Medicine and Medical Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Suicidal behaviors among people with tuberculosis are one of the commonest psychiatric emergencies that need a major public health concern. People with tuberculosis show suicidal ideation and attempt, which are problems to end life. In Ethiopia large numbers of people are affected by tuberculosis. Therefore, assessing suicide among patients with tuberculosis is important in implementing further interventions.An institutional based cross-sectional study was conducted among systematic random samples of 415 and face-to-face interview was used. Suicidal ideation and attempt were assessed by using suicidality module World Health Organization (WHO) composite International diagnostic interview (CIDI). Data was analyzed by using SPSS version 20. Bivariate and multivariate binary logistic analyses were done to identify associated factors to both suicidal ideation and attempt. P values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I.The prevalence of suicidal ideation and attempt among tuberculosis patients was 17.3% (95%CI, 13.7-20.6) and 7.5 %( 95%CI, 4.8-10.4), respectively. Being female (AOR=2.7, 95% CI 1.39, 5.23), no formal education (AOR=3.35, 95%CI 1.26, 9.91), extra-pulmonary tuberculosis (AOR=2.35, 95%CI 1.1, 4.98), depression (AOR=4.9, 95%CI, 2.56, 9.4), and perceived TB stigma (AOR=3.24, 95%CI, 1.64, 6.45) were statistically associated with suicidal ideation. Factors like being female (AOR=4.57, 95%CI, 1.7, 12.27), MDR-TB (AOR=3.06, 95%CI, 1.23, 7.57), comorbid HIV illness (AOR=6.67, 95%CI, 2.24, 19.94), and depression (AOR=4.75, 95%CI, 1.89, 11.91) were associated with suicidal attempt.Developing guidelines and training of health workers in TB clinics is important to screen and treat suicide among patients with tuberculosis.

Authors & Co-authors:  Molla Alemayehu A Mengesha Atikilt A Derajew Habtamu H Kerebih Habtamu H

Study Outcome 

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Statistics
Citations :  Kaplan B. J. Kaplan and sadock’s synopsis of psychiatry. Behavioral sciences/clinical psychiatry. Tijdschrift voor Psychiatrie. 2016;58:78–79.
Authors :  4
Identifiers
Doi : 4149806
SSN : 2314-4327
Study Population
Female
Mesh Terms
Other Terms
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
Egypt