Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study

Objective To assess the magnitude of suicidal ideation, attempts and associated factors among adults living with HIV attending antiretroviral therapy follow-ups at Tirunesh Beijing General Hospital, Addis Ababa.Design Hospital-based observational, descriptive, cross-sectional study was conducted.Set...

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Main Authors: Damtew Solomon, Eyob Ketema Bogale, Mikiyas Tesera Kendie, Lelisa Worku, Ermias Abebaw, Amana Ogeto Luke, Sisay Hayilu
Format: Article
Language:English
Published: BMJ Publishing Group 2023-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/5/e069683.full
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author Damtew Solomon
Eyob Ketema Bogale
Mikiyas Tesera Kendie
Lelisa Worku
Ermias Abebaw
Amana Ogeto Luke
Sisay Hayilu
author_facet Damtew Solomon
Eyob Ketema Bogale
Mikiyas Tesera Kendie
Lelisa Worku
Ermias Abebaw
Amana Ogeto Luke
Sisay Hayilu
author_sort Damtew Solomon
collection DOAJ
description Objective To assess the magnitude of suicidal ideation, attempts and associated factors among adults living with HIV attending antiretroviral therapy follow-ups at Tirunesh Beijing General Hospital, Addis Ababa.Design Hospital-based observational, descriptive, cross-sectional study was conducted.Setting A study was conducted in Tirunesh Beijing General Hospital, Addis Ababa from 8 February 2022 to 10 July 2022.Participants Two hundred and thirty-seven HIV-positive youth were recruited for interviews, using the systematic random sampling technique. The Composite International Diagnostic Interview was used to assess suicide. Patient Health Questionnaire-9, the Oslo social support and HIV perceived stigma scale instruments were used to assess the factors. Bivariate and multivariate logistic regressions were computed to assess factors associated with suicidal ideation and attempt. Statistical significance was declared at p value <0.05.Results The finding of the study revealed magnitude of suicide ideation and suicide attempt was 22.8% and 13.5%, respectively. Disclosure status (adjusted odd ratio (AOR)=3.60, 95% CI 1.44 to 9.01), history of using substances (AOR)=2.86, 95% CI 1.07 to 7.61), living alone (AOR=6.47, 95% CI 2.31 to 18.10) and having comorbidity or other opportunistic infection (AOR=3.74, 95% CI 1.32 to 10.52) are factors associated with suicide ideation while disclosure status (AOR=5.02, 95% CI 1.95 to 12.94), living arrangement (AOR=3.82, 95% CI 1.29 to 11.31) and depression history is a factor associated with suicide attempts (AOR=3.37, 95% CI 1.09 to 10.40).Conclusion The finding of the study indicated the magnitude of suicide ideation and attempt is high among the subjects included in this study. Disclosure status, history of using substances, living alone and having comorbidity or other opportunistic infection are factors associated with suicide ideation while disclosure status, living arrangement and depression history are factors associated with a suicide attempt.
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spelling doaj.art-16538f5a87064f1b9f9caa8eb8488a092023-05-19T08:00:06ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-069683Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional studyDamtew Solomon0Eyob Ketema Bogale1Mikiyas Tesera Kendie2Lelisa Worku3Ermias Abebaw4Amana Ogeto Luke5Sisay Hayilu6School of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaDepartment of Health Promotion and Behavioral Science, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaDepartment of General Public Health, Gamby Medical and Business College, Addis Ababa, EthiopiaDepartment of Public Health Nutrition, Rift Valley University, Addis Ababa, EthiopiaPublic Health, GAMBY Medical and Business College, Bahir Dar, EthiopiaRift Valley University, Addis Ababa, EthiopiaDepartment of Public Health Nutrition, Hidasse Health Center, Addis Ababa, EthiopiaObjective To assess the magnitude of suicidal ideation, attempts and associated factors among adults living with HIV attending antiretroviral therapy follow-ups at Tirunesh Beijing General Hospital, Addis Ababa.Design Hospital-based observational, descriptive, cross-sectional study was conducted.Setting A study was conducted in Tirunesh Beijing General Hospital, Addis Ababa from 8 February 2022 to 10 July 2022.Participants Two hundred and thirty-seven HIV-positive youth were recruited for interviews, using the systematic random sampling technique. The Composite International Diagnostic Interview was used to assess suicide. Patient Health Questionnaire-9, the Oslo social support and HIV perceived stigma scale instruments were used to assess the factors. Bivariate and multivariate logistic regressions were computed to assess factors associated with suicidal ideation and attempt. Statistical significance was declared at p value <0.05.Results The finding of the study revealed magnitude of suicide ideation and suicide attempt was 22.8% and 13.5%, respectively. Disclosure status (adjusted odd ratio (AOR)=3.60, 95% CI 1.44 to 9.01), history of using substances (AOR)=2.86, 95% CI 1.07 to 7.61), living alone (AOR=6.47, 95% CI 2.31 to 18.10) and having comorbidity or other opportunistic infection (AOR=3.74, 95% CI 1.32 to 10.52) are factors associated with suicide ideation while disclosure status (AOR=5.02, 95% CI 1.95 to 12.94), living arrangement (AOR=3.82, 95% CI 1.29 to 11.31) and depression history is a factor associated with suicide attempts (AOR=3.37, 95% CI 1.09 to 10.40).Conclusion The finding of the study indicated the magnitude of suicide ideation and attempt is high among the subjects included in this study. Disclosure status, history of using substances, living alone and having comorbidity or other opportunistic infection are factors associated with suicide ideation while disclosure status, living arrangement and depression history are factors associated with a suicide attempt.https://bmjopen.bmj.com/content/13/5/e069683.full
spellingShingle Damtew Solomon
Eyob Ketema Bogale
Mikiyas Tesera Kendie
Lelisa Worku
Ermias Abebaw
Amana Ogeto Luke
Sisay Hayilu
Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
BMJ Open
title Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
title_full Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
title_fullStr Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
title_full_unstemmed Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
title_short Predictors of suicidal ideation, attempts among adults living with HIV attending ART follow-ups at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia: a cross-sectional study
title_sort predictors of suicidal ideation attempts among adults living with hiv attending art follow ups at tirunesh beijing general hospital addis ababa ethiopia a cross sectional study
url https://bmjopen.bmj.com/content/13/5/e069683.full
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