Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria

Background: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. Methods: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-...

Full description

Bibliographic Details
Main Authors: Bibilola Damilola Oladeji MBBS, MSc, Babafemi Taiwo MBBS, Olushola Mosuro MBChB, Samuel A. Fayemiwo MBBS, MSc, Taiwo Abiona MSc, Angela J. Fought MSc, Kevin Robertson PhD, Adesola Ogunniyi MBchB, Isaac F. Adewole MBBS, FAS
Format: Article
Language:English
Published: SAGE Publishing 2017-07-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/2325957415617829
_version_ 1818684079600566272
author Bibilola Damilola Oladeji MBBS, MSc
Babafemi Taiwo MBBS
Olushola Mosuro MBChB
Samuel A. Fayemiwo MBBS, MSc
Taiwo Abiona MSc
Angela J. Fought MSc
Kevin Robertson PhD
Adesola Ogunniyi MBchB
Isaac F. Adewole MBBS, FAS
author_facet Bibilola Damilola Oladeji MBBS, MSc
Babafemi Taiwo MBBS
Olushola Mosuro MBChB
Samuel A. Fayemiwo MBBS, MSc
Taiwo Abiona MSc
Angela J. Fought MSc
Kevin Robertson PhD
Adesola Ogunniyi MBchB
Isaac F. Adewole MBBS, FAS
author_sort Bibilola Damilola Oladeji MBBS, MSc
collection DOAJ
description Background: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. Methods: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models. Results: In this sample of 828 patients (71% female, mean age 41.3 ± 10 years), prevalence of suicidal behaviors were 15.1%, 5.8%, and 3.9% for suicidal ideation, plans, and attempts, respectively. Women were more likely than men to report suicidal ideation (odds ratio 1.7; 95% confidence interval 1.05-2.64). Depression and/or anxiety disorder was associated with increased odds of all suicidal behaviors. Suicidal behavior was associated with significantly lower overall and domain scores on the WHO-QOL. Conclusion: Suicidal behaviors were common and significantly associated with the presence of mental disorders and lower quality of life.
first_indexed 2024-12-17T10:44:56Z
format Article
id doaj.art-170e1b820a7644b9af45ffa66d9b8417
institution Directory Open Access Journal
issn 2325-9574
2325-9582
language English
last_indexed 2024-12-17T10:44:56Z
publishDate 2017-07-01
publisher SAGE Publishing
record_format Article
series Journal of the International Association of Providers of AIDS Care
spelling doaj.art-170e1b820a7644b9af45ffa66d9b84172022-12-21T21:52:08ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-07-011610.1177/2325957415617829Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, NigeriaBibilola Damilola Oladeji MBBS, MSc0Babafemi Taiwo MBBS1Olushola Mosuro MBChB2Samuel A. Fayemiwo MBBS, MSc3Taiwo Abiona MSc4Angela J. Fought MSc5Kevin Robertson PhD6Adesola Ogunniyi MBchB7Isaac F. Adewole MBBS, FAS8 Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Department of Family Medicine, University College Hospital, Ibadan, Nigeria Department of Medical Microbiology, College of Medicine, University of Ibadan, Nigeria Department of Community Medicine, University of Ibadan, Nigeria Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA Department of Medicine, College of Medicine, University of Ibadan, Nigeria Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, NigeriaBackground: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. Methods: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models. Results: In this sample of 828 patients (71% female, mean age 41.3 ± 10 years), prevalence of suicidal behaviors were 15.1%, 5.8%, and 3.9% for suicidal ideation, plans, and attempts, respectively. Women were more likely than men to report suicidal ideation (odds ratio 1.7; 95% confidence interval 1.05-2.64). Depression and/or anxiety disorder was associated with increased odds of all suicidal behaviors. Suicidal behavior was associated with significantly lower overall and domain scores on the WHO-QOL. Conclusion: Suicidal behaviors were common and significantly associated with the presence of mental disorders and lower quality of life.https://doi.org/10.1177/2325957415617829
spellingShingle Bibilola Damilola Oladeji MBBS, MSc
Babafemi Taiwo MBBS
Olushola Mosuro MBChB
Samuel A. Fayemiwo MBBS, MSc
Taiwo Abiona MSc
Angela J. Fought MSc
Kevin Robertson PhD
Adesola Ogunniyi MBchB
Isaac F. Adewole MBBS, FAS
Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
Journal of the International Association of Providers of AIDS Care
title Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
title_full Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
title_fullStr Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
title_full_unstemmed Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
title_short Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria
title_sort suicidal behavior and associations with quality of life among hiv infected patients in ibadan nigeria
url https://doi.org/10.1177/2325957415617829
work_keys_str_mv AT bibiloladamilolaoladejimbbsmsc suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT babafemitaiwombbs suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT olusholamosurombchb suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT samuelafayemiwombbsmsc suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT taiwoabionamsc suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT angelajfoughtmsc suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT kevinrobertsonphd suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT adesolaogunniyimbchb suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria
AT isaacfadewolembbsfas suicidalbehaviorandassociationswithqualityoflifeamonghivinfectedpatientsinibadannigeria