Association between migraine and suicidal behavior among Ethiopian adults
Abstract Background Despite the significant impact of migraine on patients and societies, few studies in low- and middle-income countries (LMICs) have investigated the association between migraine and suicidal behavior. The objective of our study is to examine the extent to which migraines are assoc...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12888-018-1629-7 |
| _version_ | 1818564935735574528 |
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| author | Hanna Y. Berhane Bethannie Jamerson-Dowlen Lauren E. Friedman Yemane Berhane Michelle A. Williams Bizu Gelaye |
| author_facet | Hanna Y. Berhane Bethannie Jamerson-Dowlen Lauren E. Friedman Yemane Berhane Michelle A. Williams Bizu Gelaye |
| author_sort | Hanna Y. Berhane |
| collection | DOAJ |
| description | Abstract Background Despite the significant impact of migraine on patients and societies, few studies in low- and middle-income countries (LMICs) have investigated the association between migraine and suicidal behavior. The objective of our study is to examine the extent to which migraines are associated with suicidal behavior (including suicidal ideation, plans, and attempts) in a well-characterized study of urban dwelling Ethiopian adults. Methods We enrolled 1060 outpatient adults attending St. Paul hospital in Addis Ababa, Ethiopia. Standardized questionnaires were used to collect data on socio-demographics, and lifestyle characteristics. Migraine classification was based on the International Classification of Headache Disorders-2 diagnostic criteria. The Composite International Diagnostic Interview (CIDI) was used to assess depression and suicidal behaviors (i.e. ideation, plans and attempts). Multivariable logistic regression models were used to estimate adjusted odds ratio (AOR) and 95% confidence intervals (95% CIs). Results The prevalence of suicidal behavior was 15.1%, with a higher suicidal behavior among those who had migraines (61.9%). After adjusting for confounders including substance use and socio-demographic factors, migraine was associated with a 2.7-fold increased odds of suicidal behavior (AOR = 2.7; 95% CI 1.88–3.89). When stratified by their history of depression in the past year, migraine without depression was significantly associated with suicidal behavior (AOR: 2.27, 95% Cl: 1.49–3.46). The odds of suicidal behavior did not reach statistical significance in migraineurs with depression (AOR: 1.64, 95% CI: 0.40–6.69). Conclusion Our study indicates that migraine is associated with increased odds of suicidal behavior in this population. Given the serious public health implications this has, attention should be given to the treatment and management of migraine at a community level. |
| first_indexed | 2024-12-14T01:34:55Z |
| format | Article |
| id | doaj.art-ca6412fce08f497994ea17d3aaaf48a5 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-14T01:34:55Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-ca6412fce08f497994ea17d3aaaf48a52022-12-21T23:21:54ZengBMCBMC Psychiatry1471-244X2018-02-011811910.1186/s12888-018-1629-7Association between migraine and suicidal behavior among Ethiopian adultsHanna Y. Berhane0Bethannie Jamerson-Dowlen1Lauren E. Friedman2Yemane Berhane3Michelle A. Williams4Bizu Gelaye5Addis Continental Institute of Public HealthDepartment of Epidemiology, Harvard T.H. Chan School of Public HealthDepartment of Epidemiology, Harvard T.H. Chan School of Public HealthAddis Continental Institute of Public HealthDepartment of Epidemiology, Harvard T.H. Chan School of Public HealthDepartment of Epidemiology, Harvard T.H. Chan School of Public HealthAbstract Background Despite the significant impact of migraine on patients and societies, few studies in low- and middle-income countries (LMICs) have investigated the association between migraine and suicidal behavior. The objective of our study is to examine the extent to which migraines are associated with suicidal behavior (including suicidal ideation, plans, and attempts) in a well-characterized study of urban dwelling Ethiopian adults. Methods We enrolled 1060 outpatient adults attending St. Paul hospital in Addis Ababa, Ethiopia. Standardized questionnaires were used to collect data on socio-demographics, and lifestyle characteristics. Migraine classification was based on the International Classification of Headache Disorders-2 diagnostic criteria. The Composite International Diagnostic Interview (CIDI) was used to assess depression and suicidal behaviors (i.e. ideation, plans and attempts). Multivariable logistic regression models were used to estimate adjusted odds ratio (AOR) and 95% confidence intervals (95% CIs). Results The prevalence of suicidal behavior was 15.1%, with a higher suicidal behavior among those who had migraines (61.9%). After adjusting for confounders including substance use and socio-demographic factors, migraine was associated with a 2.7-fold increased odds of suicidal behavior (AOR = 2.7; 95% CI 1.88–3.89). When stratified by their history of depression in the past year, migraine without depression was significantly associated with suicidal behavior (AOR: 2.27, 95% Cl: 1.49–3.46). The odds of suicidal behavior did not reach statistical significance in migraineurs with depression (AOR: 1.64, 95% CI: 0.40–6.69). Conclusion Our study indicates that migraine is associated with increased odds of suicidal behavior in this population. Given the serious public health implications this has, attention should be given to the treatment and management of migraine at a community level.http://link.springer.com/article/10.1186/s12888-018-1629-7MigraineSuicidal behaviorEthiopia |
| spellingShingle | Hanna Y. Berhane Bethannie Jamerson-Dowlen Lauren E. Friedman Yemane Berhane Michelle A. Williams Bizu Gelaye Association between migraine and suicidal behavior among Ethiopian adults BMC Psychiatry Migraine Suicidal behavior Ethiopia |
| title | Association between migraine and suicidal behavior among Ethiopian adults |
| title_full | Association between migraine and suicidal behavior among Ethiopian adults |
| title_fullStr | Association between migraine and suicidal behavior among Ethiopian adults |
| title_full_unstemmed | Association between migraine and suicidal behavior among Ethiopian adults |
| title_short | Association between migraine and suicidal behavior among Ethiopian adults |
| title_sort | association between migraine and suicidal behavior among ethiopian adults |
| topic | Migraine Suicidal behavior Ethiopia |
| url | http://link.springer.com/article/10.1186/s12888-018-1629-7 |
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