Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study

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dc.contributor.authorFekadu, Abebaw
dc.contributor.authorMedhin, Girmay
dc.contributor.authorSelamu, Medhin
dc.contributor.authorShiferaw, Tsion
dc.contributor.authorHailemariam, Maji
dc.contributor.authorRathod, Sujit D
dc.contributor.authorJordans, Mark
dc.contributor.authorTeferra, Solomon
dc.contributor.authorLund, Crick
dc.contributor.authorBreuer, Erica
dc.contributor.authorPrince, Martin
dc.contributor.authorGiorgis, Tedla W
dc.contributor.authorAlem, Atalay
dc.contributor.authorHanlon, Charlotte
dc.date.accessioned2016-05-23T13:16:36Z
dc.date.available2016-05-23T13:16:36Z
dc.date.issued2016-03-22
dc.date.updated2016-05-19T09:22:05Z
dc.description.abstractBackground: Injury related to self-harm is one of the leading causes of global disease burden. As a formative work for a programme to implement comprehensive mental healthcare in a rural district in Ethiopia, we determined the 12-month prevalence of non-fatal suicidal behaviour as well as factors associated with this behaviour to understand the potential burden of the behaviour in the district. Method: Population-based (n = 1485) and facility-based (n = 1014) cross-sectional surveys of adults, using standardised, interview-based measures for suicidality (items on suicide from the Composite International Diagnostic Interview), depressive symptoms (the Patient Health Questionnaire) and alcohol use disorders (Alcohol Use Disorder Investigation Test; AUDIT). Results: The overall 12-month prevalence of non-fatal suicidal behaviour, consisting of suicidal ideation, plan and attempt, was 7.9 % (95 % Confidence Interval (CI) = 6.8 % to 8.9 %). The prevalence was significantly higher in the facility sample (10.3 %) compared with the community sample (6.3 %). The 12-month prevalence of suicide attempt was 4.4 % (95 % CI = 3.6 % to 5.3 %), non-significantly higher among the facility sample (5.4 %) compared with the community sample (3.8 %). Over half of those with suicidal ideation (56.4 %) transitioned from suicidal ideation to suicide attempt. Younger age, harmful use of alcohol and higher depression scores were associated significantly with increased non-fatal suicidal behaviours. The only factor associated with transition from suicidal ideation to suicide attempt was high depression score. Only 10.5 % of the sample with suicidal ideation had received any treatment for their suicidal behaviour: 10.8 % of the community sample and 10.2 % of the facility sample. Although help seeking increased with progression from ideation to attempt, there was no statistically significant difference between the groups. Conclusion: Non-fatal suicidal behaviour is an important public health problem in this rural district. A more in-depth understanding of the context of the occurrence of the behaviour, improving access to care and targeting depression and alcohol use disorder are important next steps. The role of other psychosocial factors should also be explored to assist the provision of holistic care.en_ZA
dc.identifier.apacitationFekadu, A., Medhin, G., Selamu, M., Shiferaw, T., Hailemariam, M., Rathod, S. D., ... Hanlon, C. (2016). Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/19795en_ZA
dc.identifier.chicagocitationFekadu, Abebaw, Girmay Medhin, Medhin Selamu, Tsion Shiferaw, Maji Hailemariam, Sujit D Rathod, Mark Jordans, et al "Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study." <i>BMC Psychiatry</i> (2016) http://hdl.handle.net/11427/19795en_ZA
dc.identifier.citationFekadu, A., Medhin, G., Selamu, M., Shiferaw, T., Hailemariam, M., Rathod, S. D., ... & Prince, M. (2016). Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility-and population-based study. BMC psychiatry, 16(1), 1.en_ZA
dc.identifier.issn1471-244Xen_ZA
dc.identifier.ris TY - Journal Article AU - Fekadu, Abebaw AU - Medhin, Girmay AU - Selamu, Medhin AU - Shiferaw, Tsion AU - Hailemariam, Maji AU - Rathod, Sujit D AU - Jordans, Mark AU - Teferra, Solomon AU - Lund, Crick AU - Breuer, Erica AU - Prince, Martin AU - Giorgis, Tedla W AU - Alem, Atalay AU - Hanlon, Charlotte AB - Background: Injury related to self-harm is one of the leading causes of global disease burden. As a formative work for a programme to implement comprehensive mental healthcare in a rural district in Ethiopia, we determined the 12-month prevalence of non-fatal suicidal behaviour as well as factors associated with this behaviour to understand the potential burden of the behaviour in the district. Method: Population-based (n = 1485) and facility-based (n = 1014) cross-sectional surveys of adults, using standardised, interview-based measures for suicidality (items on suicide from the Composite International Diagnostic Interview), depressive symptoms (the Patient Health Questionnaire) and alcohol use disorders (Alcohol Use Disorder Investigation Test; AUDIT). Results: The overall 12-month prevalence of non-fatal suicidal behaviour, consisting of suicidal ideation, plan and attempt, was 7.9 % (95 % Confidence Interval (CI) = 6.8 % to 8.9 %). The prevalence was significantly higher in the facility sample (10.3 %) compared with the community sample (6.3 %). The 12-month prevalence of suicide attempt was 4.4 % (95 % CI = 3.6 % to 5.3 %), non-significantly higher among the facility sample (5.4 %) compared with the community sample (3.8 %). Over half of those with suicidal ideation (56.4 %) transitioned from suicidal ideation to suicide attempt. Younger age, harmful use of alcohol and higher depression scores were associated significantly with increased non-fatal suicidal behaviours. The only factor associated with transition from suicidal ideation to suicide attempt was high depression score. Only 10.5 % of the sample with suicidal ideation had received any treatment for their suicidal behaviour: 10.8 % of the community sample and 10.2 % of the facility sample. Although help seeking increased with progression from ideation to attempt, there was no statistically significant difference between the groups. Conclusion: Non-fatal suicidal behaviour is an important public health problem in this rural district. A more in-depth understanding of the context of the occurrence of the behaviour, improving access to care and targeting depression and alcohol use disorder are important next steps. The role of other psychosocial factors should also be explored to assist the provision of holistic care. DA - 2016-03-22 DB - OpenUCT DO - 10.1186/s12888-016-0784-y DP - University of Cape Town J1 - BMC Psychiatry KW - Suicide attempt KW - Suicidal ideation KW - Suicidal plan KW - Suicidal behaviour KW - Low and middle income country KW - Ethiopia LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1471-244X T1 - Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study TI - Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study UR - http://hdl.handle.net/11427/19795 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12888-016-0784-y
dc.identifier.urihttp://hdl.handle.net/11427/19795
dc.identifier.vancouvercitationFekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, et al. Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. BMC Psychiatry. 2016; http://hdl.handle.net/11427/19795.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderFekadu et al.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Psychiatryen_ZA
dc.source.urihttp://bmcpsychiatry.biomedcentral.com/
dc.subjectSuicide attempt
dc.subjectSuicidal ideation
dc.subjectSuicidal plan
dc.subjectSuicidal behaviour
dc.subjectLow and middle income country
dc.subjectEthiopia
dc.titleNon-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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