Prevalence and Associated Factors with Suicidal Ideation and Attempt among Schizophrenia Patients at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia: A Secondary Cross-Sectional Facility-Based Study

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Date

2019-11

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Addis Abeba University

Abstract

Introduction: Despite an increasing number of studies on suicide in schizophrenia patients, limited data is available in low and middle income countries (LMICs). Various studies show different rates of suicide in schizophrenia using different methodologies and population. Objective: objective of this study is to determine the prevalence of suicidal ideation and attempt among schizophrenia patients and associated factors among patients with schizophrenia at Amanuel Mental Specialized Hospital (AMSH) in Addis Ababa, Ethiopia. Methods: Data was obtained from the clinical trial study was conducted among a sample of 391 schizophrenia patients who were initially screened for possible enrolment in the clinical trial with the title ‘A placebo controlled trial of folate with B12 in patients with schizophrenia with residual symptoms’ at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. The Columbia Suicide Severity Rating scale (CSSRS) was used to screen for suicidal ideation and attempt. Sociodemographic and Clinical characteristics of participants were obtained from the primary data. SPSS version 25 statistical package was used for data analysis. Descriptive statistics and multiple regressions were done to determine associated factors. Result: A total of 390 participants were screened. Of these 11.8% endorse suicidal ideation with different severity (40/339) and 5.6% had different levels of suicidal attempt. Conclusion: In accordance with the study it is recommend a thorough clinical evaluation for assessment of suicidal ideation and attempt in schizophrenia patients. Further studies are needed to delineate factors affecting suicidal behaviour in schizophrenia in this setting.

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Keywords

Schizophrenia, suicidal ideation, suicidal attempt, CSSRS.

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