Prevalence of Suicidal Ideation and Attempt and Associate Factors Among People with Schizophrenia at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia
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Date
2014-05
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Addis Ababa University
Abstract
Background: The lifetime incidence of suicide for patients with schizophrenia is 10%
to 13% compared to a general population estimate of about 1%.Suicidal ideation is an
important phase in the suicidal process, preceding suicide attempts and completed
suicide. Suicide and suicide attempts among individuals with schizophrenia often result
in a significant psychological, social and financial burden upon individuals and families.
Objective: The objective of this study is to assess the prevalence and associated
factors of suicidal ideation and attempt among people with schizophrenia in Amanuel
mental specialized hospital, Addis Ababa, Ethiopia.
Method: An Institution based cross -sectional study was conducted from December
2013 to May 2014 at Amanuel Mental Specialized Hospital among people with
schizophrenia. Systematic random sampling technique used to get a total of 423
samples of schizophrenic patients from outpatient department of the hospital. Thesis
passed through the ethical clearance process and informed consent was obtained from
study participants. Pre-tested structured questionnaire were used for interviewing the
study participants. The collected data were coded, entered in to EPI-INFO software and
analyzed by using SPSS version 20. The association between variables was analyzed
using logistic regression analysis.
Results: The prevalence of life time suicidal ideation and attempt among people with
schizophrenia was found to be 27.3% and 19.3% respectively. Multiple logistic
regression model of suicidal ideation and explanatory variable revealed that being
single (AOR 2.18, 95%CI: =1.72).and also for suicidal attempt who attending
secondary education (AOR 4.06, 95%CI: =1.50, 10.98).similarly co-morbid depression,
hopelessness, poor social support, absence .of positive symptom, and a family history of
suicidal were associated with both suicidal ideation and attempt.
Conclusion and recommendation: This study reveals that a substantial number
of people with schizophrenia have suicidal ideation and attempt .These problems were
associated with socio-demographic and clinical factors. Therefore it is a significant
public health issue that requires a great emphasis. In particular, modifiable factor such
as
depression
and
poor
psycho social support
should
bemanage
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Keywords
Amanuel Mental Specialized Hospital