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Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters

Received: 30 September 2020     Accepted: 22 October 2020     Published: 27 November 2020
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Abstract

Background: Suicidal thought precedes other suicidal behaviors and is associated with the risk of attempting and committing suicide. However, the issue is not well studied in developing countries in general and Ethiopia in particular. Therefore, this study is conducted to assess ’lifetime prevalence and factors affecting suicidal thoughts among diabetes mellitus patients at Felegehiwot referral hospital. Method: we conducted analytic cross-sectional study from May 21 to June 21 at diabetic follow-up clinic. A systematic random sampling technique was applied to recruit a total of 421 participants. The suicide manual of the composite international diagnostic interview was adapted to assess suicidal thoughts. The medical chart of patients was reviewed to obtain relevant data on clinical variables. The factors associated with suicidal thoughts were identified with the binary logistic regression method. The strength of association between independent variables and suicidal thought was measured with odds ratio with 95% CI and the p-value of <0.05 in multivariable logistic regression were considered statistically significant. Results: A total of 421 participants were interviewed. The lifetime prevalence of Suicidal thoughts was found to be 19.7%. Being divorced/widowed (AOR=2.38, 95% CI: 1.12, 5.02), unemployment (AOR=3.67, 95% CI: 1.19, 11.32), type 1 diabetes (AOR=2.56, 95% CI: 1.16, 5.73), comorbidity of medical illness (AOR=4.74, 95% CI: 2.26, 9.93), and comorbid depression (AOR=1.92, 95% CI: 1.09, 3.38) were associated with suicidal thought. Conclusions: Suicidal thought was found to be an important public health problem in diabetes mellitus patients. So, early identification and treatment of patients with suicidal thoughts are important. Moreover; the management of medical comorbidities, depression, and psychosocial problems should be given due consideration.

Published in American Journal of Psychiatry and Neuroscience (Volume 8, Issue 4)
DOI 10.11648/j.ajpn.20200804.13
Page(s) 78-86
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Suicidal Thought, Diabetes Mellitus, Ethiopia

References
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Cite This Article
  • APA Style

    Mogesie Necho, Mengesha Birkie, Asmare Belete, Merid Abadisharew. (2020). Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters. American Journal of Psychiatry and Neuroscience, 8(4), 78-86. https://doi.org/10.11648/j.ajpn.20200804.13

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    ACS Style

    Mogesie Necho; Mengesha Birkie; Asmare Belete; Merid Abadisharew. Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters. Am. J. Psychiatry Neurosci. 2020, 8(4), 78-86. doi: 10.11648/j.ajpn.20200804.13

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    AMA Style

    Mogesie Necho, Mengesha Birkie, Asmare Belete, Merid Abadisharew. Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters. Am J Psychiatry Neurosci. 2020;8(4):78-86. doi: 10.11648/j.ajpn.20200804.13

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  • @article{10.11648/j.ajpn.20200804.13,
      author = {Mogesie Necho and Mengesha Birkie and Asmare Belete and Merid Abadisharew},
      title = {Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {8},
      number = {4},
      pages = {78-86},
      doi = {10.11648/j.ajpn.20200804.13},
      url = {https://doi.org/10.11648/j.ajpn.20200804.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20200804.13},
      abstract = {Background: Suicidal thought precedes other suicidal behaviors and is associated with the risk of attempting and committing suicide. However, the issue is not well studied in developing countries in general and Ethiopia in particular. Therefore, this study is conducted to assess ’lifetime prevalence and factors affecting suicidal thoughts among diabetes mellitus patients at Felegehiwot referral hospital. Method: we conducted analytic cross-sectional study from May 21 to June 21 at diabetic follow-up clinic. A systematic random sampling technique was applied to recruit a total of 421 participants. The suicide manual of the composite international diagnostic interview was adapted to assess suicidal thoughts. The medical chart of patients was reviewed to obtain relevant data on clinical variables. The factors associated with suicidal thoughts were identified with the binary logistic regression method. The strength of association between independent variables and suicidal thought was measured with odds ratio with 95% CI and the p-value of <0.05 in multivariable logistic regression were considered statistically significant. Results: A total of 421 participants were interviewed. The lifetime prevalence of Suicidal thoughts was found to be 19.7%. Being divorced/widowed (AOR=2.38, 95% CI: 1.12, 5.02), unemployment (AOR=3.67, 95% CI: 1.19, 11.32), type 1 diabetes (AOR=2.56, 95% CI: 1.16, 5.73), comorbidity of medical illness (AOR=4.74, 95% CI: 2.26, 9.93), and comorbid depression (AOR=1.92, 95% CI: 1.09, 3.38) were associated with suicidal thought. Conclusions: Suicidal thought was found to be an important public health problem in diabetes mellitus patients. So, early identification and treatment of patients with suicidal thoughts are important. Moreover; the management of medical comorbidities, depression, and psychosocial problems should be given due consideration.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters
    AU  - Mogesie Necho
    AU  - Mengesha Birkie
    AU  - Asmare Belete
    AU  - Merid Abadisharew
    Y1  - 2020/11/27
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajpn.20200804.13
    DO  - 10.11648/j.ajpn.20200804.13
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 78
    EP  - 86
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20200804.13
    AB  - Background: Suicidal thought precedes other suicidal behaviors and is associated with the risk of attempting and committing suicide. However, the issue is not well studied in developing countries in general and Ethiopia in particular. Therefore, this study is conducted to assess ’lifetime prevalence and factors affecting suicidal thoughts among diabetes mellitus patients at Felegehiwot referral hospital. Method: we conducted analytic cross-sectional study from May 21 to June 21 at diabetic follow-up clinic. A systematic random sampling technique was applied to recruit a total of 421 participants. The suicide manual of the composite international diagnostic interview was adapted to assess suicidal thoughts. The medical chart of patients was reviewed to obtain relevant data on clinical variables. The factors associated with suicidal thoughts were identified with the binary logistic regression method. The strength of association between independent variables and suicidal thought was measured with odds ratio with 95% CI and the p-value of <0.05 in multivariable logistic regression were considered statistically significant. Results: A total of 421 participants were interviewed. The lifetime prevalence of Suicidal thoughts was found to be 19.7%. Being divorced/widowed (AOR=2.38, 95% CI: 1.12, 5.02), unemployment (AOR=3.67, 95% CI: 1.19, 11.32), type 1 diabetes (AOR=2.56, 95% CI: 1.16, 5.73), comorbidity of medical illness (AOR=4.74, 95% CI: 2.26, 9.93), and comorbid depression (AOR=1.92, 95% CI: 1.09, 3.38) were associated with suicidal thought. Conclusions: Suicidal thought was found to be an important public health problem in diabetes mellitus patients. So, early identification and treatment of patients with suicidal thoughts are important. Moreover; the management of medical comorbidities, depression, and psychosocial problems should be given due consideration.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

  • Department of Sociology, College of Social Science and Humanity, Wollo University, Dessie, Ethiopia

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