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 |
Suicidal Thought, Diabetes Mellitus, Ethiopia
| [1] | Organization WH. mhGAP: Mental Health Gap Action Programme: scaling up care for mental, neurological, and substance use disorders. 2008. |
| [2] | Organization WH. Preventing suicide: a global imperative: World Health Organization; 2014. |
| [3] | Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry. 2010; 71 (12): 1617-28. Epub 2010/09/08. |
| [4] | Nock MK, Banaji MR. Prediction of suicide ideation and attempts among adolescents using a brief performance-based test. Journal of consulting and clinical psychology. 2007; 75 (5): 707-15. Epub 2007/10/03. |
| [5] | Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins; 2011. |
| [6] | Lee H-Y, Hahm M-I, Lee SG. The risk of suicidal thoughts in diabetes varies by diabetes regimen, diabetes duration, and HbA1c level. Journal of psychosomatic research. 2014; 76 (4): 275-9. |
| [7] | Mościcki EK. Epidemiology of suicidal behavior. Suicide and life-threatening behavior. 1995; 25 (1): 22-35. |
| [8] | Amer NRY, Hamdan-Mansour AM. Psychosocial predictors of suicidal thoughts in patients diagnosed with chronic illnesses in Jordan. Issues in mental health nursing. 2014; 35 (11): 864-71. |
| [9] | Masango S, Rataemane S, Motojesi A. Suicide and suicide risk factors: A literature review. South African Family Practice. 2008; 50 (6): 25-9. |
| [10] | Veisani Y, Mohamadian F. Prevalence and comorbidity of common mental disorders and associations with suicidal thoughts in the adult population. 2017; 39: e2017031. |
| [11] | Giletta M, Calhoun CD, Hastings PD, Rudolph KD, Nock MK, Prinstein MJ. Multi-Level Risk Factors for Suicidal thought Among at-Risk Adolescent Females: The Role of Hypothalamic-Pituitary-Adrenal Axis Responses to Stress. Journal of abnormal child psychology. 2015; 43 (5): 807-20. Epub 2014/06/25. |
| [12] | Ongeri L, McCulloch CE, Neylan TC, Bukusi E, Macfarlane SB, Othieno C, et al. Suicidality and associated risk factors in outpatients attending a general medical facility in rural Kenya. J Affect Disord. 2018; 225: 413-21. Epub 2017/08/30. |
| [13] | Na PJ, Kim KB, Lee-Tauler SY, Han HR, Kim MT, Lee HB. Predictors of suicidal thoughts in Korean American older adults: analysis of the Memory and Aging Study of Koreans (MASK). International journal of geriatric psychiatry. 2017; 32 (12) 1272-9. Epub 2016/10/26. |
| [14] | Depp CA, Moore RC, Perivoliotis D, Holden JL, Swendsen J, Granholm EL. Social behavior, interaction appraisals, and suicidal thought in schizophrenia: The dangers of being alone. Schizophrenia research. 2016; 172 (1-3): 195-200. Epub 2016/03/08. |
| [15] | Inder KJ, Handley TE, Johnston A, Weaver N, Coleman C, Lewin TJ, et al. Determinants of suicidal thought and suicide attempts: parallel cross-sectional analyses examining geographical location. BMC Psychiatry. 2014; 14: 208. Epub 2014/07/24. |
| [16] | Arsenault-Lapierre G, Kim C, Turecki G. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry. 2004; 4: 37. Epub 2004/11/06. |
| [17] | Agrawal A, Tillman R, Grucza RA, Nelson EC, McCutcheon VV, Few L, et al. Reciprocal relationships between substance use and disorders and suicidal thought and suicide attempts in the Collaborative Study of the Genetics of Alcoholism. J Affect Disord. 2017; 213: 96-104. Epub 2017/02/19. |
| [18] | Abstracts from the 2017 Society of General Internal Medicine Annual Meeting. J Gen Intern Med. 2017; 32 (Suppl 2): 83-808. Epub 2017/04/12. |
| [19] | Ali S, Stone M, Peters J, Davies M, Khunti K. The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabetic Medicine. 2006; 23 (11): 1165-73. |
| [20] | Barnard K, Skinner T, Peveler R. The prevalence of co-morbid depression in adults with Type 1 diabetes: a systematic literature review. Diabetic Medicine. 2006; 23 (4): 445-8. |
| [21] | Pouwer F, Nefs G, Nouwen A. Adverse effects of depression on glycemic control and health outcomes in people with diabetes: a review. Endocrinology and metabolism clinics of North America. 2013; 42 (3): 529-44. |
| [22] | Goldston DB, Kelley AE, Reboussin DM, Daniel SS, Smith JA, Schwartz RP, et al. Suicidal thought and behavior and noncompliance with the medical regimen among diabetic adolescents. Journal of the American Academy of Child & Adolescent Psychiatry. 1997; 36 (11): 1528-36. |
| [23] | Goldston DB, Kovacs M, Ho VY, Parrone PL, Stiffler L. Suicidal thought and suicide attempts among youth with insulin-dependent diabetes mellitus. Journal of the American Academy of Child & Adolescent Psychiatry. 1994; 33 (2): 240-6. |
| [24] | Olfson M, Weissman MM, Leon AC, Sheehan DV, Farber L. Suicidal thought in primary care. Journal of General Internal Medicine. 1996; 11 (8): 447-53. |
| [25] | Fuller-Thomson E, Sawyer J-L. The lifetime prevalence of suicidal thoughts in a representative sample of Canadians with type 1 diabetes. Diabetes research and clinical practice. 2009; 83 (1): e9-e11. |
| [26] | Handley T, Ventura A, Browne J, Rich J, Attia J, Reddy P, et al. Suicidal thought reported by adults with Type 1 or Type 2 diabetes: results from Diabetes MILES—Australia. Diabetic medicine. 2015. |
| [27] | Roy A, Roy M, Janal M. Suicide attempts and ideation in African-American type 1 diabetic patients. Psychiatry research. 2010; 179 (1): 53-6. |
| [28] | Ceretta LB, Réus GZ, Abelaira HM, Jornada LK, Schwalm MT, Hoepers NJ, et al. Increased prevalence of mood disorders and suicidal thought in type 2 diabetic patients. Acta Diabetologia. 2012; 49 (1): 227-34. |
| [29] | Belayneh M. Inpatient satisfaction and associated factors towards nursing care at Felegehiwot Referral Hospital, Amhara Regional State, Northwest Ethiopia. |
| [30] | Kessler RC, Üstün TB. The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). International journal of methods in psychiatric research. 2004; 13 (2): 93-121. |
| [31] | Gelaye B, Williams MA, Lemma S, Deyessa N, Bahretibeb Y, Shibre T, et al. Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa. Psychiatry research. 2013; 210 (2): 653-61. |
| [32] | Al-Qazaz HK, Hassali MA, Shafie AA, Sulaiman SA, Sundram S, Morisky DE. The eight-item Morisky Medication Adherence Scale MMAS: translation and validation of the Malaysian version. Diabetes research and clinical practice. 2010; 90 (2): 216-21. |
| [33] | Abebe SM, Berhane Y, Worku A. Barriers to diabetes medication adherence in North West Ethiopia. SpringerPlus. 2014; 3 (1): 195. |
| [34] | Abebe SM, Berhane Y, Worku A, Alemu S, Mesfin N. Level of sustained glycemic control and associated factors among patients with diabetes mellitus in Ethiopia: a hospital-based cross-sectional study. Diabetes, metabolic syndrome, and obesity: targets and therapy. 2015; 8: 65. |
| [35] | de Oliveira-Filho AD, Morisky DE, Neves SJF, Costa FA, de Lyra DP. The 8-item Morisky Medication Adherence Scale: validation of a Brazilian–Portuguese version in hypertensive adults. Research in Social and Administrative Pharmacy. 2014; 10 (3): 554-61. |
| [36] | Abiola T, Udofia O, Zakari M. Psychometric properties of the 3-item Oslo social support scale among clinical students of Bayero University Kano, Nigeria. Malaysian Journal of Psychiatry. 2013; 22 (2): 32-41. |
| [37] | Tekla G, Hussien J, Tesfaye D. Non-adherence and associated factors among type 2 diabetic patients at Jimma University Specialized Hospital, Southwest Ethiopia. Journal of Medical Sciences. 2013; 13 (7): 578. |
| [38] | Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, et al. Validation of the alcohol, smoking, and substance involvement screening test (ASSIST). Addiction. 2008; 103 (6): 1039-47. |
| [39] | Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health. Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007. |
| [40] | Bitew H, Andargie G, Tadesse A, Belete A, Fekadu W, Mekonen T. Suicidal thought, Attempt, and Determining Factors among HIV/AIDS Patients, Ethiopia. Depression research and treatment. 2016. |
| [41] | Hussien ZN, Solomon H, Yohannis Z, Ahmed AM. Prevalence and Associated Factors of Suicidal thought and Attempt among People with Schizophrenia at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia. Journal of Psychiatry: Open Access. 2014; 2015. |
| [42] | Fekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, et al. Non-fatal suicidal behavior in rural Ethiopia: a cross-sectional facility-and population-based study. BMC psychiatry. 2016; 16 (1): 75. |
| [43] | Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension. 2008; 10 (5): 348-54. |
| [44] | Han SJ, Kim HJ, Choi YJ, Lee KW, Kim DJ. Increased risk of suicidal thoughts in Korean adults with both diabetes and depression. Diabetes research and clinical practice. 2013; 101 (3): e14-e7. |
| [45] | de Ornelas Maia ACC, de Azevedo Braga A, Brouwers A, Nardi AE, e Silva ACdO. Prevalence of psychiatric disorders in patients with diabetes types 1 and 2. Comprehensive psychiatry. 2012; 53 (8): 1169-73. |
| [46] | Goodwin RD, Marusic A, Hoven CW. Suicide attempts in the United States: the role of physical illness. Social science & medicine. 2003; 56 (8): 1783-8. |
| [47] | Apter A. Suicide and suicidal behavior. Public health reviews. 2012; 34 (2): 1. |
| [48] | Pompili M, Lester D, Innamorati M, De Pisa E, Amore M, Ferrara C, et al. Quality of life and suicide risk in patients with diabetes mellitus. Psychosomatics. 2009; 50 (1): 16-23. |
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
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
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
Share This Article
Twitter
Linked In
Facebook
Copy
Download@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}
}
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 -
Email: