Suicide Behavior and Its Predictors in Patients with Schizophrenia in Ethiopia.

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2021-04-01 eCollection Date: 2021-01-01 DOI:10.1155/2021/6662765
Mohammed Ayalew, Semira Defar, Yared Reta
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Abstract

Background: People with schizophrenia (PWS) are at greater risk of suicide. However, suicide behaviors that occur in PWS are often overlooked, inadequately characterized, and not consistently integrated into treatment. Despite this burden and consequences in Ethiopia, there is a dearth of studies concerning suicide behavior in PWS. Therefore, this study is aimed at assessing the magnitude of suicide behavior and its predictors among PWS in Ethiopia.

Methods: An institution based cross-sectional study was employed. Data were collected using the structured interviewer-administered questionnaire from a sample of 300 PWS at Amanuel Mental Specialized Hospital (AMSH). The revised version of Suicide Behavior Questionnaire (SBQ-R) was used to assess suicide behavior in PWS. The data was collected from March 1 to 30, 2019. Binary logistic regression was performed to identify independent predictors of suicidal behavior at 95% confidence level. Statistical significance was declared at p value <0.05.

Result: A total of 300 patients with schizophrenia participated in the study. More than two-thirds of 203 (67.7%) of the participants were males, and 116 (38.7%) participants were between the ages of 28 and 37 years. We found that the prevalence of suicide behavior among PWS was 30.3%. Being unemployed (AOR = 3.65, CI = 1.32, 10.05), family history of suicide (AOR = 3.16, CI = 1.38, 7.23), substance use (AOR = 2.51, CI = 1.13, 5.59), current positive psychotic symptoms (hallucination (AOR = 6.39, CI = 2.86, 14.29), and delusion (AOR = 4.15, CI = 1.95, 14.29) and presence of comorbid depression (AOR = 4.81, CI = 1.98, 11.68) were independent significant predictors with suicidal behavior in PWS.

Conclusion: The prevalence of suicidal behavior among PWS was found to be high. Hence, designing strategies for early screening and intervention is the most critical prevention strategy of suicide in PWS.

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埃塞俄比亚精神分裂症患者的自杀行为及其预测因素。
背景:精神分裂症(PWS)患者的自杀风险更大。然而,PWS 患者的自杀行为往往被忽视,特征描述不充分,也没有被持续纳入治疗中。尽管埃塞俄比亚存在这种负担和后果,但有关 PWS 患者自杀行为的研究却十分匮乏。因此,本研究旨在评估埃塞俄比亚PWS中自杀行为的严重程度及其预测因素:方法:采用基于机构的横断面研究。研究采用结构化访谈问卷的形式,从 Amanuel 精神专科医院(AMSH)的 300 名 PWS 抽样中收集数据。修订版自杀行为问卷(SBQ-R)用于评估精神病患者的自杀行为。数据收集时间为2019年3月1日至30日。在95%的置信水平下,进行二元逻辑回归以确定自杀行为的独立预测因素。统计显著性以P值结果为准:共有 300 名精神分裂症患者参与了研究。在 203 名参与者中,超过三分之二(67.7%)为男性,116 名参与者(38.7%)的年龄在 28 岁至 37 岁之间。我们发现,PWS 患者的自杀行为发生率为 30.3%。失业(AOR = 3.65,CI = 1.32,10.05)、自杀家族史(AOR = 3.16,CI = 1.38,7.23)、药物使用(AOR = 2.51,CI = 1.13,5.59)、当前阳性精神病症状(幻觉(AOR = 6.39, CI = 2.86, 14.29)和妄想(AOR = 4.15, CI = 1.95, 14.29)以及合并抑郁症(AOR = 4.81, CI = 1.98, 11.68)是PWS患者自杀行为的独立显著预测因素:结论:PWS 中自杀行为的发生率很高。因此,设计早期筛查和干预策略是预防PWS自杀的最关键策略。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
期刊最新文献
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