2022 年埃塞俄比亚西北部受战争影响的境内流离失所者中自杀意念和自杀企图的发生率及相关因素。

IF 3.9 3区 医学 Q1 PSYCHIATRY BJPsych Open Pub Date : 2024-08-01 DOI:10.1192/bjo.2024.71
Gebresilassie Tadesse, Fanuel Gashaw, Tadele Amare Zeleke, Setegn Fentahun, Sewbesew Yitayih
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引用次数: 0

摘要

背景:被迫背井离乡的人往往会经历情感上的痛苦,而且可能会受到自杀风险因素的过度影响。目的:本研究旨在评估 2022 年埃塞俄比亚西北部受战争影响的境内流离失所者中自杀意念和自杀企图的发生率及相关因素:方法:2022 年 5 月 23 日至 6 月 22 日,采用横断面研究设计,通过简单随机抽样选取了 765 名参与者。采用结构化访谈收集数据。采用国际综合诊断访谈法对自杀意念和自杀企图进行评估:在 751 名受访者中,自杀意念和自杀未遂的比例分别为 22.4% (95% CI: 19.5%, 25.4%) 和 6.7% (95% CI: 5.1%, 8.7%),回复率为 98.2%。女性、患有抑郁症、家人有精神病史、社会支持差与自杀意念和企图自杀都有显著相关。此外,创伤后应激症状和家庭成员死亡也分别与自杀意念和自杀未遂有很大关系:结论:在这一人群中,至少有五分之一的流离失所者曾有过自杀念头,十五分之一的人曾试图自杀。因此,建议加强对个人的早期发现和干预,尤其是对患有抑郁症、创伤后应激症状、家族有精神病史、社会支持差和家庭成员死亡的女性。
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Prevalence and factors associated with suicidal ideation and attempts among war-affected internally displaced people in northwest Ethiopia, 2022.

Background: People who are forced to leave home often experience emotional suffering and may be disproportionately subjected to risk factors for suicide. Although it is a grave concern for the global public health community, it has not been understood in Ethiopia.

Aims: This study aims to assess the prevalence and factors associated with suicidal ideation and attempts among war-affected internally displaced people in northwest Ethiopia, 2022.

Method: From 23 May to 22 June 2022, a cross-sectional study design was conducted, and a sample of 765 participants was selected through simple random sampling. A structured interview was employed to collect data. Suicidal ideation and attempts were assessed using the Composite International Diagnostic Interview.

Results: Out of 751 interviewed participants with a response rate of 98.2%, the magnitude of suicidal ideation and attempt was 22.4% (95% CI: 19.5%, 25.4%) and 6.7% (95% CI: 5.1%, 8.7%), respectively. People of female gender, having depression, family with a history of mental illness, and poor social support were significantly associated with both suicidal ideation and attempts. Furthermore, post-traumatic stress symptoms and the death of a family member were significantly associated with suicide ideation and attempt, respectively.

Conclusion: At least one in five of the displaced people in this population had experienced suicide ideation, and one in fifteen had attempted suicide. Therefore, strengthening early detection and intervention for individuals is recommended, especially for females with depression, post-traumatic stress symptoms, family with a history of mental illness, poor social support and the death of family members.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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