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Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study

Overview of attention for article published in BMC Psychiatry, March 2016
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Title
Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study
Published in
BMC Psychiatry, March 2016
DOI 10.1186/s12888-016-0784-y
Pubmed ID
Authors

Abebaw Fekadu, Girmay Medhin, Medhin Selamu, Tsion Shiferaw, Maji Hailemariam, Sujit D Rathod, Mark Jordans, Solomon Teferra, Crick Lund, Erica Breuer, Martin Prince, Tedla W. Giorgis, Atalay Alem, Charlotte Hanlon

Abstract

Injury related to self-harm is one of the leading causes of global disease burden. As a formative work for a programme to implement comprehensive mental healthcare in a rural district in Ethiopia, we determined the 12-month prevalence of non-fatal suicidal behaviour as well as factors associated with this behaviour to understand the potential burden of the behaviour in the district. Population-based (n = 1485) and facility-based (n = 1014) cross-sectional surveys of adults, using standardised, interview-based measures for suicidality (items on suicide from the Composite International Diagnostic Interview), depressive symptoms (the Patient Health Questionnaire) and alcohol use disorders (Alcohol Use Disorder Investigation Test; AUDIT). The overall 12-month prevalence of non-fatal suicidal behaviour, consisting of suicidal ideation, plan and attempt, was 7.9 % (95 % Confidence Interval (CI) = 6.8 % to 8.9 %). The prevalence was significantly higher in the facility sample (10.3 %) compared with the community sample (6.3 %). The 12-month prevalence of suicide attempt was 4.4 % (95 % CI = 3.6 % to 5.3 %), non-significantly higher among the facility sample (5.4 %) compared with the community sample (3.8 %). Over half of those with suicidal ideation (56.4 %) transitioned from suicidal ideation to suicide attempt. Younger age, harmful use of alcohol and higher depression scores were associated significantly with increased non-fatal suicidal behaviours. The only factor associated with transition from suicidal ideation to suicide attempt was high depression score. Only 10.5 % of the sample with suicidal ideation had received any treatment for their suicidal behaviour: 10.8 % of the community sample and 10.2 % of the facility sample. Although help seeking increased with progression from ideation to attempt, there was no statistically significant difference between the groups. Non-fatal suicidal behaviour is an important public health problem in this rural district. A more in-depth understanding of the context of the occurrence of the behaviour, improving access to care and targeting depression and alcohol use disorder are important next steps. The role of other psychosocial factors should also be explored to assist the provision of holistic care.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 131 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 18%
Researcher 13 10%
Student > Postgraduate 10 8%
Student > Bachelor 9 7%
Other 6 5%
Other 18 14%
Unknown 52 40%
Readers by discipline Count As %
Psychology 27 21%
Medicine and Dentistry 22 17%
Nursing and Health Professions 11 8%
Social Sciences 8 6%
Agricultural and Biological Sciences 5 4%
Other 5 4%
Unknown 53 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 March 2016.
All research outputs
#20,315,221
of 22,856,968 outputs
Outputs from BMC Psychiatry
#4,220
of 4,698 outputs
Outputs of similar age
#254,419
of 300,114 outputs
Outputs of similar age from BMC Psychiatry
#94
of 100 outputs
Altmetric has tracked 22,856,968 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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