Prevalence of suicidal ideation and attempt: associations with psychiatric disorders and HIV/AIDS in post-conflict Northern Uganda

Background: Research on the prevalence of suicidal ideation, attempt, and cormorbid psychiatric disorders in post-conflict areas is still limited. Objective: We explored the prevalence of suicidal ideation, attempt, associated psychiatric disorders and HIV/AIDS in post-conflict Northern Uganda, an a...

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Bibliographic Details
Published in:	African health sciences Vol. 16; no. 4; pp. 1027 - 1035
Main Authors:	Mugisha, James, Muyinda, Herbert, Kagee, Ashraf, Wandiembe, Peter, Mpugu, Stephen Kiwuwa, Vancampfort, Davy, Kinyanda, Eugene
Format:	Journal Article
Language:	English
Published:	Uganda Makerere University Medical School 01-01-2016 Makerere Medical School
Subjects:	Acquired Immunodeficiency Syndrome - epidemiology Adolescent Adult Alcohol Drinking - epidemiology Alcohol Drinking - psychology Civil War cormorbidity Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Female HIV Infections - epidemiology Humans ideation Interviews as Topic Logistic Models Male Mental disorders Middle Aged Morbidity Odds Ratio post-conflict Northern Uganda Postwar periods Prevalence Psychiatry Regression analysis Risk Factors Sex Distribution Socioeconomic Factors Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Suicidal Ideation Suicide attempt Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts Uganda - epidemiology War Exposure - statistics & numerical data Young Adult Uganda ideation cormorbidity post-conflict Northern Uganda Suicide attempt
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Summary:	Background: Research on the prevalence of suicidal ideation, attempt, and cormorbid psychiatric disorders in post-conflict areas is still limited. Objective: We explored the prevalence of suicidal ideation, attempt, associated psychiatric disorders and HIV/AIDS in post-conflict Northern Uganda, an area that experienced civil strife for over two decades. Methods: A total of 2400 respondents (aged 18 and above) and randomly selected in three districts (Gulu, Amuru and Nwoya), were interviewed. Multivariable logistic regression was used to assess for associations between suicidality (suicidal ideation and attempt) and psychiatric cormorbidities. Results: The prevalence of suicidal ideation and attempt were 12.1 % and 6.2 % respectively. Suicidality was significantly (P<0.001) higher among respondents with major depressive disorder (adjusted Odds Ratio (OR) = 9.5; 95%CI= 7.4, 12.1) and post-traumatic stress disorder (adjusted OR =2.4; 95%CI= 1.6, 3.6). Men had lower odds of ideating or attempting suicide compared to women (adjusted OR = 0.55; 95%CI: 0.38, 0.82). Conclusion: The prevalence rate of suicide ideation and attempt indicate a major public health problem in post-conflict Northern Uganda. Effective public mental health programs that that target both suicidality and psychiatric co-morbodities will be vital. Special attention should be given to women in post conflict Northern Uganda.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	1680-6905 1729-0503 1680-6905
DOI:	10.4314/ahs.v16i4.20