Suicide and suicide attempts in people with severe mental disorders in Butajira, Ethiopia: 10 year follow-up of a population-based cohort
Rattachement africain : ca, Éthiopie, gb, Congo, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: People with severe mental disorders (SMD) are at higher risk of suicide. However, research into suicide attempts and completed suicide in people with SMD in low- and middle-income countries is mostly limited to patients attending psychiatric facilities where selection bias is likely to be high. METHODS: A population-based cohort of 919 people with SMD from rural Ethiopia (who received standardized clinician diagnoses of schizophrenia (n = 358) major depressive disorder (n = 216) and bipolar I disorder (n = 345)) were followed up annually for an average of 10 years. The Longitudinal Interval Follow-up Evaluation chart was administered by psychiatrists and used to evaluate systematically suicidal behavior and risk factors, which may be amenable to intervention. RESULTS: Over the follow-up period, the cumulative risk of suicide attempt was 26.3% for major depression, 23.8% for bipolar I disorder and 13.1% for schizophrenia, (p < 0.001). The overall incidence of completed suicide was 200.2/100,000 person-years (CI = 120.6, 312.5). Hanging was the most frequent method used (71.5%) for both attempters and completers. Most people who completed suicide were successful on the first attempt (84.2%), but the case-fatality rate for suicide attempt was 9.7%. In the adjusted logistic regression model, being currently married (Adjusted OR) =2.17, 95% CI = 1.21, 3.91), and having a diagnosis of bipolar I disorder (Adjusted OR = 2.59, 95% CI = 1.57, 4.26) or major depression (Adjusted OR = 2.71, 95% CI = 1.60, 4.58) were associated significantly with increased risk of suicide attempts. CONCLUSION: In this sample of people with SMD from a rural setting, the rate of suicide was high. Initiatives to integrate mental health service into primary care need to focus on limiting access to suicide methods in people with SMD in addition to expanding access to mental health care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Suicide and suicide attempts in people with severe mental disorders in Butajira, Ethiopia: 10 year follow-up of a population-based cohort
- Date Crossref
- 23/05/2014
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Toronto Ontario Shores Centre for Mental Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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Ontario Shores Centre for Mental Health Sciences pays non établi dans la noticeÉtablissement de santé
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Addis Ababa University Department of Psychiatry Addis Ababa University, Éthiopie (code pays fourni par la source)Université ou école supérieure
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King's College London Health Services and Population Research Department pays non établi dans la noticeUniversité ou école supérieure
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World Health Organization Regional Office for Africa Congo (code pays fourni par la source)Organisme public
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Umeå University Department of Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
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College of Health Sciences Addis Ababa University, Éthiopie (pays nommé en fin d’affiliation)Université ou école supérieure
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Congo Brazzaville Brazzaville, Congo (ville ou établissement reconnu, pays non nommé)Organisation à but non lucratif
Ontario Shores Centre for Mental Health Sciences — University of Toronto, Ontario Shores Centre for Mental Health Sciences et Department of Psychiatry — Addis Ababa University (Addis Ababa University, Éthiopie), avec 5 autres affiliations. Pays d’affiliation : Éthiopie, Congo.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.