Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda
Although the impact of HIV/AIDS has changed globally, it still causes considerable morbidity and mortality, including suicidality, in countries like Uganda. This paper describes the burden and risk factors for suicidal ideation and attempt among 543 HIV-positive attending two HIV specialized clinics...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2016/3015468 |
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| author | Godfrey Zari Rukundo Brian Leslie Mishara Eugene Kinyanda |
| author_facet | Godfrey Zari Rukundo Brian Leslie Mishara Eugene Kinyanda |
| author_sort | Godfrey Zari Rukundo |
| collection | DOAJ |
| description | Although the impact of HIV/AIDS has changed globally, it still causes considerable morbidity and mortality, including suicidality, in countries like Uganda. This paper describes the burden and risk factors for suicidal ideation and attempt among 543 HIV-positive attending two HIV specialized clinics in Mbarara municipality, Uganda. The rate of suicidal ideation was 8.8% (n=48; 95% CI: 6.70–11.50) and suicidal attempt was 3.1% (17, 95% CI 2.00–5.00). The factors associated with increased risk for suicidal ideation and attempts were state anger (OR = 1.06, 95% CI: 1.03–1.09; p=0.001); trait anger (OR 1.10, 95% CI 1.04–1.16, p=0.002); depression (OR 1.13, 95% CI 1.07–1.20, p=0.001); hopelessness (OR 1.12, 95% CI 1.02–1.23, p=0.024); anxiety (OR 1.06, 95% CI 1.03–1.09); low social support (OR 0.19, 95% CI 0.07–0.47, p=0.001); inability to provide for others (OR 0.19, 95% CI 0.07–0.47, p=0.001); and stigma (OR 2.48, 95% CI 1.11–5.54, p=0.027). At multivariate analysis, only state anger remained statistically significant. HIV/AIDS is associated with several clinical, psychological, and social factors which increase vulnerability to suicidal ideation and attempts. Making suicide risk assessment and management an integral part of HIV care is warranted. |
| format | Article |
| id | doaj-art-36267a8e8ad44ae383c5606d817c50c4 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-36267a8e8ad44ae383c5606d817c50c42025-02-03T07:25:36ZengWileyAIDS Research and Treatment2090-12402090-12592016-01-01201610.1155/2016/30154683015468Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban UgandaGodfrey Zari Rukundo0Brian Leslie Mishara1Eugene Kinyanda2Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, UgandaCentre for Research and Intervention on Suicide and Euthanasia and Psychology Department, Université du Québec à Montréal, Montréal, QC, H3C 3P8, CanadaUganda Medical Research Council, Entebbe and Department of Psychiatry, Makerere College of Health Sciences, Kampala, UgandaAlthough the impact of HIV/AIDS has changed globally, it still causes considerable morbidity and mortality, including suicidality, in countries like Uganda. This paper describes the burden and risk factors for suicidal ideation and attempt among 543 HIV-positive attending two HIV specialized clinics in Mbarara municipality, Uganda. The rate of suicidal ideation was 8.8% (n=48; 95% CI: 6.70–11.50) and suicidal attempt was 3.1% (17, 95% CI 2.00–5.00). The factors associated with increased risk for suicidal ideation and attempts were state anger (OR = 1.06, 95% CI: 1.03–1.09; p=0.001); trait anger (OR 1.10, 95% CI 1.04–1.16, p=0.002); depression (OR 1.13, 95% CI 1.07–1.20, p=0.001); hopelessness (OR 1.12, 95% CI 1.02–1.23, p=0.024); anxiety (OR 1.06, 95% CI 1.03–1.09); low social support (OR 0.19, 95% CI 0.07–0.47, p=0.001); inability to provide for others (OR 0.19, 95% CI 0.07–0.47, p=0.001); and stigma (OR 2.48, 95% CI 1.11–5.54, p=0.027). At multivariate analysis, only state anger remained statistically significant. HIV/AIDS is associated with several clinical, psychological, and social factors which increase vulnerability to suicidal ideation and attempts. Making suicide risk assessment and management an integral part of HIV care is warranted.http://dx.doi.org/10.1155/2016/3015468 |
| spellingShingle | Godfrey Zari Rukundo Brian Leslie Mishara Eugene Kinyanda Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda AIDS Research and Treatment |
| title | Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda |
| title_full | Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda |
| title_fullStr | Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda |
| title_full_unstemmed | Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda |
| title_short | Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda |
| title_sort | burden of suicidal ideation and attempt among persons living with hiv and aids in semiurban uganda |
| url | http://dx.doi.org/10.1155/2016/3015468 |
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