Background: Suicide ideation and attempt are more highly prevalent among medical students compared to the general population. Suicidal thought negatively impacts the quality of life, physical, and mental well-being of the students. However, research into suicide ideation and attempt among medical students in low-and middle-income countries is limited. Therefore, this study aimed to explore suicide ideation and attempt and their determinants among medical students in Ethiopia have a crucial role for further intervention. Methods: An institution-based cross-sectional study was conducted on 393 medical students from March to June 2019 at the University of Gondar (UoG) in Ethiopia. Simple random sampling technique was used to select study participants. Suicide ideation and attempt were assessed using the World Health Organization Composite International Diagnostic Interview (CIDI) to assess lifetime suicide ideation and attempts during medical school. Data were collected using a self-administered questionnaire. Binary logistic regression analyses were used to identify factors associated with suicide ideation and attempt. An odds ratio (OR) with a 95% confidence interval (CI) was computed to assess the strength of the association. Results: A total of 393 participants took part with a response rate of 92.9%. The prevalence of suicide ideation and attempt among study participants was found to be 14% and 7.4%, respectively, with 95%
Objective Social phobia is highly prevalent among university students. The lowest and highest point prevalence of social phobia among undergraduate university students was estimated at 7.8% and 80%, respectively. However, research into social phobia and associated factors among undergraduate university students in low and middle-income countries has been limited. Therefore, this study aimed to assess social phobia and associated factors among university students in Ethiopia to contribute an attempt to ensure optimal care for students. Result A total of 503 participants were interviewed with a response rate of 100%. The mean age of the respondents was 22.17 (± 10) years. The prevalence of social phobia symptoms among students was found to be 31.2% with (95% CI 27.3 to 35.6%). In the multivariable analysis, poor social support (AOR = 2.8, 95% CI 1.40, 5.60), female sex (AOR = 2.3; 95% CI 1.50, 3.60), 1st-year students (AOR = 5.5; 95% CI 1.80, 17.20), and coming from a rural residence (AOR = 1.6; 95% CI 1.00, 2.40) were factors significantly associated with social phobia symptoms. Electronic supplementary material The online version of this article (10.1186/s13104-019-4482-y) contains supplementary material, which is available to authorized users.
Background Many studies have revealed that students’ performance in school, is affected by symptoms of depression, anxiety, and stress, which may impair their academic achievement, and lead to school dropout. However, to date, no studies have evaluated these three disorders among high school students in Africa. Therefore, in this study, we aimed to assess the prevalence of depression, anxiety, stress, and their associated factors among high school students in Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted. A simple random sampling technique was used to select 849 participants from six high schools in Northwest Ethiopia. A self-administered Depression, Anxiety, and Stress Scale (DASS-21) questionnaire was used to collect the data. Data were analyzed using SPSS Version 25.0 software to identify factors associated with DAS, and bi-variable and multi-variable analyses were performed. Results The prevalence of depression, anxiety, and stress was 41.4, 66.7, and 52.2% respectively. Being female (AOR = 1.304, 95% CI = 1.006–1.849), higher risky khat chewers (AOR = 5.595, 95% CI = 2.357–11.132), having social phobia (AOR = 1.416, 95% CI = 1.045–1.919) were associated with depression. Being higher risky cigarette smokers (AOR = 4.777, 95% CI = 1.407–7304), having a history of chronic medical illness (AOR = 2.099, 95% CI = 1.045–4.218), and having a family history of mental illness (AOR = 1.777, 95% CI = 1.028–3.073) associated with anxiety. Stress was associated with high-risk alcohol drinkers (AOR = 1.828, 95% CI = 1.012–3.303), rural residency (AOR = 1.395, 95%CI = 1.010–1.925), and low social support (AOR 1.7391, 95% CI = 1.203–2.515). Conclusion The burden of DAS among high school students was found to be high. Female sex, chewing khat, and having social phobia are associated with depression. Conversely, smoking cigarettes, having a chronic medical illness, and having a family history of mental illness are all linked to anxiety. Being a highly risky alcoholic drinker, having poor social support, and being a rural resident are positively associated with stress. Therefore, extending mental health services to all high schools, and strengthening the existing counseling services, are recommended.
ObjectiveCognitive impairments are now widely recognized and emerging as an important therapeutic target in a patient with a major depressive disorder (MDD). It associated with a more deteriorating course of illness among MDD patients. Therefore, understanding the level of cognitive impairment and associated factors is crucial to provide optimal care for MDD patients.ResultThe proportion of cognitive impairment among MDD patients was found to be 54.4% (95%, CI (49.6, 59.3). Factors significantly associated with having cognitive impairment were age adjusted odds ratio (AOR) = 3.00, 95%, confidence interval (CI): (1.49, 6.03), educational status, (AOR = 5.36, 95% CI 2.16, 13.26), employment status (AOR = 3.63, 95 CI 1.99, 6.62), duration of the illness (AOR = 3.16, 95% CI 1.31, 7.64), having co-morbid psychiatric illnesses (AOR = 2.16, 95% CI 1.26, 3.71), and illness relapse (AOR = 2.97, 95% CI 1.54, 5.73).Electronic supplementary materialThe online version of this article (10.1186/s13104-019-4184-5) contains supplementary material, which is available to authorized users.
Background Depression is the main factor of impairment in many areas of function that affects almost all age groups and which also influences on mental and physical health. However, it negatively impacts quality of life and social activities, research into depression and the associated factors among people with traumatized patients in low-and middle-income countries are limited. Therefore, the present study was aimed at identifying the magnitude and associated factors of depression among traumatized patients have a pivotal role for further intervention these vulnerable people. Methods An institutional-based cross-sectional study was conducted at Felege-Hiwot and the University of Gondar comprehensive specialized hospital from March 11/2020 to April 12/2020, by using a structured and semi-structured questionnaire. A systematic random sampling was used to recruit a total of 422 patients. The standard patient health questionnaire (PHQ-9) was used to identify the prevalence of depression by employing a face to face interview. Bivariate and multivariate logistic regression analysis was used to identify associated factors with depression. Statistical significance was declared on 95% of confidence interval at P ˂ 0.05. Results The prevalence of depression was found to be 37.2% with 95% (CI: 32.7–41.5%). In the multivariate logistic regression; being single (AOR = 2.36, 95%, CI: 1.31, 4.21), history of chronic medical illness (AOR = 3.79, 95%, CI: 1.19, 12.08), anxiety symptoms (AOR = 3.81, 95%, CI: 2.11, 6.85), poor and moderate social supports (AOR = 4.59, 95%, CI: 2.36, 8.91) and (AOR = 4.34, 95%, CI: 2.23, 8.45), respectively, and moderate perceived threat to life (AOR = 2.66, 95%, CI: 1.58, 4.47) were factors significantly associated with depression. Conclusion In this study revealed that depression among physical trauma patients was considerable too high. Being single, chronic medical illness, anxiety, poor and moderate social support, and moderate perceived stress were factors significantly associated with depression. The ministry of health and other concerned health organizations may find the current finding useful for early detection, prevention, and intervention strategies to minimize the factor of depression in trauma survivors.
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