Determinants of suicidal ideation among patients with mental disorders visiting psychiatry outpatient unit in Mekelle town, psychiatric clinics, Tigray, Northern Ethiopia: a case–control study

Abstract

Background: Globally, more than 450 million people suffer from a mental or behavioral disorder. Psychiatric disorder and its duration, physical illness, family history of mental illness, previous suicidal attempt, unemployment, poor social support, and psychotic symptoms are of the main reasons enabling patients to be suicidal ideates. The purpose of this study is to identify the determinants of suicidal ideation among patients with mental disorders in Mekelle, Ethiopia. Methods: Case-control study design was employed with a total of 221 study subjects (74 cases and 147 controls) in Mekelle, Ethiopia. Suicidal ideation was measured by the Suicidal Behavior Questionnaire-Revised (SBQ-R) scale. Bivariate and multiple logistic regression analyses were performed to determine between the independent and dependent variables. Results: This study revealed that family suicide history (AOR = 6.87, 95% CI [1.138-41.531, P = 0.036), previous attempts history (AOR = 27.457, 95% CI 10.417-72.368, P = 0.0001), family mental illness history (AOR = 3.029, 95% CI 1.088-8.431, P = 0.034), major depressive disorders (AOR = 11.182, 95% CI 2.382-52.501, P = 0.002), and psychiatric comorbid disorders (AOR = 12.245, 95% CI 1.898-78.986, P = 0.008) were significant factors of suicidal ideation. Conclusion: Family mental illness history, family suicide history, previous suicide attempt history, major depressive disorders, and psychiatric comorbid disorders were significant factors of suicidal ideation.

Suicide Risk in Military Personnel during the COVID-19 Health Emergency in a Peruvian Region: A Cross-Sectional Study

“…In our research, we found that having a family member with a mental health problem increased the prevalence of suicidal risk by 116%. This is similar to what was found in Ethiopian psychiatric patients, where those who had family members with a history of mental illness were 3.03 times more likely to have suicidal ideation than those who did not have family members with a history [ 27 ]. It is also similar to another study, conducted in Eritrean refugees, who reported three times higher risk of reporting suicide attempt relative to those who did not have relatives with mental disorder [ 63 ].…”

“…The factors mentioned above have been shown to have a strong influence on the development of suicide risk [ 26 ]. For example, in Ethiopian psychiatric patients, those who had family members with a history of mental illness were 3.03 times more likely to have suicidal ideation [ 27 ]. In active U.S. military, subjects with insomnia symptoms were three times more likely to report suicidal ideation [ 28 ].…”

Suicidal Behaviors and Associated Factors among Ethiopian Patients Attending an Emergency Department

“…Likewise, other community or facility-based studies in Ethiopia did not nd associations between sex, ethnicity, or religion and suicidal attempt or between suicidal attempt and sex, marital status, educational level, religion, family history of suicide or type of mental illness (Mekonnen & Kebede, 2011). In contrast, facility-based studies conducted in Jimma (Salelew et al, 2016) and Mekelle (Tsegay et al, 2020) found that factors such as major depressive disorder, other mental illnesses or family history of mental illness are associated with suicidal behaviour among people with psychiatric disorders, which are consistent with reports from other countries (Qin et al, 2002(Qin et al, , 2003. In addition, alcohol use disorder and nicotine dependence are associated with suicidal behaviour among people with mental illness in Ethiopia (Salelew et al, 2016).…”

New insights on the phytochemical intervention for the treatment of neuropsychiatric disorders using the leaves of Michelia champaca : an in vivo and in silico approach

“…The World Health Organization (WHO) reported that about 450 million people exhibited certain amount of mental or behavioural disorder, which is often left undetected or untreated with the fear of the societal circumstances (Tsegay et al. 2020 ).…”