Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital

Abstract

Background: Diabetes mellitus (DM) and essential hypertension are chronic medical conditions that place a lot of burden on patients. The presence of depression and suicidal behaviour may worsen the prognosis. Objective: To assess the prevalence of depression and suicidal behaviour in subjects with diabetes mellitus and essential hypertension and also determine the socio-demographic correlates. Methods: Major depressive episode and suicidality modules of Mini-International Neuropsychiatric Interview were used to assess depression and suicidal behaviour respectively. Results: The prevalence of depression for the subjects with DM was 27.8% and 26.7% for essential hypertension. The subjects with DM had prevalence of 6.3% for suicidal behaviour while essential hypertension had 7.8%. Depression was higher in subjects with DM if they were not married or had no education while the subjects with essential hypertension were more likely to have depression if they were not married, had no education or not employed. Suicidal behaviour was higher in subjects with DM if they had no education while in essential hypertension suicidal behaviour was higher in females, those not married and those not educated. Conclusion: Depression and suicidal behaviour occur with DM and essential hypertension.

Maginitude and Associated Factors of Depression Among Hypertensive Patients Attending Treatment Follow Up in Chronic Opd at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

“…In this study, the prevalence of depression was found to be 24.19 %. The nding was in line with the cross-sectional study done in Ebinet,North west Ethiopia (17.5%) [9], Nigeria (26.7%) [10] and Saudi Arabia (20.7%) [11] . In our study being female were two times more likely to be depressed than male.…”

The association between depression, quality of life, and the health care expenditure of patients with diabetes mellitus in Uganda

“…Previous studies have documented a positive association between lack of employment and co-morbid depression in persons with DM (Friis and Nanjundappa, 1986; Igwe et al, 2013). A number of explanations could be responsible for these findings.…”

A Study of Prevalence of Depression in Type 2 Diabetic Patients in a Tertiary Care Centre

“…7 In patients with Diabetes and essential hypertension, the prevalence of depression and suicidal tendencies was studied and was found that depression and suicidal tendencies are found prominent in the diabetic patient as well as hypertensive, more being in the uneducated side. 8 Diabetes may be diagnosed and treated, but the depression in these patients goes unnoticed. Most of the time, depression is not considered an important factor, often ignored and left untreated.…”