Gambling-related suicide in East African Community countries: evidence from press media reports

Kaggwa, Mark Mohan; Mamum, Mohammed A.; Najjuka, Sarah Maria; Muwanguzi, Moses; Kule, Moses; Nkola, Rahel; Favina, Alain; Kihumuro, Raymond Bernard; Munaru, Gideon; Arinaitwe, Innocent; Rukundo, Godfrey Zari; Griffiths, Mark D.

doi:10.1186/s12889-021-12306-2

Cited by 18 publications

(18 citation statements)

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“…The primary health care workers reported different challenging experiences, including knowledge and skills deficits, mental illness and suicide stigma, low staffing levels, and the lack of supportive community resources. The staff also noted predominantly having male patients admitted due to suicide behaviors , a finding similar to other studies done in Uganda [ 14 , 20 , 40 ].…”

Section: Discussionsupporting

confidence: 86%

Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda

et al. 2022

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Background Suicide is one of the leading causes of death globally, with over 75% of all suicides occurring in low-and middle-income Countries. Although 25% of people have contact with their health care workers before suicide attempts, most never receive proper suicide assessment and management. We explored primary care health workers' knowledge, attitudes, and experiences in evaluating and managing suicidality in structured primary healthcare services in Uganda. Methods This was a cross-sectional qualitative study among health workers in southwestern Uganda from purposively selected health facilities. A semi-structured interview guide was used, and data were analyzed using thematic analysis. Results The in-depth interviews were conducted with 18 individuals (i.e., five medical doctors, two clinical officers, two midwives, and nine nurses) from 12 health facilities in the five selected districts. Four themes emerged from the discussions: a) Knowledge and attitudes of primary healthcare workers in the assessment and management of suicidality, b) Experiences in the assessment and management of suicidality, c) challenges faced by primary healthcare workers while assessing and managing suicidality, and d) Recommendations for improving assessment and management of suicidality in PHC. Most participants were knowledgeable about suicide and the associated risk factors but reported challenges in assessing and managing individuals with suicide risk. The participants freely shared individual experiences and attitudes in the assessment and management of suicide. They also proposed possible ways to improve the evaluation and management of suicidality in PHC, such as setting up a system of managing suicidality, regularizing community sensitization, and training health workers. Conclusion Suicidality is commonly encountered by primary health care workers in Uganda who struggle with its assessment and management. Improving the knowledge and attitudes of primary health care workers would be a big step towards ensuring equitable services.

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Section: Discussionsupporting

confidence: 86%

Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda

et al. 2022

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“…However, common risk factors for suicide such as depression, burnout, stress, and severe behavioural addictions such as gambling, internet use disorders, should be screened for among patients visiting health facilities by health workers. 19 , 34–37 …”

Section: Discussionmentioning

confidence: 99%

“…This predominant method used by attempters in our study was different from other studies which use other data sources, for instances with media report data, hanging has been the most reported method used by attempters, since hanging attracts more media attention. 15 , 19 In south-western Uganda poisoning is a common method of attempted suicide as many people may have access to pesticides and herbicides, since farming is the predominant activity in the region. The people in the region know that these medications kill when ingested, hence their predominant use to attempt suicide.…”

Section: Discussionmentioning

confidence: 99%

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Suicide and Suicide Attempts Among Patients Attending Primary Health Care Facilities in Uganda: A Medical Records Review

Kaggwa¹,

Rukundo²,

Wakida³

et al. 2022

RMHP

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Background Suicide is one of the leading causes of death globally, accounting for about 800,000 deaths annually. The suicide burden drastically increased since the beginning of the COVID-19 pandemic. In Uganda, no known study has determined the suicide rate since the beginning of the COVID-19 pandemic. Objective To determine the suicide mortality rate and describe the characteristics of victims of suicide attempts from January to December 2020 in south western Uganda. Methods This study was based on the health management information systems (HMIS) of patients’ registered data for the year 2020 at 15 selected primary health care facilities in four districts in south-western Uganda. We used a data extraction tool to capture demographic and clinical characteristics of the individuals who had attempted or completed suicide. We estimated yearly incidence rates of fatal and non-fatal suicide attempts, and used chi-square and t -test to determine the statistical difference between suicide attempt outcomes. Results A total of 130 non-fatal suicide attempts and 26 suicides were identified. Majority were male 69.87% (n = 109/156) and the mean age was 27.16 (SD = 14.71) years. The overall incidence of suicide attempts was about 60 attempts per 100,000 people, while that of completed suicide was about three deaths per 100,000 people. The suicide attempts increased following the first month of COVID-19 lockdown in the country (March 2020) and most individuals attempted suicide by poisoning (n = 144). Conclusion Suicide is a common occurrence in primary health care settings of Uganda and there has been a rapid increase in suicide attempts since the onset of the COVID-19 pandemic. With suicide by poisoning being common, there is need for proactive interventions, such as the control of pesticides and herbicides, to prevent suicide among members of this community, especially during pandemic conditions.

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“…Following publication of the original article [ 1 ], the authors would like to add an affiliation and correct the error in the author name of Mohammed A. Mamun.…”

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Correction to: Gambling-related suicide in East African Community countries: evidence from press media reports

et al. 2022

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Gambling-related suicide in East African Community countries: evidence from press media reports

Cited by 18 publications

References 65 publications

Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda

Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda

Suicide and Suicide Attempts Among Patients Attending Primary Health Care Facilities in Uganda: A Medical Records Review

Correction to: Gambling-related suicide in East African Community countries: evidence from press media reports

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