Suicide risk in people living with AIDS/HIV: the effect of childhood trauma is mediated by mental disorders and social vulnerability

Kelbert, Evelin Franco; Pinheiro, Luísa Mendonça de Souza; Souza, Luciano D.M.; Pinheiro, Cézar Arthur Tavares; Pinheiro, Karen Amaral Tavares; Motta, J V S; Barros, M M D; Coelho, Fábio Monteiro da Cunha; Souza, Marília Silva de; Martins, Clarissa; Pinheiro, Ricardo Tavares

doi:10.1080/09540121.2019.1695732

Cited by 6 publications

(4 citation statements)

References 47 publications

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“…5 People with chronic illnesses, particularly HIV/AIDS are at increased risk of suicide. 6 In South Africa, 83.1% of patients with HIV/AIDS had a significantly elevated risk of suicidal ideation, and most of them were young men aged <30 years. 7 Two time points are peak for suicide incidence: 72 hours and 6 weeks after the diagnosis of HIV/AIDS, in addition to immediately after the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Suicidal Ideation and Suicide Attempt in People With Human Immunodeficiency Virus in Africa: a Systematic Review

Metekiya

Gebreselassie

Amare

et al. 2022

East Asian Arch Psychiatry

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Background: People with human immunodeficiency virus (HIV) are at higher risk of suicidal ideation and suicide attempts. We reviewed the literature for the prevalence and determinants of suicidal ideation and suicide attempt in people with HIV in Africa. Methods: The PubMed, Scopus, and Google scholar were searched for original studies published in peerreviewed journals in English language between January 2015 to July 2020, using the key words: 'suicidal behavior', 'suicidal attempt', 'suicidal ideation', 'HIV/AIDS', and/or 'Africa'. The quality of included studies was assessed using the Newcastle-Ottawa scale. Results: 12 cross-sectional studies published in the past 5 years in African countries were included. The quality of studies was high, with score ranging from 6 to 9. The prevalence of suicidal ideation ranged from 8.8% to 39%. The prevalence of suicide attempt ranged from 2.8% to 20.1%. The most common risk factors for suicidal behaviour were mental health-related problems. Other factors included high clinical stage of HIV, being unmarried, poor medication adherence, poorer quality of life, not taking highly active antiretroviral therapy, female sex, no education, substance use, low CD4 level, and opportunistic infection. Conclusion: Patients with HIV/AIDS have an increased risk of suicidal ideation and suicide attempts. Early screening, treatment, and referral of suicidal patients are necessary for HIV clinics.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Suicidal Ideation and Suicide Attempt in People With Human Immunodeficiency Virus in Africa: a Systematic Review

Metekiya

Gebreselassie

Amare

et al. 2022

East Asian Arch Psychiatry

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“…Studies also stated that they considered suicide as a solution to relieve stress when receiving a positive diagnosis. In this regard, various studies have emphasized that among the AIDS patients, loss of self-esteem and severe stress have led to high suicide rates (31)(32)(33).…”

Section: Discussionmentioning

confidence: 99%

The Lived Experience of HIV-Infected Patients in the Face of a Positive Diagnosis of the Disease: A Phenomenological Study

Zandi¹,

Imani²,

Khazaei³

et al. 2021

Preprint

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Background: AIDS as a human crisis may lead to devastating psychological trauma and stress for patients. Therefore, it is necessary to study different aspects of their lives for better support and care. Accordingly, this study aimed to explain the lived experience of HIV-infected patients in the face of a positive diagnosis of the disease.Methods: This qualitative study is a descriptive phenomenological study. Sampling was done purposefully and participants were selected based on the inclusion and exclusion criteria. Data collection was conducted, using semi-structured interviews. Data analysis was performed using Colaizzi’s method.Results: 12 AIDS patients participated in this study. As a result of data analysis, 5 main themes and 12 sub-themes were identified, which include: emotional shock (loathing, motivation of social isolation), the fear of the consequences (fear of the death, fear of loneliness, fear of disgrace), the feeling of the guilt (feeling of regret, feeling guilty, feeling of conscience-stricken), the discouragement (suicidal ideation, disappointment), and the escape from reality (denial, trying to hide).Conclusions: The results of this study showed that patients will experience unpleasant phenomenon in the face of the positive diagnosis of the disease and will be subjected to severe psychological pressures that require attention and support of medical and laboratory centers.

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“…Spiritual is considered effective in maintaining the well-being of the quality of life of patients with HIV, by being able to reduce physical fatigue, reduce anxiety, and increase self-confidence [23]. Also, great evidence was reported by the Eve study in Canada which stated that spirituality was able to reduce the problem that most often occurs in patients with HIV, namely depression [15]. There is no doubt that spirituality is effective in preventing the occurrence of complex problems in patients with HIV.…”

Section: Needs Supportmentioning

confidence: 99%

“…Other studies not only in Indonesia but also in several countries, according to a study conducted in Brazil of 364 HIV patients stated that patients with HIV experience mental disorders and are even at the risk of suicide [14]. Also, the same study conducted in Canada on 1,422 HIV patients stated that depression was the most common problem in patients with HIV [15]. So that considering the complex problems in patients with HIV, the attention of health workers is increasing to be able to overcome all possible problems that occur in patients with HIV.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Spiritual Experiences in HIV Patients

Alawiyah¹,

Lindayani

Herdiman

2021

KLS

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One of the consequences caused by problems that occur in HIV patients is a change in the quality of life, particularly that relating to spirituality. This article offers a systematic review of previous studies regarding the spiritual safety of HIV patients. Inclusion criteria for article searches were studies conducted on patients with HIV, over 18 years of age, diagnosed with HIV for more than 6 months, qualitative studies, and exploring spiritual experiences. The quality assessment of each article was carried out using the standard format of the JBI Critical Appraisal Checklist for Qualitative Study. The results of this study include eight articles matching the criteria, and produce four themes that can represent all the articles analyzed: getting closer to God; having hope and life goals; needing support; and finding meaning in life. By identifying and classifying the spiritual experiences of HIV patients, it is hoped that their families will be able to provide motivation in dealing with the problems that occur. It is also hoped that practitioners will be able to use the results of this study as material in collecting assessment data on HIV patients. Keywords: Spiritual Experience, HIV, Qualitative and Literature Review

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Suicide risk in people living with AIDS/HIV: the effect of childhood trauma is mediated by mental disorders and social vulnerability

Cited by 6 publications

References 47 publications

Prevalence and Determinants of Suicidal Ideation and Suicide Attempt in People With Human Immunodeficiency Virus in Africa: a Systematic Review

Prevalence and Determinants of Suicidal Ideation and Suicide Attempt in People With Human Immunodeficiency Virus in Africa: a Systematic Review

The Lived Experience of HIV-Infected Patients in the Face of a Positive Diagnosis of the Disease: A Phenomenological Study

Systematic Review of Spiritual Experiences in HIV Patients

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