Prevalence and correlates of suicidal behavior in primary care settings in Mozambique

被引：3

作者：

Cumbe, Vasco F. J. ^{[1
,2
,3
,4
]}

Manaca, Maria Nelia ^{[5
]}

Atkins, Dana L. ^{[6
]}

Muanido, Alberto ^{[5
]}

Hicks, Leecreesha ^{[7
]}

Oquendo, Maria A. ^{[8
]}

Mari, Jair de Jesus ^{[4
]}

Wagenaar, Bradley H. ^{[6
,7
,9
]}

机构：

[1] Prov Hlth Directorate Sofala, Mental Hlth Dept, Minist Hlth, Beira, Mozambique

[2] Eduardo Mondlane Univ UEM, Fac Med, Mental Hlth & Psychiat Dept, Maputo, Mozambique

[3] Beira Cent Hosp, Med Dept, Psychiat & Mental Hlth Serv, Sofala, Beira, Mozambique

[4] Univ Fed Sao Paulo, Dept Psiquiatria, UNIFESP, Escola Paulista Med, Sao Paulo, Brazil

[5] Hlth Alliance Int, Beira, Mozambique

[6] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[7] Hlth Alliance Int, Seattle, WA USA

[8] Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA 19104 USA

[9] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

来源：

BMC PSYCHIATRY | 2022年 / 22卷 / 01期

关键词：

Suicidal behavior; Suicidal ideation; Suicidal plan; Suicide attempt; Primary health care; Mozambique; RISK-FACTORS; IDEATION;

D O I：

10.1186/s12888-022-04059-y

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background This study assessed the prevalence of suicidal behavior and associated risk factors in public primary health care in Mozambique. Methods The Mini International Neuropsychiatric Interview was used to evaluate suicidal behavior among 502 adults attending three Primary Health Care (PHC) settings. Results In the past month, 13% (n = 63) of PHC attendees expressed suicidal ideation, 8% (n = 40) had made a suicide plan, 4% (n = 20) had made a suicide attempt, and 5% (n = 25) reported a lifetime suicide attempt. Females had 2.8-fold increased odds of suicide plan (95% CI: 1.5, 5.5) and 3.3-fold increased odds of suicide attempt in the past month (95% CI: 1.2, 9.1). Each 10-year increase in age was associated with 0.61-fold the odds of suicide plan (95% CI: 0.38, 0.98) and 0.09-fold the odds of suicide attempt (95% CI: 0.01, 0.69) in the past month. People living with HIV (PLWHA) had 2.2-fold increased adjusted odds of past month suicide attempt (CI: 1.1, 4.1). Conclusion Suicidal behaviors are common among adults attending PHC clinics in Mozambique. Screening and linkage to effective preventive interventions are urgently needed in PHC settings. Females, younger individuals, and PLWHA are at elevated risk for suicidal behavior in PHC.

引用

页数：10