Prevalence and Risk Factors of Attempted Suicide in Adult War-Affected Population of Eastern Uganda


Kinyanda, E; Weiss, HA; Mungherera, M; Onyango-Mangen, P; Ngabirano, E; Kajungu, R; Kagugube, J; Muhwezi, W; Muron, J; Patel, V; (2013) Prevalence and Risk Factors of Attempted Suicide in Adult War-Affected Population of Eastern Uganda. Crisis, 34 (5). pp. 314-323. ISSN 0227-5910 DOI: https://doi.org/10.1027/0227-5910/a000196

Full text not available from this repository. (Request a copy)

Abstract

Background: There is conflicting evidence on the relationship between war trauma and suicidal behavior. Some studies point to an increased risk of suicidal behavior while others do not, with a paucity of such data from sub-Saharan Africa. Aims: To investigate the prevalence and risk factors of attempted suicide in war-affected Eastern Uganda. Method: A cross-sectional survey was carried out in two districts of Eastern Uganda where 1,560 respondents (15 years and older) were interviewed. Multivariable logistic regression was used to assess risk factors of attempted suicide in this population. Results: Lifetime attempted suicide was 9.2% (n = 142; 95% CI, 7.8%-10.8%), and 12-month attempted suicide was 2.6% (n = 41; 95% CI, 1.9-3.5%). Lifetime attempted suicide was significantly higher among females 101 (11.1%) than among males 43 (6.5%; OR = 1.80, 95% CI 1.21-2.65). Factors independently associated with lifetime rate of attempted suicide among females were subcounty, being a victim of intimate partner violence, having reproductive health complaints, and having major depressive disorder. Among males these were belonging to a war-vulnerable group, having a surgical complaint, and having a major depressive disorder. Conclusions: In both sexes, the lifetime rate of attempted suicide was not independently directly related to experiences of war trauma. It was, however, indirectly related to war trauma through its association with psychological, somatic, and psychosocial sequelae of war.

Item Type: Article
Keywords: attempted suicide, prevalence, risk factors, war conflict, Africa, deliberate self-harm, psychological autopsy, stress, area
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Tropical Epidemiology Group
Centre for Global Mental Health
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 23608229
Web of Science ID: 323699500004
URI: http://researchonline.lshtm.ac.uk/id/eprint/1229350

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
312Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item