Background: Suicide has been recognized as the one of the commonest causes of death globally and mental disorders have been found to contribute about 70% to 80% of causes of suicide. A number of factors can predict or increase the risk of suicide among those who have mental illnesses. Aim: This study aimed to determine the prevalence of suicidal behaviour among mentally ill at the University of Port Harcourt Teaching Hospital. Materials and Methods: This was a descriptive cross-sectional study conducted among attendees of Neuropsychiatric Outpatient Clinic of the University of Port Harcourt Teaching Hospital. A structured questionnaire covering socio-demographic characteristics and other factors were self-administered to 75 patients diagnosed with various psychiatric disorders by consultants Psychiatrists and attending the out-patient clinic via a systematic random sampling. Ethical approval was obtained from the ethical committee of the University of Port Harcourt Teaching Hospital and all other ethical provisions were followed. Descriptive statistics was used to analyze the data. Results: Majority of the respondents were male (81%), single (76.0%), unemployed (36.0%), low income earners (73.4%) and between the ages of 21 and 30 (44%).. Majority had tertiary education (58.7%) followed by respondents with secondary education (33.3%). Those who were dissatisfied with life due to mental illness constituted 34.9% while those who were dissatisfied with living were 22.5%. Nineteen (25,3%) of the respondents has had suicidal thoughts while 7(9.3%) had attempted suicide. The commonest method employed was ingestion of poison. Conclusion: Suicide behaviour was common among those with mental illness and unemployment, substance abuse, male gender, higher level of education, stigmatization, poor premorbid history, adverse childhood experience are among the factors that could affect suicide behaviour. It is therefore important to provide adequate attention and care to the mentally ill to help reduce the prevalence of suicidal haviour among them.
Background: Suicide has been recognized as one of the commonest causes of death globally and mental disorders have been found to contribute about 70% to 80% of causes of suicide. A number of factors can predict or increase the risk of suicide among those who have mental illnesses. Aim: This study aimed to look at the factors influencing suicide behavior among mentally ill patients at the University of Port Harcourt Teaching Hospital. Materials and Methods: This was a cross-sectional study conducted among attendees of Neuropsychiatric Outpatient Clinic of the University of Port Harcourt Teaching Hospital. A structured questionnaire covering socio-demographic characteristics and other factors were self-administered to 75 patients diagnosed with various psychiatric disorders by consultants Psychiatrists and attending the out-patient clinic via a systematic random sampling. Ethical approval was obtained from the ethical committee of the University of Port Harcourt Teaching Hospital and all other ethical provisions were followed. Descriptive and inferential statistics were used to analyze the data. p value ≤ 0.05 was considered statistically significant. Results: Majority of the respondents were male (81%), single (76.0%), unemployed (36.0%), low income earners (73.4%) and between the ages of 21 and 30 (44%). Majority had tertiary education (58.7%) followed by respondents with secondary education (33.3%). Those who were dissatisfied with life due to mental illness constituted 34.9% while those who were dissatisfied with living were 22.5%. Nineteen (25.3%) of the respondents has had suicidal thoughts while 7(9.3%) had attempted suicide. Major determinant of the suicide behavior were stigmatization from mental illness, advice childhood experience, job loss, substance abuse, history of assault and poor premorbid personality. There was a statistically significant association between suicidal behavior and stigma as well as childhood or family history (χ2 = 3.828, p = 0.05; χ2 = 6.334, p = 0.042), but association between suicidal behavior and drug use, sexual assaults, job loss and query respectively was not statistically significant (χ2 = 0.456, p = 0.5; χ2 = 3.111, p = 0.078; χ2 = 6.921, p = 0.009; χ2 = 0.009, p = 0.922). Conclusion: Suicide behavior was common among those with mental illness and unemployment, substance abuse, male gender, higher level of education, stigmatization, poor premorbid history, adverse childhood experience are among the factors that could affect suicide behavior. Association exits between suicide behavior and drug use, stigma, childhood or family history, sexual assaults, job loss, and query etc. It is, therefore, important to provide adequate attention and care to the mentally ill to help reduce the prevalence of suicidal behavior among them.
Background: In the twenty-first century, female adolescents’ use of intravenous psychoactive substances has become widespread worldwide. For instance, statistics show that 155 and 250 million people between the ages of 15-64 used intravenous psychoactive drugs as of 2008. Examples of intravenous psychoactive drugs taken by people with 15-64 include; Amphetamines, non-prescribed psychoactive prescription drugs, cannabis, cocaine, and opiates. As a result of the preceding, the use of intravenous psychoactive drugs among Female adolescents is a common phenomenon in the 21st century. Aim: To undergo a systematic review on IV psychoactive drugs use, prevalence, causes and effects among adolescent females. Design: A systematic review. Data Sources: Systematic search for worldwide published literature from databases like google scholar, Emerald, PubMed, and science-direct. Study Eligibility Criteria: Articles that are published in English, primary research and studies published within the last 10 (ten) years (2013-2023). Results: From the 2000 published papers that was found, 1700 publications were screened out owing to duplicate data. In addition, 60 publications were eliminated because they did not have appropriate information for this current study, and 200 papers were eliminated because of erroneous information. For being overly shallow, 29 publications were ignored. In the end, this study included 11 (eleven) publications. Conclusion: Worldwide, there is a high prevalence of female adolescents using intravenous psychoactive drugs. The causes include feelings of helplessness following family separation, poor academic performance, a physical environment, prior substance use, recreational alternatives, socialisation issues, and inadequate organisational support. Cardiovascular illness, psychological diseases like anxiety, dependency, mood, and psychosis disorders, as well as various Hormonal Contraceptives, are all consequences of intravenous psychoactive drug use among female teenagers (HC). According to this study, more Motivational Enhancement Therapy (MET), family counselling, and cognitive-behavioural therapy should be used to free female adolescents from the shackles of intravenous psychoactive substance use.
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