Background Globally, suicide accounts 75% in low and middle-income countries (LMICs).Though the magnitude of suicidal behaviour in high- income countries (HIC) is higher relative to the general population, limited studies had explored about suicidal behaviour among medical outpatients in middle-income countries (LMICs) including this locality. Suicidal behaviours among people with the chronic medical illness are one of the commonest psychiatric emergencies that demand a major health concern by researchers and mental health task forces. People with the chronic medical illness show suicidal ideation and attempt which are fatal problems to end life. Therefore, this study will address the gaps by determining the magnitude of suicidal behaviour among Diabetes Mellitus patients in an outpatient setting of Alamata General Hospital (AGH). Methods Institution based cross-sectional study was conducted among medical patients attending a chronic care clinic in Alamata general Hospital from May to June 2019. A sample of 146 DM patients who were attending an outpatient chronic care clinic was included in the study. Patients’ data on socio-demographics, clinical factors, substance use and other information's were collected using a pre-tested structured questionnaire through face to face interview. Suicidal behaviour was used assessed by WHO suicidal behaviour assessment. The collected data were coded, entered and analyzed using frequency, cross-tabulation analysis by SPSS Version 23. Result The magnitude of suicidal behaviour among DM patients at AGH is 30.8%. Conclusion This study demonstrated that suicidal behaviours common problem in diabetic patients was high magnitude.
Background Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells. According to estimates from the International Agency for Research on Cancer, there will be 17.0 million new cancer cases in 2018 worldwide. Depression, age, sex, divorced, and hopelessness are of most factors can patient with cancer result in suicidal behaviour. The purpose of this study is to identify and associated factors of suicidal behaviour among cancer patients in Mekelle, Ethiopia. Methods The cross-sectional study design was employed with a total of 345 study subjects in Mekelle, Ethiopia. Suicidal behaviour was measured by the Suicidal Behavior Questionnaire-Revised (SBQ-R) scale. Bivariate and multiple logistic regression analyses were performed to determine between the explanatory and outcome variables. Results The magnitude of suicidal behaviour was 20%. Previously suicidal attempt [AOR = 31.466, 95% CI (14.552, 68.042), P < 0.0001] was associated factor whereas no comorbid physical illness [AOR = .0.363, 95% (0. 164, 0.806)] and current treatment regimen (surgery, radiotherapy and palliative care) were significantly protective factors for suicidal behavior. Conclusion No comorbid physical illness, suicide attempt and current treatment regimen were significant factors of suicidal behaviour. Oncologic professionals should assess patient suicidal risk assessment routinely and every professional focuses on management besides the medication.
Background delirium is an acute reversible mental disorder characterized by disturbance in consciousness, confusion, disorientation and agitation. Although delirium more affects older patients and patients in intensive care unit the problem is also prevalent among all hospitalized patients with the range 10–60%. Objective the aim of the study is to assess the prevalence and associated factors of delirium among hospitalized patients in Mekelle public hospitals, Mekelle, Tigray, Ethiopia. Methodology an institution based cross sectional study was conducted among randomly selected 368 hospitalized patients in Mekelle public hospitals. Simple random sampling technique was used to select the participants and proportional allocation was made to each public hospitals. Structured and standardized data collection tool was used. Univariate, bivarite and multivariable analysis was carried out by Statistical Package for Social Sciences version 20. Statistical significance was determined at p-value 0.05. Result in this study 358 participants were interviewed which makes 97.3% response rate. The prevalence rate of delirium among hospitalized patients was found to be 45 (12.6%). Older age (60 years and above), previous cognitive impairment, sensory impairment, having anxiety disorder and being single were significantly associated with delirium in multivariate logistic regression. Conclusion the prevalence of delirium was high among Mekelle public hospitals inpatients. Older age (60 years and above), previous cognitive impairment, sensory impairment, having anxiety disorder and being single were significantly associated with delirium.
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