Psychosocial Syndemic of Suicidal Ideation Among Sexually Transmitted infection Patients in Shanghai, China

Abstract

Background We sought to verify whether psychosocial health problems among patients with sexually transmitted infections (STIs) were associated with these patients' suicidal ideation, and to examine the magnifying effect of a syndemic of multiple psychosocial conditions on suicidal ideation. Methods This was a cross-sectional study of 519 STI patients at the Shanghai Skin Disease Hospital.Sociodemographic, psychosocial, and suicidal ideation information on the participants was collected.Logistic regressions were performed to detect the association between sociodemographic variables and suicidal ideation, as well as each individual psychosocial variable and suicidal ideation, and to verify the syndemic effect of psychosocial factors. Results Of the participants, 25.0% reported having suicidal thoughts. In univariate analysis, low self-esteem, loneliness, depression, entrapment, defeat, and unsatisfied interpersonal needs were associated with suicidal ideation. Multivariable analysis found depression (risk ratio RR 2.614; 95% confidence interval CI: 1.603-4.262) and entrapment (RR: 4.457; 95%CI: 2.649-7.496) remained significant. STI patients who experienced two or more psychosocial health problems had approximately five times the odds of suicide ideation (adjusted risk ratio ARR: 4.643; 95%CI: 2.882-7.481) compared with those in the non-syndemic group, especially in the high-level (five or more psychosocial problems) group (ARR: 6.072; 95%CI: 3.307-11.152). ConclusionsThe study confirmed that STI patients have a high rate of suicidal ideation and suffer from severe psychosocial problems. The results confirm a syndemic effect of psychosocial problems on increasing the odds of suicidal ideation. This suggests greater attention should be paid to STI patients' psychosocial wellbeing in both nursing and interventions. Efforts to prevent suicidal ideation among STI patients are therefore urgently needed to ameliorate the social and health conditions of this population. BackgroundAccording to WHO(World Health Organization), one person die every 40 seconds from suicide.However, suicide can be preventable. Suicidal ideation(SI),defined as thinking about, considering or planning for suicide [1] , often may be the prodrome for later suicide. Those who have SI have higher risk for suicide than those without SI. SI also may indicate one person suffer from great distress and

Prevalence, risk factors, and medical costs of Chlamydia trachomatis infections in Shandong Province, China: a population-based, cross-sectional study

“…Medical costs for CT infections were based on diagnosis and treatment of the infection and complications; costs related to transportation, lodging, and time missed from work were not included into analysis. According to guidelines for STI treatment and control in China, we assumed that the diagnosis of CT infections was established with PCR testing and the treatment of CT infections involved a single 1 g dose of oral azithromycin [ 19 ]. Medical costs of cases with complications were estimated based on published research in Shandong Province [ 17 ].…”