Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria

Oladeji, Bibilola D.; Taiwo, Babafemi; Mosuro, O.; Fayemiwo, Samuel A.; Abiona, Taiwo; Fought, Angela J.; Robertson, Kevin; Ogunniyi, Adesola; Adewole, Isaac F.

doi:10.1177/2325957415617829

Cited by 21 publications

(26 citation statements)

References 40 publications

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“…A possible reason for this difference may be that the Korean study was a survey. Also, the prevalence of current suicidal ideation (14.9%) in this study was similar to findings from previous studies conducted in Western Nigeria (13.6%) [24] and Uganda (13%) [25]. This study further emphasizes the high prevalence of suicidal ideation in this group of adolescents.…”

Section: Discussionsupporting

confidence: 89%

Prevalence and psychosocial correlates of suicidal ideation among adolescents living with HIV in Southwestern Nigeria, West Africa

Adeyemo¹,

Olorunkoya²,

Chinelo³

et al. 2019

HIV & AIDS Review

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Introduction: Adolescents with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) have been reported to have a higher prevalence of suicidal behavior compared to those who were HIV negative. Suicidal ideation is an important comorbidity in adolescents with HIV because it has been shown to be a good predictor of both attempted and completed suicide in this group of people. Material and methods: Participants (n = 201) who met the inclusion criteria were consecutively recruited from Lagos State University Teaching Hospital and the Nigerian Institute of Medical Research. Confidentiality was maintained. All the questionnaires were filled by participants, except for the MINI-Kid, which was administered by the researcher. Results were analyzed with SPSS version 20. Results: Prevalence of current and lifetime suicidal ideation was 14.9% and 33.3% respectively. Non-disclosure (p = 0.021) and physical and emotional abuse (p = 0.009, p = 0.020) were associated with lifetime suicidal ideation, while gender (p = 0.025), primary school (p = 0.017), polygamous family (p = 0.040), poor social support (p = 0.031), decline in academic performance (p = 0.005), loss of family member (p = 0.007), discrimination (p = 0.040), and physical and emotional abuse (p = 0.027, p = 0.002) were associated with current suicidal ideation. Only loss of family member to HIV (p = 0.003) was associated with current suicidal ideation after a binary logistic regression analysis. Conclusions: Findings from this study highlight the need for clinicians to regularly assess adolescents with HIV infection for suicidal behavior, as failure to do this may further worsen the patients' condition.

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Section: Discussionsupporting

confidence: 89%

Prevalence and psychosocial correlates of suicidal ideation among adolescents living with HIV in Southwestern Nigeria, West Africa

Adeyemo¹,

Olorunkoya²,

Chinelo³

et al. 2019

HIV & AIDS Review

View full text Add to dashboard Cite

show abstract

“…Similarly, Egbe et al (2017) found that in a sample of 1187 PLWHA attending 3 HIV treatment centres in Abuja FCT Nigeria, there was a problem of suicide common amongst them. Also, Oladeji et al (2015) found in a sample of patients with HIV-positive diagnosis that was less than or greater than a month old in Ibadan, Oyo state, Nigeria, that suicidal ideation was the commonest suicidal behaviour amongst participants. Overall, these findings suggest that suicidal ideation is a common early problem in newly diagnosed PLWHA globally, and there is the need for early psychological health intervention with respect to this common early problem, in order to compliment the usual antiretroviral therapy received by this vulnerable group.…”

Section: Research Gapmentioning

confidence: 96%

Compassion-Focused Therapy (Cft) As An Intervention Against Suicidal Ideation In Newly Diagnosed People Living With Hiv/Aids (Plwha) Attending A Nigerian Maternity Teaching Hospital

Ogueji

Okoloba

2020

Global Psychiatry

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ObjectivesIn Sub-Saharan Africa, Nigeria is currently home to many people living with HIV/AIDS (PLWHA), and suicidal ideation is amongst the common early problems of newly diagnosed PLWHA. This reflects the importance of including psychotherapy in HIV care. In this regard, compassion-focused therapy (CFT) is the one that has not been a point of study for reducing suicidal risks in newly diagnosed PLWHA despite the relevance of CFT to the treatment/management of persons living with self-criticism or self-harm. To bridge this gap, we examined the use of CFT as an intervention against suicidal ideation in newly diagnosed PLWHA receiving antiretroviral therapy at the Adeoyo Maternity Teaching Hospital in Ibadan, Oyo state, Nigeria.MethodsTwenty-two participants (mean age = 40 ± 5.6 years) with less than 1-month-old clinical diagnosis of HIV who have recently thought about suicide because of the new HIV-positive diagnosis were purposively sampled and randomly assigned into the intervention and control groups. The CFT module and scale for suicide ideation were the research instruments. All data collected were analysed using SPSS (v.22.0), and statistical significance was determined at P<0.05.ResultsThe findings established that after administering CFT to the intervention group, the mean score for suicidal ideation was significantly lower in the intervention group compared with that in the control group.ConclusionThe results suggest that CFT has the potential to reduce suicidal ideation in newly diagnosed PLWHA; therefore, in addition to the antiretroviral therapy, the administration of CFT should be included in the early stage of HIV care, to reduce the risk of suicide that is associated with newly living with HIV/AIDS.

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“…This comorbidity is associated with multiple factors including sociodemographic, psychosocial and clinical factors. [15][16][17][18] For instance, people living with HIV who received ART without HIV counselling and testing services are more likely to develop depression. 19 Female gender and recent negative life events are also known contributors to depression in patients with HIV/AIDS.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms among people with HIV/AIDS in Northwest Ethiopia: comparative study

2021

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ObjectivesThe objective of this study was to compare depressive symptoms among people with HIV/AIDS and the general population sample. We also assessed the factors associated with depressive symptoms.DesignA comparative cross-sectional study was conducted.SettingsAntiretroviral therapy clinics in three primary healthcare facilities and semi-urban area in Northwest Ethiopia.ParticipantsA total of 1115 participants (558 people with HIV/AIDS and 557 comparison group) aged 18 years and above were recruited. A total of 1026 participants (530 people with HIV/AIDS and 496 comparison group) completed the interview. We excluded people with known HIV-positive status from the comparison group.Outcome measurePatient Health Questionnaire (PHQ-9) was used to assess depressive symptoms. The proportion of depressive symptoms was compared between samples of the general population and people with HIV/AIDS using χ2 statistics. Multivariable logistic regression analysis was done to examine the associated factors.ResultsThe overall prevalence of depressive symptoms was 13.3% (11.2%–15.4%). The prevalence was significantly higher in people with HIV/AIDS compared with the community sample (16.6% vs 12.3%), p=0.001. The difference was also significant in the multivariable logistic regression (OR 1.7). For the overall sample, depressive symptoms were significantly associated with older age, being single, divorced/widowed marital status, and poor social support.ConclusionsDepressive symptoms were higher in people with HIV/AIDS compared with the general population. It is necessary to include mental healthcare and screening for depression in routine HIV/AIDS care.

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Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria

Cited by 21 publications

References 40 publications

Prevalence and psychosocial correlates of suicidal ideation among adolescents living with HIV in Southwestern Nigeria, West Africa

Prevalence and psychosocial correlates of suicidal ideation among adolescents living with HIV in Southwestern Nigeria, West Africa

Compassion-Focused Therapy (Cft) As An Intervention Against Suicidal Ideation In Newly Diagnosed People Living With Hiv/Aids (Plwha) Attending A Nigerian Maternity Teaching Hospital

Depressive symptoms among people with HIV/AIDS in Northwest Ethiopia: comparative study

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