The Prevalence and Associated Factors of Suicidal Attempt Among Medical Students in Addis Ababa Ethiopia

Tsegay, Light; Tesfaye, Getaneh; Ayano, Getinet

doi:10.1007/s11126-020-09790-x

Cited by 6 publications

(7 citation statements)

References 44 publications

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“…In a review, Greydanus suggested an association between chronic illnesses and suicide risk in adolescents 13 . Furthermore, the former has been found to increase the possibility of SI and suicide attempts 14 , 15 ; identical results have been reported among medical students 16 , 17 . Although a relationship between chronic diseases and SI has been indicated, knowledge of the potential factors and mechanisms underlying it is inadequate.…”

Section: Introductionsupporting

confidence: 75%

Self-reported sleep quality and mental health mediate the relationship between chronic diseases and suicidal ideation among Chinese medical students

Gui

Sun

Zhou

2022

Sci Rep

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High prevalence and strong associations of chronic disease, poor sleep quality, poor mental health, and suicidal ideation (SI) have been reported worldwide. However, the underlying mechanism remains unexamined. The participants were 2646 Chinese medical college students with an average age of 20.13 years. Pittsburgh Sleep Quality Index, the Kessler Psychological Distress Scale, and SI was evaluated. The lifetime SI, past 12-month SI, and chronic disease prevalence rates were 10.0%, 8.4%, and 4.6%, respectively. The results of logistic regression analysis in this study found that chronic disease, self-reported poor sleep quality, poor mental health, gender and scholarship were associated with lifetime SI. Similar results were also found for 12-month SI with an exception of region. This result indicated that the effects of chronic diseases on the SI were mediated by self-reported sleep quality and mental health. Physical diseases, sleep-related concerns, and mental health issues need to be addressed through a multidisciplinary team approach and various delivery systems to prevent SI among medical college students.

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Section: Introductionsupporting

confidence: 75%

Self-reported sleep quality and mental health mediate the relationship between chronic diseases and suicidal ideation among Chinese medical students

Gui

Sun

Zhou

2022

Sci Rep

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“…18 Early detection and treatment of such problems will shorten the duration of illness and lessens the long-term social impairment. 19 Despite few studies 12,14,20,21 assessed the prevalence and identified risk factors of stress and anxiety among medical students, there is a lack of epidemiologically reliable and study with enough sample size in Ethiopia. Therefore, this study was aimed to determine the prevalence and identify factors associated with stress and anxiety among undergraduate medical students of Haramaya University, Eastern Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Stress Among Undergraduate Medical Students of Haramaya University, Eastern Ethiopia

Asfaw

Fekadu

Tariku

et al. 2021

NDT

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Background:The perceived stress and anxiety among medical students have bleak consequences on their academic performances, physical, and psychological wellbeing. However, there is a dearth of reliable epidemiological studies in Ethiopia on medical student's experience of stress and anxiety. Therefore, this study was aimed to determine the prevalence and identify factors associated with stress and anxiety among undergraduate medical students of Haramaya University, Eastern Ethiopia. Methods: An institutional-based cross-sectional study was conducted from May 13 to June 12, 2019 among 523 participants selected by simple random sampling technique. Data were collected by using structured questionarie through self-adminstered method. Data were entered by Epidata version 3.1 and analyzed using Stastical Package for Social Science(SPSS) version 22. Bivariableand multivariable logistic regression analysis were conducted to identify factors associated with anxiety and stress. Adjusted Odd Ratio (AOR) and 95% Confidence Interval(CI) was used to show the strength of association, and P-value of 0.05 was used to declare statistical significance. Results: The prevalence of stress was 44% (95% CI: 40.2%-48.2%) and anxiety was 48.9% (95% CI: 44.6%−53.3%) among undergraduate medical students of Haramaya University. Being female (AOR=1.90, 95% CI: 1.28-2.81) and living off-campus (AOR=1.75, 95% CI: 1.12-2.73) were factors significantly associated with both stress and anxiety. Whereas, alcohol use (AOR=2.26, 95% CI: 1.50-3.50) and smoking cigarette (AOR=3.50, 95% CI: 1.58-7.73) linked with stress. The poor psychosocial support (AOR=1.93, 95% CI: 1.20-3.20) was significantly associated with anxiety. Conclusion: Substantially a higher level of stress and anxiety was reported. Being female and living off-campus were linked with both stress and anxiety. Where as, alcohol use and smoking cigarette were associated with stress and poor psychological support was significantly associated with anxiety.

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“…[ 19 - 27 ] A few studies suggested risk factors in medical students encompass insomnia, childhood or adult abuse, high parental/tutors expectations, living away from family, relationship breakup with family/friends/love partner, bullying by peers, homosexuality, family/personal history of suicide attempts, perfectionism, substance abuse, impulsiveness, and internalizing and externalizing stress. [ 20 , 21 , 24 - 26 ] A Korean survey established that family/self-resilience, belongingness, social support, self-esteem, higher level of ego development, and cohesiveness are protective covariates against suicide attempts. [ 27 ] Furthermore, early recognition of associated risk and protective covariates at an appropriate time could ameliorate the frequency of suicide attempts and complete suicide among high-risk students.…”

Section: Introductionmentioning

confidence: 99%

“…However, the diverse covariates associated with these outcomes are emphatically pronounced across the developed countries[ 19 , 20 , 21 , 25 , 27 ] but there is a lacuna in available research in conceptualizing the distinct risk and protective covariates in developing countries. [ 22 , 23 , 24 ] Besides immense literature research on this aspect among medical students, single research is available in India which have taken into account the covariates associated with suicidal ideation only[ 26 ] but no such studies have been conducted previously which have evaluated the prevalence and covariates that can drive medical students to the brink of suicidal ideation, plan, and attempt in the same study sample, especially in the Indian context. Therefore, the present study has endeavored with the main focus on the assessment of the prevalence and covariates of suicidal ideation, plan, and attempts among medical students in two different centers available in the same low resource-constrained rural setting in North India.…”

Section: Introductionmentioning

confidence: 99%

What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India

Garg¹,

Kharb²,

Bansal³

2023

Indian Journal of Psychiatry

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Background: Medical students face great stress and put their mental health at risk to become an individual contributing to society, and impulsively attempt suicide. Little is known in the Indian context, so additional knowledge on the magnitude and covariates is required. Aims: This study aims to evaluate the magnitude and covariates of suicidal ideation, plan, and attempts among medical students. Methods: This was a cross-sectional study conducted in two medical colleges located in rural Northern India and enrolled 940 medical students for a period of two months from February to March 2022. A convenience sampling method was executed to collect the data. The research protocol incorporates a self-administered questionnaire regarding sociodemographic and personal domains, as well as standardized tools to assess psychopathological domains such as depression, anxiety, stress, and stressors. The Suicidal Behavior Questionnaire-Revised (SBQ-R) scale was used to measure the outcomes. Stepwise backward logistic regression (LR) analysis was used to determine the covariates associated with suicidal ideation, plan, and attempts. Results: A sample of 787 participants (87.1% response rate) were finally enrolled in the survey, with a mean age of 21.08 (±2.78) years. Around 293 (37.2%) of respondents had suicidal ideation, 86 (10.9%) claimed planning suicide, and 26 (3.3%) mentioned attempting suicide in their lifetime as well as 7.4% of participants assessed the risk of suicidal behavior in the future. The identified covariates poor sleep, family history of psychiatric illness, never seeking psychiatric aid, regret for choosing the field of medicine, bullying, depressive symptoms, high stress, emotion-focused coping, and avoidant coping, were significantly associated with a higher likelihood of lifetime suicidal ideation, plan, and attempt. Conclusion: A high frequency of suicidal thoughts and attempts, indicates the need of addressing these concerns promptly. The incorporation of mindfulness techniques, resilience, faculty mentorship programs, and proactive student counseling may help foster the mental health of the students.

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The Prevalence and Associated Factors of Suicidal Attempt Among Medical Students in Addis Ababa Ethiopia

Cited by 6 publications

References 44 publications

Self-reported sleep quality and mental health mediate the relationship between chronic diseases and suicidal ideation among Chinese medical students

Self-reported sleep quality and mental health mediate the relationship between chronic diseases and suicidal ideation among Chinese medical students

Anxiety and Stress Among Undergraduate Medical Students of Haramaya University, Eastern Ethiopia

What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India

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