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Necho M, Tsehay M, Zenebe Y. Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study. Int J Ment Health Syst. 2021;15(1):13doi: 10.1186/s13033-021-00437-3.
Necho, M., Tsehay, M., & Zenebe, Y. (2021). Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study. International journal of mental health systems, 15(1), 13. https://doi.org/10.1186/s13033-021-00437-3
Necho, Mogesie, et al. "Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study." International journal of mental health systems vol. 15,1 (2021): 13. doi: https://doi.org/10.1186/s13033-021-00437-3
Necho M, Tsehay M, Zenebe Y. Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study. Int J Ment Health Syst. 2021 Jan 23;15(1):13. doi: 10.1186/s13033-021-00437-3. PMID: 33485362; PMCID: PMC7825170.
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Int J Ment Health Syst. 2021 Jan 23;15(1):13. doi: 10.1186/s13033-021-00437-3.

Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study.

International journal of mental health systems

Mogesie Necho, Mekonnen Tsehay, Yosef Zenebe

Affiliations

  1. Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. [email protected].
  2. Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

PMID: 33485362 PMCID: PMC7825170 DOI: 10.1186/s13033-021-00437-3

Abstract

BACKGROUND: Suicidal ideation and suicidal attempt are warning signs for and determine the prognosis of completed suicide. These suicidal behaviors are much more pronounced in people living with HIV/AIDS. Despite this, there is a scarcity of aggregate evidence in Africa. This study was therefore aimed to fill this gap.

METHODS: we extensively searched Psych-info, PubMed, Scopus, and EMBASE to obtain eligible studies. Further screening for a reference list of articles was also done. Meta XL package was used to extract data and the Stata-11 was also employed. Cochran's Q- and the Higgs I

RESULTS: The pooled prevalence of suicidal ideation was 21.7% (95% CI 16.80, 26.63). The pooled prevalence of suicidal ideation in Ethiopia, Nigeria, Uganda, and South Africa was 22.7%, 25.3%, 9.8%, and 18.05% respectively. The pooled prevalence of suicidal ideation was larger; 27.7% in studies that used Composite International Diagnostic Interview (CIDI) than Mini-international Neuropsychiatric Interview (MINI); 16.96%. Moreover, the prevalence of suicidal ideation in studies with a sample size of < 400 was 23.42% whereas it was 18.3% in studies with a sample size ≥ of 400 participants. The pooled prevalence of suicidal attempts in this study was 11.06% (95% CI 6.21, 15.92). A suicidal attempt was higher in Ethiopia (16.97%) and Nigeria (16.20%) than Uganda (3.51%). This pooled prevalence of suicidal attempt was higher among studies that used a smaller sample (< 400 participants) (15.5%) than studies that used a larger sample size (≥ 400 participants) (8.4%). The pooled prevalence of suicidal attempt was 3.75%, and 16.97% in studies that used MINI and CIDI respectively. Our narrative synthesis revealed that advanced stages of AIDS, co-morbid depression, perceived HIV stigma, and poor social support was among the factors strongly associated with suicidal ideation and attempt.

CONCLUSION: The pooled magnitude of suicidal ideation and attempt was high and factors like advanced stages of AIDS, co-morbid depression, perceived stigma, and poor social support were related to it. Clinicians should be geared towards this mental health problem of HIV patients during management.

Keywords: Africa; Meta-analysis; Suicide

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