Haile Kelelemua, Awoke Tadesse, Ayano Getinet, Ayano Getnet, Tareke Minale, Abate Andargie, Nega Mulugeta
Department of Psychiatry, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.
2Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Ann Gen Psychiatry. 2018 Jan 24;17:4. doi: 10.1186/s12991-018-0174-6. eCollection 2018.
Suicidal ideation and attempts are more frequent in people with epilepsy than in general population and suicide attempt increases the chance of later completed suicide. The aim of this study was to assess the prevalence and associated factors of suicidal ideation and attempt among people with epilepsy in Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.
Institution-based cross-sectional study was conducted from May to June 2014 at Amanuel Mental Specialized Hospital among people with epilepsy. The pre-tested semi-structured questionnaire was used for interviewing the study participants. Logistic regression analysis was used to assess predictors of suicidal ideation and attempt.
The study indicated that the prevalence of suicidal ideation and attempt among people with epilepsy were 29.8 and 14.1%, respectively. Poor social support, drug treatment for mental illness, had co-morbid depression, no seizure free within 1 year and family history committed suicide were significantly associated with suicidal ideation and attempt.
The prevalence of suicidal ideation and attempt in people with epilepsy found to be higher when compared to general population. Therefore, screening all epilepsy patients should be done for early diagnosis and treatment.
癫痫患者的自杀意念和自杀未遂情况比普通人群更为频繁,且自杀未遂会增加日后自杀成功的几率。本研究的目的是评估埃塞俄比亚亚的斯亚贝巴阿马努埃尔精神专科医院癫痫患者中自杀意念和自杀未遂的患病率及相关因素。
2014年5月至6月在阿马努埃尔精神专科医院对癫痫患者开展了一项基于机构的横断面研究。采用经过预测试的半结构化问卷对研究参与者进行访谈。采用逻辑回归分析评估自杀意念和自杀未遂的预测因素。
研究表明,癫痫患者中自杀意念和自杀未遂的患病率分别为29.8%和14.1%。社会支持差、接受精神疾病药物治疗、合并抑郁症、1年内无癫痫发作以及有自杀家族史与自杀意念和自杀未遂显著相关。
与普通人群相比,癫痫患者中自杀意念和自杀未遂的患病率更高。因此,应对所有癫痫患者进行筛查以便早期诊断和治疗。