Department of Psychiatry, College of Health Sciences, Dilla University, Dilla, Ethiopia.
Department of Psychiatry, College of Health Sciences, Mettu University, Mettu, Ethiopia.
PLoS One. 2022 May 11;17(5):e0267721. doi: 10.1371/journal.pone.0267721. eCollection 2022.
Suicide is a serious cause of mortality worldwide and is a psychiatric emergency. Among prisoners, it is the leading cause of death compared to the general population. However, suicide in prison is a neglected public health issue especially in middle- and low-income countries including Ethiopia. Therefore, this study aimed to assess the prevalence and associated factors of suicidal behavior among prisoners in Dilla Town Correctional Center, South Ethiopia.
An institution-based cross- sectional study was conducted from May13- June 13, 2020 in the Dilla Town Correctional Center. The simple random sampling technique was used to select 650 prisoners. Data were collected by face-to-to-face interview. Suicidal ideation and attempts were assessed by using the suicidality module of World Mental Health survey initiative version of the World Health Organization composite International diagnostic interview. Data were coded, entered with EP-data version 3.1, and analyzed by using Statistical Package for Social Science version 24. Multivariate binary logistic regression analysis was used to determine the significant association between explanatory variables and outcome variables at 95% CI.
The prevalence of suicidal ideation and attempt among prisoners were 21.9% (95%CI, 18.4-25.2) and 13.1% (95%CI, 10.6-15.8), respectively. Female sex [(AOR) = 2.6, 95%CI, (1.39, 8.2)], divorced/widowed [AOR = 3.67, 95%CI, (2.05, 6.58)], family history of mental illness [AOR = 2.49, 95%CI, (1.41, 4.38)], common mental disorder [AOR = 1.98, 95%CI, (1.25, 3.16)] and poor social support [AOR = 2.68, 95%CI, (1.42, 5.06)] were statistically associated with suicidal ideation. Whereas, female sex [AOR = 3.24, 95%CI, (1.89, 9.4)], previous incarceration [AOR = 2.38, 95%CI, (1.2, 5.16)], and family history of mental illness [AOR = 2.08, 95%CI, (1.11, 3.9)] were associated with suicide attempt.
The prevalence of suicidal ideation and attempts among prisoners were high. The special attention in early screening and treatment of suicide among prisoners and collaborating with health institutions is important for better management and prevention.
自杀是全球范围内一个严重的死亡原因，也是一种精神科急症。在囚犯中，与普通人群相比，自杀是导致死亡的主要原因。然而，在监狱中自杀是一个被忽视的公共卫生问题，尤其是在中低收入国家，包括埃塞俄比亚。因此，本研究旨在评估埃塞俄比亚迪拉镇惩教中心囚犯自杀行为的流行率及其相关因素。
这是一项 2020 年 5 月 13 日至 6 月 13 日在迪拉镇惩教中心进行的基于机构的横断面研究。采用简单随机抽样技术选取 650 名囚犯。通过面对面访谈收集数据。使用世界卫生组织综合国际诊断访谈世界心理健康调查倡议自杀模块评估自杀意念和自杀企图。数据经过编码、录入 EP-data 版本 3.1，并使用 SPSS 版本 24 进行分析。采用多变量二项逻辑回归分析确定解释变量与结局变量之间的显著关联，置信区间为 95%。
囚犯自杀意念和自杀企图的发生率分别为 21.9%（95%CI，18.4-25.2）和 13.1%（95%CI，10.6-15.8）。女性（AOR=2.6，95%CI，（1.39,8.2））、离婚/丧偶（AOR=3.67，95%CI，（2.05,6.58））、精神病史（AOR=2.49，95%CI，（1.41,4.38））、常见精神障碍（AOR=1.98，95%CI，（1.25,3.16））和社会支持差（AOR=2.68，95%CI，（1.42,5.06））与自杀意念呈统计学相关。而女性（AOR=3.24，95%CI，（1.89,9.4））、先前监禁（AOR=2.38，95%CI，（1.2,5.16））和精神病史（AOR=2.08，95%CI，（1.11,3.9））与自杀企图相关。
囚犯自杀意念和自杀企图的发生率较高。在监狱中对自杀进行早期筛查和治疗，并与卫生机构合作，对于更好地管理和预防至关重要。
