Engda Abayneh Shewangzaw, Belete Habte, Wubetu Abate Dargie, Engidaw Nigus Alemnew, Amogne Fetene Kasahun, Kitaw Tebabere Moltot, Bete Tilahun, Kebede Worku Misganaw, Atinafu Bantalem Tilaye, Demeke Solomon Moges
Department of Psychiatry, College of Health Sciences and Medicine, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Psychiatry, College of Health Sciences and Medicine, Bahir Dar University, Bahir Dar, Ethiopia.
Int J Ment Health Syst. 2022 Aug 16;16(1):41. doi: 10.1186/s13033-022-00551-w.
The magnitude and impact of women's suicidal behaviors, like suicidal ideation and suicidal attempts, are an important public health problem in low and middle-income countries, including Ethiopia. Suicidal behavior and being overweight are typical complications of reproductive age with many undesired consequences. Despite both having a serious impact on women of reproductive age, they are neglected in Ethiopia. Accordingly, this study aimed to examine the magnitude and determinants of suicide among overweight reproductive-age women in Chacha and Debre Berhan towns, Ethiopia.
A community-based cross-sectional study design was once employed from April 1, 2020 to June 1, 2020. The Composite International Diagnostic Interview was used to measure suicidal attempts and ideation, and the data was collected by direct interview. All collected data were entered into Epi Data version 4.6 and analyzed with SPSS version 25. Bivariate and multivariable regression models were used to determine the factors associated with a suicidal attempt and ideation. A p-value of less than 0.05 was considered statistically significant.
Of the total participants, 523 were included, with a response rate of 93.7%. The prevalence of suicidal ideation was 13.0% (95% CI 10.1-15.9), whereas suicidal attempt was 2.3% (95% CI 1.1-3.6). Based on multivariable regression analysis, the odds of suicidal ideation have been higher among overweight women with stressful life events, depression, and younger age groups.
Suicidal ideation was frequent in overweight reproductive-age women. Preventing, treating, and using coping mechanisms regarding identified factors is a good way to minimize the burden of suicide.
女性的自杀行为，如自杀意念和自杀未遂，其严重程度和影响是包括埃塞俄比亚在内的低收入和中等收入国家的一个重要公共卫生问题。自杀行为和超重是育龄期的典型并发症，会带来许多不良后果。尽管这两者都对育龄期女性有严重影响，但在埃塞俄比亚却被忽视了。因此，本研究旨在调查埃塞俄比亚查查镇和德布雷伯尔汉镇超重育龄期女性自杀的严重程度及其决定因素。
2020年4月1日至2020年6月1日采用了基于社区的横断面研究设计。使用综合国际诊断访谈来测量自杀未遂和自杀意念，并通过直接访谈收集数据。所有收集的数据都录入Epi Data 4.6版本，并使用SPSS 25版本进行分析。采用双变量和多变量回归模型来确定与自杀未遂和自杀意念相关的因素。p值小于0.05被认为具有统计学意义。
在所有参与者中，纳入了523人，应答率为93.7%。自杀意念的患病率为13.0%（95%可信区间10.1-15.9），而自杀未遂的患病率为2.3%（95%可信区间1.1-3.6）。基于多变量回归分析，在经历压力性生活事件、患有抑郁症且年龄较小的超重女性中，自杀意念的几率更高。
超重育龄期女性中自杀意念很常见。针对已确定的因素采取预防、治疗和应对机制是减轻自杀负担的一个好方法。
