Department of Psychiatry, College of Medicine and Health Science, Wollo University, P.O. Box 1145, Dessie, Ethiopia.
BMC Psychiatry. 2022 Oct 24;22(1):656. doi: 10.1186/s12888-022-04306-2.
Suicide is a prominent cause of death among inmates worldwide, accounting for over 30% of all deaths. Several factors, including prison-related, psychiatric disorders, stressful life events, and substance use-related factors are believed to be associated with an increased risk of suicidal behavior in a correctional facility. The present study aimed to determine the prevalence and associated factors of Suicidal Behavior among prisoners at Dessie town correctional institution, Ethiopia.
From February 16 to March 5, 2020, a cross-sectional survey was conducted among 288 inmates at the Dessie Town Correctional Center. A systematic random sampling technique was used to select study participants during the study period. Data was collected through face-to-face interview methods using Suicidal Behavior Revised (SBQ-R). The collected data were coded, entered into Epi-data data version 3.1, and analyzed by SPSS Version 26. Binary logistic regression was carried out to identify independent predictors of suicidal behavior at a 95% confidence level. Variables at a p-value < 0.05 with 95% CI were declared statistically significant.
The prevalence of Suicidal behavior among prisoners was found to be 25.3% [(95% CI: 20.5, 30.6)]. This study showed that being female [AOR = 5.14;95% CI (1.62,16.29)], depression [AOR = 4.97;95%CI (2.53,9.77)], anxiety [AOR = 3.14; 95%CI (1.59,6.22)], experienced stressful life events [AOR = 5.11; 95%CI (2.24, 11.65)], and ever substance use [AOR = 2.83; 95%CI (1.41, 5.59)] were variables significantly associated with suicidal behavior among prisoners in Dessie town correctional institution.
In this study, suicidal behavior was highly prevalent among prisoners compared to the general population. Being female, depression, anxiety, stress full life events, and substance use were variables that are independent predictors of suicidal behavior. This study recommends that the institution needs to deliver an appropriate psychiatric facility to diagnose and treat prisoners with suicidal behavior. Also, special attention should be given to early screening and treatment of prisoners through prison health services, which is the most critical prevention strategy of suicide in prisoners.
自杀是全球囚犯死亡的一个主要原因，占所有死亡人数的 30%以上。一些因素，包括与监狱相关的因素、精神障碍、生活压力事件和物质使用相关因素，被认为与矫正设施中自杀行为的风险增加有关。本研究旨在确定埃塞俄比亚德西镇惩教机构囚犯自杀行为的流行率和相关因素。
2020 年 2 月 16 日至 3 月 5 日，采用横断面调查方法对德西镇惩教中心的 288 名囚犯进行了研究。在研究期间，采用系统随机抽样技术选择研究参与者。通过面对面访谈方法使用自杀行为修订版（SBQ-R）收集数据。收集的数据经过编码，输入 Epi-data 数据版本 3.1，并使用 SPSS 版本 26 进行分析。采用二元逻辑回归确定自杀行为的独立预测因素，置信水平为 95%。具有 95%CI 和 p 值 < 0.05 的变量被认为具有统计学意义。
发现囚犯自杀行为的患病率为 25.3%[95%CI（20.5，30.6）]。本研究表明，女性[OR=5.14；95%CI（1.62，16.29）]、抑郁[OR=4.97；95%CI（2.53，9.77）]、焦虑[OR=3.14；95%CI（1.59，6.22）]、经历生活压力事件[OR=5.11；95%CI（2.24，11.65）]和曾经物质使用[OR=2.83；95%CI（1.41，5.59）]是与德西镇惩教机构囚犯自杀行为相关的变量。
在这项研究中，与一般人群相比，囚犯的自杀行为发生率较高。女性、抑郁、焦虑、生活压力事件和物质使用是自杀行为的独立预测因素。本研究建议该机构需要提供适当的精神病设施，对有自杀行为的囚犯进行诊断和治疗。此外，还应通过监狱卫生服务对囚犯进行早期筛查和治疗，这是囚犯自杀的最关键预防策略。
