Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, P.O. Box: 196, Gondar, Ethiopia.
Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Sci Rep. 2024 Nov 27;14(1):29470. doi: 10.1038/s41598-024-78439-7.
Suicide is a worldwide concern and ranks as the third leading cause of death among individuals of reproductive age. According to many findings, Ethiopia remains to suffer with a considerable number of suicide deaths and attempts, so more research on the prevalence of suicidal ideation is necessary. Since there is limited research available about suicide ideation/attempts specifically from the study area, evidence-based and solution-oriented research is necessary. This study sought to determine the prevalence of suicidal ideation and its contributing factors among pregnant women visited ante-natal care (ANC) at the University of Gondar Specialized Compressive Hospital. Institutional based cross-sectional study was conducted among 174 pregnant women who visit ante-natal care (ANC) at the University of Gondar Specialized Compressive Hospital, from June 01 to August 30, 2022. Participants were selected by using a systematic random sampling method. The World Mental Health (WMH) survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) was used to measure suicidal ideation and attempt. The data was entered into SPSS version 25 for analysis, and descriptive and inferential statistics were done. Bivariable and multivariable binary logistic regression analyses were done to identify factors associated with suicidal ideation and attempt among pregnant women. Variables with a P value less than 0.05 were considered statistically significant with 95% CI. In the current study 174 pregnant women were screened, and 168 volunteered to participate with a response rate of 96.5%. The finding showed that the prevalence of suicidal ideation and a suicidal attempt was 5.4% (95% CI: 1.8-8.9) and 4.8% (95% CI: 1.8-8.9) respectively. Unplanned pregnancy [AOR: 1.9(1.22-0.88)], history of abortion [AOR: 2.5(1.5-12.6)], history of stillbirth [AOR: 2.32(1.7-13.2)], HIV status of seropositive [AOR: 1.5(01.2-16.0)] and history of lifetime substance use [AOR: 1.6(1.3-12.0)] were significant positive predictors of prevalence of suicidal ideation. The study finding shows that the prevalence of suicidal ideation and attempt among pregnant women was low. Unplanned pregnancy, history of abortion, history of stillbirth, HIV status of seropositive, and history of lifetime substance use were variables significantly associated with suicidal ideation among pregnant women.
自杀是一个全球性的问题，在育龄人群中是导致死亡的第三大主要原因。根据许多研究发现，埃塞俄比亚的自杀死亡和自杀未遂人数仍然相当多，因此有必要对自杀意念的流行情况进行更多的研究。由于该研究地区关于自杀意念/未遂的研究有限，因此需要进行基于证据和以解决方案为导向的研究。本研究旨在确定在古德勒大学专科医院接受产前护理（ANC）的孕妇中自杀意念的流行情况及其影响因素。 2022 年 6 月 1 日至 8 月 30 日，在古德勒大学专科医院接受 ANC 的 174 名孕妇中进行了基于机构的横断面研究。参与者采用系统随机抽样方法选择。使用世界卫生组织（WHO）复合国际诊断访谈（CIDI）的世界心理健康（WMH）调查倡议版本来衡量自杀意念和尝试。将数据输入 SPSS 版本 25 进行分析，并进行描述性和推断性统计分析。进行单变量和多变量二元逻辑回归分析，以确定与孕妇自杀意念和尝试相关的因素。 P 值小于 0.05 的变量被认为具有统计学意义，置信区间为 95%。在本研究中，对 174 名孕妇进行了筛查，其中 168 名孕妇自愿参加，应答率为 96.5%。研究结果表明，自杀意念和自杀未遂的发生率分别为 5.4%（95%CI：1.8-8.9）和 4.8%（95%CI：1.8-8.9）。无计划怀孕[OR：1.9（1.22-0.88）]、流产史[OR：2.5（1.5-12.6）]、死产史[OR：2.32（1.7-13.2）]、HIV 阳性血清学状态[OR：1.5（01.2-16.0）]和终生物质使用史[OR：1.6（1.3-12.0）]是自杀意念发生率的显著正预测因子。研究结果表明，孕妇自杀意念和自杀未遂的发生率较低。无计划怀孕、流产史、死产史、HIV 阳性血清学状态和终生物质使用史是与孕妇自杀意念相关的显著变量。
