Kebede Muluken Girma, Haile Sisay, Abera Kaleab Mesfin, Birhan Zelalem, Kassa Mulat Awoke, Melkam Mamaru, Abebaw Nigusie, Anbesaw Tamrat
Department of Psychology, Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.
Department of Psychology, College of Social Science and Humanities, University of Gondar, PO.Box 196, Gondar, Ethiopia.
BMC Psychiatry. 2025 Oct 3;25(1):931. doi: 10.1186/s12888-025-07409-8.
Victims of Sexual Gender-Based Violence reported to have a higher prevalence of suicidal behaviors. This study aims to assess the prevalence of suicidal behaviors among Sexual Gender-Based Violence servivors (SGBVs) attending One-stop in North East, Ethiopia.
A cross-sectional study was conducted among 321 victims at three one-stop centers in Northeast Ethiopia from December 1/2022 and January 30/2023. The study participants were selected using a systematic random sampling technique during the study period. Suicidal behavior was measured by the Suicidal Behavior Revised (SBQ-R). In addition, the Oslo Social Support Scale (OSSS-3) was used to measure social support, and the patient health questionnaire(PHQ-9) to measure depression. The data were entered into Epi data version 4.6 and analyzed using SPSS version 26. Binary logistic regression was carried out to identify independent predictors of suicidal behavior at a 95% confidence level. Adjusted Odds Ratio (AOR) with a -value < 0.05 and 95% CI were used for interpretation of the result.
The study showed the overall prevalence of suicidal behavior among SGBVs was 26.2% (95% CI (21.4, 31.3). The prevalence of suicidal ideation, plan, and attempts were 18.7% (95% CI (14.6, 23.4), 15.3% (95% CI (11.5, 19.7), and 4.7% (95% CI (2.6, 7.6) respectively. This study showed that depression [AOR = 8.08;95% CI (4.34,15.07)], family history of suicide [AOR = 2.27; 95% CI (1.05, 5.89)], and poor social support [(AOR = 4.79, 95% CI (1.05, 10.84)] were found to be significantly associated suicidal behavior among SGBVs-female victims.
Suicidal behavior among SGBVs is 26%. This finding implies in Sexual Gender-Based violence victims there might be a deconstructed social system or social support system that is not well implemented. As well as for victims attending One-stop centers effectiveness of timely assessment and aggressive interventions for factors that can lead to suicidal behaviors, and depression should be implemented.
据报告，基于性别的暴力受害者自杀行为的发生率较高。本研究旨在评估在埃塞俄比亚东北部一站式服务中心就诊的基于性别的暴力幸存者（SGBV）中自杀行为的发生率。
2022年12月1日至2023年1月30日期间，在埃塞俄比亚东北部的三个一站式服务中心对321名受害者进行了一项横断面研究。在研究期间，使用系统随机抽样技术选择研究参与者。自杀行为通过修订后的自杀行为问卷（SBQ-R）进行测量。此外，使用奥斯陆社会支持量表（OSSS-3）测量社会支持，使用患者健康问卷（PHQ-9）测量抑郁。数据录入Epi data 4.6版本，并使用SPSS 26版本进行分析。进行二元逻辑回归以确定95%置信水平下自杀行为的独立预测因素。结果解释使用调整优势比（AOR），P值<0.05且95%置信区间。
研究表明，SGBV中自杀行为的总体发生率为26.2%（95%置信区间（21.4, 31.3））。自杀意念、计划和尝试的发生率分别为18.7%（95%置信区间（14.6, 23.4））、15.3%（95%置信区间（11.5, 19.7））和4.7%（95%置信区间（2.6, 7.6））。本研究表明，抑郁[AOR = 8.08；95%置信区间（4.34, 15.07）]、自杀家族史[AOR = 2.27；95%置信区间（1.05, 5.89）]和社会支持不足[（AOR = 4.79，95%置信区间（1.05, 10.84）]被发现与SGBV女性受害者的自杀行为显著相关。
SGBV中的自杀行为发生率为26%。这一发现意味着在基于性别的暴力受害者中，可能存在一个解构的社会系统或未得到有效实施的社会支持系统。此外，对于在一站式服务中心就诊的受害者，应及时评估并积极干预可能导致自杀行为和抑郁的因素。
