Citation

Mahlomaholo PM, Wang H, Xia Y, Wang Y, Yang X, Wang Y. AIDS Behav. 2021; 25(10): 3255-3266.

Copyright

(Copyright © 2021, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10461-021-03330-9

PMID

34095985

Abstract

Depression and suicidal behaviors are two common psychiatric problems observed among people living with HIV. The situation is worse among HIV-infected inmates. The present study aimed to assess the prevalence and associated factors of depression and suicidal behaviors among HIV-infected inmates, and to clarify the mechanisms underlying the impact of HIV-related stigma on suicidal behaviors. The data from 402 HIV-infected inmates in Lesotho showed the prevalence of depression and suicidal behaviors was 53.0% and 8.2%. Female and institution maladaptation were risk factors for depression, and the risk factor for suicidal behaviors was non-participation of institution activities. Moreover, HIV-related stigma indirectly increased inmates' suicidal behaviors through elevated depression. Such indirect effect was stronger for inmates with a lower level of meaning in life. These findings indicate more concern should be given to high-risk subgroups, and both depression and meaning in life are intervention targets for suicide prevention among HIV-infected inmates.

Language: en

Keywords

Humans; Cross-Sectional Studies; Risk Factors; Female; Depression; Prevalence; Suicidal Ideation; Suicidal behaviors; Meaning in life; HIV Infections; Lesotho; HIV-infected inmates; HIV-related stigma