@article{ref1,
title="Magnitude and associated factors of suicidal ideation and attempt among people with epilepsy attending outpatient treatment at primary public hospitals in northwest  Ethiopia: a multicentre cross-sectional study",
journal="BMJ open",
year="2021",
author="Kerebih, Habtamu and Lemma, Alemu and Tesfaye, Bizuneh and Nigussie, Kabtamu",
volume="11",
number="1",
pages="e043227-e043227",
abstract="OBJECTIVE: This study aimed to assess magnitude and associated factors of suicidal ideation and attempt among people with epilepsy attending outpatient treatment at  primary public hospitals, northwest Ethiopia using suicide module of World Mental  Health Survey initiative version of the WHO, composite international diagnostic  interview. <br><br>DESIGN: Multicentre-based cross-sectional study was used. SETTING: Data  were collected using face to face interview from patients with epilepsy who attended  outpatient treatment at primary public hospitals at northwest Ethiopia. PARTICIPANTS: Adult patients with epilepsy (n=563) who came to attend outpatient  treatment during the study period were included in the study using systematic random  sampling technique. OUTCOME MEASURES: Suicidal ideation, suicidal attempt and  factors associated with suicidal ideation and attempt. <br><br>RESULTS: The overall  magnitude of suicidal ideation and attempt was 26.5% and 12.6%, respectively. Being  woman adjusted OR ((AOR)=1.68, 95% CI 1.09 to 3.23), living alone (AOR=2.4, 95% CI  1.47 to 3.92), divorced/widowed/(AOR=2.2, 95% CI 1.09 to 7.8), family history of  suicidal attempt (AOR=2.53, 95% CI 1.34 to 4.79), depression (AOR=3.18, 95% CI 1.85  to 5.45), anxiety (AOR=2.92, 95% CI 1.68 to 5.09), comorbid medical illness  (AOR=2.60, 95% CI 1.17 to 5.82) and poor social support (AOR=2.35, 95% CI 1.26 to  4.40) were statistically associated with suicidal ideation. Depression (AOR=4.87,  95% CI 2.56 to 9.28) living alone (AOR=2.66, 95% CI 1.62 to 5.41), family history of  committed suicide (AOR=2.80, 95% CI 1.24 to 6.39), taking medication for mental  illness (AOR=2.17, 95% CI 1.06 to 4.46), hazardous alcohol use (AOR=2.10, 95% CI  1.05 to 4.23) were statistically associated with suicidal attempts at a p value  <0.05. <br><br>CONCLUSION: This study showed that the magnitude of suicidal ideation and  attempt was high among people with epilepsy. Being woman, living alone, having  depression and anxiety, single, divorced/widowed in marital status, family history  of suicidal attempt and poor social support were statistically associated with  suicidal ideation. Having depression, living alone, family history of suicide  attempt, hazardous alcohol use and drug taking for mental illness were statistically  associated with suicidal attempt. Based on the findings of this study early  screening, detection and management of suicide were recommended in people with  epilepsy.<p /> <p>Language: en</p>",
language="en",
issn="2044-6055",
doi="10.1136/bmjopen-2020-043227",
url="http://dx.doi.org/10.1136/bmjopen-2020-043227"
}