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Magnitude of suicidal ideation, attempt and associated factors of HIV positive youth attending ART follow up in Addis Ababa, Ethiopia

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WCP-2019

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Abstract

Abstract Objective: To assess magnitude and associated factors of suicide ideation and attempt among Human Immune deficiency Virus (HIV) positive youth attending anti-retroviral therapy (ART) follow up at St.Paul hospital millennium medical college and St.Peter`s specialized hospital Addis Ababa, Ethiopia, 2018. Background: Suicide is a serious cause of mortality worldwide and considered as a psychiatric emergency. Youth living with HIV/AIDS (YLWHA) have higher rates of suicidal behavior than the general population. Methods and materials: In cross-sectional study, 413 HIV positive youth from St.Paul’s hospital millennium medical college and St.Peter`s specialized hospital were recruited by systematic random sampling technique. Suicide manual of Composite International Diagnostic Interview (CIDI) was used to assess suicide. We computed bivariate and multivariable binary logistic regression to assess factors associated with suicidal ideation and attempt. Statistical significance was declared at P-value <0.05. Result: Magnitude of suicidal ideation and an attempt were found to be 27.1% and 16.9% respectively. In multivariate analysis, being female (AOR=3.1, 95% CI, 1.6-6.0), family death (AOR=2.1, 95%CI 1.15-3.85), WHO clinical stage III of HIV (AOR=3.1 95% CI 1.3-7.35), WHO clinical stage IV of HIV (AOR=4.76, 95%CI, 1.3-7.35), co-morbid depression (AOR=7.14, 95%CI, 3.9-12.9), and perceived HIV stigma (AOR=4.2, 95%CI, 2.27-8.2) were significantly associated with suicidal ideation whereas female (AOR=4.12, 95%CI, 1.82-9.78), OI (AOR=3.1, 95%CI, 1.6-6.04), WHO clinical stage III of HIV (AOR=3.1 95%CI 1.24-7.81), co-morbid depression (AOR=5.6 95% CI, 2.8-11.1), and poor social support (AOR=3.4, 95%CI, 1.2-9.4) were statistically significant with suicidal attempt. Conclusion: The result suggests that magnitude of suicidal ideation and attempt among HIV positive youth were high. Clinicians need to give better attention to youth with comorbid depression, perceived HIV stigma and poor social support.

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