Prevalence and Risk Factors of Attempted Suicide as Seen in War Affected Eastern Uganda

来源 :国际预防自杀协会(IASP)第26届世界大会 | 被引量 : 0次 | 上传用户:yayabaobao123
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  Background: There is conflicting literature on the relationship between war trauma and suicidal behaviour with some studies pointing to an increased risk of suicidal behaviour in conflict and post-conflict situations while others do not.There is a paucity of data on this relationship from sub-Saharan Africa despite the continent having an over-representation of war conflict.Objective: To investigate the prevalence and risk factors of attempted suicide as seen in war affected Eastern Uganda.Methods: A cross-sectional survey was carried out in 4 sub-counties in two districts in Eastern Uganda.1560 randomly selected respondents (15 years and above) were interviewed.For this paper the primary outcome was attempted suicide. Multivariable logistic regression was used to assess risk factors of attempted suicide in this population using the statistical package STATA.Results: Life-time attempted suicide was 9.2% (n=142; 95% Cl, 7.8%-10.8%), while attempted suicide in the last year was 2.6% (n=41; 95% Cl, 1.9%-3.5%).Life-time attempted suicide was significantly higher among females 101 (11.1 %) than males 43 (6.5%; OR =1.80, 95% Cl 1.21-2.65).Factors independently associated with life-time attempted suicide among females were: the ecological factor (sub-county), being a victim of intimate partner violence, having reproductive health complaints and having major depressive disorder.Among males these were: belonging to a war vulnerable group, having a surgical complaint and having a major depressive disorder.None of the war trauma experience categories (physical, sexual and psychological) was independently associated with life-time attempted suicide.Conclusion: In both gender, suicidal behaviour was not airectly related to the war trauma experience, it was however indirectly related through its association with war related psychiatric disorder and other psychosocial problems.
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