Prevalence and correlates of suicidal behavior in primary care settings in Mozambique

Background: This study assessed the prevalence of suicidal behavior and associated risk factors in public primary health care in Mozambique. Methods: The Mini-International Neuropsychiatric Interview was used to evaluate suicidal behavior among 502 adults attending three Primary Health Care (PHC) se...

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Detalhes bibliográficos
Autores: Cumbe, V. F. J. [UNIFESP], Manaca, M. N., Atkins, D. L., Muanido, A., Hicks, L., Oquendo, M. A., Jesus Mari, J. de [UNIFESP], Wagenaar, B. H.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/64048
Acesso em linha:https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-04059-y
https://doi.org/10.1186/s12888-022-04059-y
https://hdl.handle.net/11600/64048
Access Level:acceso abierto
Palavra-chave:Suicidal behavior
Suicidal plan
Suicide attempt
Primary health care
Mozambique
Descrição
Resumo:Background: This study assessed the prevalence of suicidal behavior and associated risk factors in public primary health care in Mozambique. Methods: The Mini-International Neuropsychiatric Interview was used to evaluate suicidal behavior among 502 adults attending three Primary Health Care (PHC) settings. Results: In the past month, 13% (n = 63) of PHC attendees expressed suicidal ideation, 8% (n = 40) had made a suicide plan, 4% (n = 20) had made a suicide attempt, and 5% (n = 25) reported a lifetime suicide attempt. Females had 2.8-fold increased odds of suicide plan (95% CI: 1.5, 5.5) and 3.3-fold increased odds of suicide attempt in the past month (95% CI: 1.2, 9.1). Each 10-year increase in age was associated with 0.61-fold the odds of suicide plan (95% CI: 0.38, 0.98) and 0.09-fold the odds of suicide attempt (95% CI: 0.01, 0.69) in the past month. People living with HIV (PLWHA) had 2.2-fold increased adjusted odds of past month suicide attempt (CI: 1.1, 4.1). Conclusion: Suicidal behaviors are common among adults attending PHC clinics in Mozambique. Screening and linkage to effective preventive interventions are urgently needed in PHC settings. Females, younger individuals, and PLWHA are at elevated risk for suicidal behavior in PHC.