Evidence map›Paper›PMID 28202089›Full record

ArticleEpidemiology and psychiatric sciences2018

Suicidal ideation and behaviour among community and health care seeking populations in five low- and middle-income countries: a cross-sectional study.

M Jordans, S Rathod, A Fekadu, G Medhin, F Kigozi, B Kohrt, N Luitel, I Petersen, R Shidhaye, J Ssebunnya and 2 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Epidemiology and psychiatric sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 6 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 6 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 8 countries.

M JordansResearch and Development Department,HealthNet TPO-Amsterdam,Netherlands.
S RathodDepartment of Population Health,London School of Hygiene and Tropical Medicine,London,UK.
A FekaduDepartment of Psychiatry,School of Medicine, College of Health Sciences, Addis Ababa University,Addis Ababa,Ethiopia.
G MedhinAklilu Lemma Institute of Pathobiology,Addis Ababa University,Addis Ababa,Ethiopia.
F KigoziButabika National Referral and Teaching Mental Hospital,Makerere University,Kampala,Uganda.
B KohrtDuke Global Health Institute,Duke University,Durham,USA.
N LuitelTranscultural Psychosocial Organization (TPO),Kathmandu,Nepal.
I PetersenCentre for Rural Health,School of Nursing and Public Health,University of KwaZulu-Natal,Durban,South Africa.
R ShidhayeCentre for the Control of Chronic Conditions, Public Health Foundation of India,New Delhi,India;Sangath,India.
J SsebunnyaButabika National Referral and Teaching Mental Hospital,Makerere University,Kampala,Uganda.
V PatelCenter for Global Mental Health,London School of Hygiene and Tropical Medicine,London,UK.
C LundDepartment of Psychiatry and Mental Health,Alan J Flisher Centre for Public Mental Health,University of Cape Town,Cape Town,South Africa.
King's College London · GBAddis Ababa University · ETButabika Hospital · UGDuke Institute for Health Innovation · USHealthNet TPO · NLLondon School of Hygiene & Tropical Medicine · GBMakerere University · UGNLR Nepal · NPPublic Health Foundation of India · INSangath · INUniversity of KwaZulu-Natal · ZA

Funding

Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
NIMH NIH HHS K01 MH104310
6 · The paper itself

Abstract

AimsSuicidal behaviour is an under-reported and hidden cause of death in most low- and middle-income countries (LMIC) due to lack of national systematic reporting for cause-specific mortality, high levels of stigma and religious or cultural sanctions. The lack of information on non-fatal suicidal behaviour (ideation, plans and attempts) in LMIC is a major barrier to design and implementation of prevention strategies. This study aims to determine the prevalence of non-fatal suicidal behaviour within community- and health facility-based populations in LMIC.

methodsTwelve-month prevalence of suicidal ideation, plans and attempts were established through community samples (n = 6689) and primary care attendees (n = 6470) from districts in Ethiopia, Uganda, South Africa, India and Nepal using the Composite International Diagnostic Interview suicidality module. Participants were also screened for depression and alcohol use disorder.

resultsWe found that one out of ten persons (10.3%) presenting at primary care facilities reported suicidal ideation within the past year, and 1 out of 45 (2.2%) reported attempting suicide in the same period. The range of suicidal ideation was 3.5-11.1% in community samples and 5.0-14.8% in health facility samples. A higher proportion of facility attendees reported suicidal ideation than community residents (10.3 and 8.1%, respectively). Adults in the South African facilities were most likely to endorse suicidal ideation (14.8%), planning (9.5%) and attempts (7.4%). Risk profiles associated with suicidal behaviour (i.e. being female, younger age, current mental disorders and lower educational and economic status) were highly consistent across countries.

conclusionThe high prevalence of suicidal ideation in primary care points towards important opportunities to implement suicide risk reduction initiatives. Evidence-supported strategies including screening and treatment of depression in primary care can be implemented through the World Health Organization's mental health Global Action Programme suicide prevention and depression treatment guidelines. Suicidal ideation and behaviours in the community sample will require detection strategies to identify at risks persons not presenting to health facilities.

Indexed as

Patient Acceptance of Health CareSuicidal IdeationAdolescentAdultCross-Sectional StudiesDeveloping CountriesFemaleHealth SurveysHumansMental DisordersMental Health ServicesMiddle AgedPrevalenceSocioeconomic FactorsSuicideSuicide, AttemptedLow- and middle-income countriessuicidal behavioursuicidal ideation

Identifiers

PMID28202089
PMCPMC5559346
OpenAlexW2588444226

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.