ArticleJournal of affective disorders2018
Suicidality and associated risk factors in outpatients attending a general medical facility in rural Kenya.
Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Productivity benefits of treatment of depression and post-traumatic stress disorder in Kenya.BMJ global health · 2025Trial
- Trial
- Two-week prevalence and correlates of suicidal ideation among first-visit general-hospital psychiatric outpatients: a cross-sectional study using the PHQ-9 and EPQ.BMC psychiatry · 2026Article
- Apply Machine Learning to Predict Risk for Adolescent Depression in a Cohort of Kenyan Adolescents.Healthcare (Basel, Switzerland) · 2025Article
- Perspectives on reasons for suicidal behaviour and recommendations for suicide prevention in Kenya: qualitative study.BJPsych open · 2023Article
- Suicidal ideation and attempt and associated factors among patients with substance use disorder: institution-based cross-sectional study.BJPsych open · 2022Article
- Prevalence and correlates of suicidal behavior in primary care settings in Mozambique.BMC psychiatry · 2022Article
- Sociocultural perspectives on suicidal behaviour at the Coast Region of Kenya: an exploratory qualitative study.BMJ open · 2022Article
- Strengthening System and Implementation Research Capacity for Child Mental Health and Family Well-being in Sub-Saharan Africa.Global social welfare : research, policy & practice · 2022Article
- Community suicide rates and related factors within a surveillance platform in Western Kenya.BMC psychiatry · 2022Article
- Suicidal attempts and ideations in Kenyan adults with psychotic disorders: An observational study of frequency and associated risk factors.Frontiers in psychiatry · 2022Article
- Pathways to Depression and Poor Quality of Life Among Adolescents in Western Kenya: Role of Anticipated HIV Stigma, HIV Risk Perception, and Sexual Behaviors.AIDS and behavior · 2021Article
- Intimate Partnerships, Suicidal Ideation and Suicide-Related Hospitalization Among Young Kenyan Men.Community mental health journal · 2020Article
- Consent Challenges and Psychosocial Distress in the Scale-up of Voluntary Medical Male Circumcision Among Adolescents in Western Kenya.AIDS and behavior · 2019Article
- Suicide prevention by emergency nurses: perceived self-efficacy in assessment, management and referral at Kenyatta National Hospital in Kenya.Annals of general psychiatry · 2019Article
- Domains of common mental disorders in women reporting intimate partner violence.Revista latino-americana de enfermagem · 2018Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundLow-and-Middle-Income-Countries (LMICs) account for 75% of global suicides. While primary care populations in high-income countries (HIC) typically have higher prevalence of suicidal behavior relative to general populations, few studies have explored suicidal behavior among general medical outpatients in LMICs. This study addresses the research gap by characterizing potential risk factors for suicidal ideation in a large general medical outpatient setting in rural Kenya.
methodsA cross-sectional study of adult general medical outpatients attending a rural sub-county hospital in Kaloleni, Kenya. Primary outcomes included major depressive disorder (MDD), posttraumatic stress disorder (PTSD) and suicidal behavior measured by the Mini International Neuropsychiatric Interview (MINI 5.0). We use binary logistic regression to model suicidality, mental disorders, intimate partner violence, and lifetime abuse.
results394 outpatients completed the assessment. The prevalence of SI over the past month was 20%. 18% of those with suicidal ideation over the past month also attempted suicide in the past month. Participants who met criteria for MDD (suicidality item removed) were 19 times [CI: 4.56, 79.05] more likely to report suicidal ideation compared to those without MDD (adjusted odds ratio 12.15 [CI: 2.66, 55.49]). LIMITATIONS: This was a cross sectional study design with convenience sampling and hence vulnerable to selection and recall bias.
conclusionThe prevalence of SI and its strong association with actual suicide attempt in this population, make an urgent public health case for intervention. These data identify MDD as a highly significant correlate of SI.
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