Evidence map›Paper›PMID 33110444›Full record

ArticleChild and adolescent psychiatry and mental health2020

Prevalence and risk factors for youth suicidality among perinatally infected youths living with HIV/AIDS in Uganda: the CHAKA study.

Godfrey Zari Rukundo, Richard Stephen Mpango, Wilber Ssembajjwe, Kenneth D Gadow, Vikram Patel, Eugene Kinyanda

Open access · goldAbstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 33% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  6. Breaking the silence on suicide among pre-adolescent children.Child and adolescent psychiatry and mental health · 2025
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  13. Mental health literacy among secondary school learners in Tshwane region 1: A quantitative study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Godfrey Zari RukundoDepartment of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID 0000-0002-3739-1426
Richard Stephen MpangoDepartment of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.
Wilber SsembajjweStatistical Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.
Kenneth D GadowDepartment of Psychiatry, Stony Brook University, Stony Brook, New York, USA.
Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School, Massachusetts, USA.
Eugene KinyandaMRC/UVRI and LSHTM Uganda Research Unit, Mental Health Project, Entebbe, Uganda.
Mbarara University of Science and Technology · UGUganda Virus Research Institute · UGHarvard University · USStony Brook University · US

Funding

Medical Research Council MC_UP_1204/10Medical Research Council MR/L004623/1Wellcome Trust 205069/Z/16/Z
6 · The paper itself

Abstract

backgroundResearch from high income countries indicates that suicide is a major mental health care concern and a leading cause of preventable deaths among children and adolescents. Proper assessment and management of youth suicidality is crucial in suicide prevention, but little is known about its prevalence and associated risk factors in Sub-Saharan Africa. In low income countries there is an increased risk of suicide among persons with HIV/AIDS even in the presence of the highly active antiretroviral therapy.

objectiveTo determine the prevalence of and risk factors for youth suicidality among perinatally infected youth living with HIV/AIDS in Uganda.

methodsWe studied 392 HIV positive children (5-11 years) and adolescents (12-17 years) and their caregivers in Kampala and Masaka districts. Caregivers were administered the suicide assessment section of the MINI International Psychiatric Interview. Socio-demographic characteristics, psychiatric diagnoses, and psychosocial and clinical factors were assessed and suicidality (suicidal ideation and or suicidal attempt) was the outcome variable. Logistic regression was used to calculate odds ratios adjusting for study site and sex at 95% confidence intervals.

resultsCaregivers reported a suicidality rate of 10.7% (CI 8-14.1) in the past one month with higher rates among urban female (12.4%, CI 8.6-17.7) than male (8.7%, CI 5.4-13.8) youth. Lifetime prevalence of attempted suicide was 2.3% (n = 9, CI 1.2-4.4) with the highest rates among urban female youth. Among children, caregivers reported a lifetime prevalence of attempted suicide of 1.5%. The self-reported rate of attempted suicide in the past month was 1.8% (n = 7, CI 0.8-3.7) with lifetime prevalence of 2.8% (n = 11, CI 1.6-5.0). The most common methods used during suicide attempts were cutting, taking overdose of HIV medications, use of organophosphates, hanging, stabbing and self-starvation. Clinical correlates of suicidality were low socioeconomic status (OR = 2.27, CI 1.06-4.87, p = 0.04), HIV felt stigma (OR = 2.10, CI 1.04-3.00, p = 0.02), and major depressive disorder (OR = 1.80, CI 0.48-2.10, p = 0.04). Attention-deficit/hyperactivity disorder was protective against suicidality (OR = 0.41, CI 0.18-0.92, p = 0.04).

conclusionThe one-month prevalence of suicidality among CA-HIV was 10.7%.

Indexed as

HIVSuicidal attemptSuicidal ideationSuicidalitySuicideYouths

Identifiers

PMID33110444
PMCPMC7585678
OpenAlexW3094462012

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.