ArticleInjury epidemiology2022
Associations between traumatic event experiences, psychiatric disorders, and suicidal behavior in the general population of Afghanistan: findings from Afghan National Mental Health Survey.
Article in Injury epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Pooled it
- Prevalence of suicidal behavior and its associated factors among individuals living in war-affected areas of Dessie Town, northeast Ethiopia, in 2022: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Self-harm and suicide prevention in humanitarian and fragile contexts: A systematic scoping review.Global mental health (Cambridge, England) · 2025Review
- Afghan mental health and psychosocial well-being: thematic review of four decades of research and interventions.BJPsych open · 2023Review
- Validation of the Farsi version of the Suicide Ideation and Behavior Scale.Frontiers in psychiatry · 2023Article
- Trust in higher guidance and suicidality in Afghan students under the Taliban regime{fr}(Confianza en la orientación superior y suicidalidad en estudiantes afganos bajo el régimen Talibán).International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundThe role of traumatic event exposure and psychiatric disorders as central risk factors for suicidal behavior has been established, but there are limited data in high conflict regions with significant trauma exposures such as Afghanistan.
methodsA nationally representative, cross-sectional survey was conducted through systematic stratified random sampling in 8 regions of Afghanistan in 2017 (N = 4474). Well-validated instruments were used to establish trauma exposure, psychiatric disorders. Death preference, suicidal ideation, plan, and attempts were assessed.
resultsIn the total sample, 2.2% reported suicidal ideation in the past 12 months, and 7.1% of respondents reported that they had suicidal ideation at some point in their lives; 3.4% reported a suicide attempt. Women were at higher risk than men. All traumatic event exposures were strongly associated with suicidal behavior. Respondents who reported experiencing sexual violence were 4.4 times more likely to report lifetime suicide attempts (95% CI 2.3-8.4) and 5.8 times more likely to report past 12-month suicidal ideation (95% CI 2.7-12.4). Associations were strong and significant for all psychiatric disorders related to suicidal behavior. Respondents who met criteria for major depressive episodes (OR = 7.48; 95% CI 4.40-12.72), generalized anxiety disorder (OR = 6.61; 95% CI 3.54-12.33), and PTSD (OR = 7.26; 95% CI 4.21-12.51) had the highest risk of past 12-month suicidal ideation.
conclusionTraumatic event exposures and psychiatric disorders increase risk of suicidal behavior in the Afghan general population; women are at high risk. Interventions to reduce trauma exposure, including expansion of a mental health workforce in the region, are critically important.
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