Evidence map›Paper›PMID 37072864›Full record

ArticleBMC psychology2023

Suicidality and homelessness: prevalence and associated factors of suicidal behaviour among homeless young adults in Southern Ethiopia.

Kalkidan Yohannes, Melkamu Gezahegn, Mekonnen Birhanie, Yilkal Simachew, Awoke Moges, Getinet Ayano, Kusse Koirita Toitole, Hirbaye Mokona, Lulu Abebe

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

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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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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4 · The record

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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

9 authors at 5 institutions in 3 countries.

Kalkidan YohannesDepartment of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia. kalkid29@yahoo.com.
Melkamu GezahegnDepartment of Sociology, Institute of Behavioural science, Dilla University, Dilla, Ethiopia.
Mekonnen BirhanieSchool of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia.
Yilkal SimachewSchool of Public Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Awoke MogesAddis Ababa University, Addis Ababa, Ethiopia.
Getinet AyanoResearch and Training Department, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.
Kusse Koirita ToitolePublic Health Expert, Doctors with Africa CUAMM, Juba, South Sudan.
Hirbaye MokonaDepartment of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
Lulu AbebeDepartment of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
Dilla University · ETAddis Ababa University · ETCurtin University · AUDoctors with Africa Cuamm · ITHawassa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch indicates that homelessness is associated with an increased risk of suicide. While street homelessness is a global problem, it is a disproportionately serious concern in low- and middle-income countries such as Ethiopia. Despite their high risk of suicidal thoughts and attempts, there has been limited research on this subject among homeless young people in Ethiopia. Therefore, we assessed the prevalence and factors contributing to suicidal behaviour among homeless young people in the southern region of this country.

methodsWe conducted a community-based cross-sectional study from 15 June to 15 August 2020 involving 798 homeless young adults in four southern Ethiopian towns and cities. The Suicide Behaviour Questionnaire-Revised (SBQ-R) was used to assess suicidal behaviour. Data were coded and entered into Epi-Data version 7 and analysed using SPSS version 20. We conducted a multivariable logistic regression analysis to identify factors associated with suicidal behaviour. Variables with a p-value of < 0.05 were considered statistically significant. An adjusted odds ratio with a 95% confidence interval was determined to indicate the association's strength.

resultsThe overall prevalence of suicidal behaviour among young homeless individuals was 38.2% (95% CI: 34.8%, 41.5%). The lifetime prevalence of suicidal ideation, planning and attempt was 10.7% (95% CI: 8.6-12.9%), 5.1% (95% CI: 3.6-6.6%) and 3% (95% CI: 1.9-4.3%), respectively. A longer duration of homelessness (1-2 years) (AOR = 2.244, 95% CI: 1.447-3.481), stressful life events (AOR = 1.655, 95% CI: 1.132-2.418) and the stigma associated with homelessness (AOR = 1.629, 95% CI: 1.149-1.505) were significantly associated with suicidal behaviour.

conclusionThe results of our study indicate that suicide is a serious public health problem among homeless young people in southern Ethiopia. We have found associations between suicidal behaviour and stressful events, homelessness lasting for one to two years and stigma. Our study suggests that policymakers and programme planners need to develop a strategy for preventing, detecting and managing suicidal behaviour among street-dwelling homeless young adults, a vulnerable and understudied population. A community-based suicide prevention campaign is also essential for street-dwelling homeless young people in Ethiopia.

Indexed as

Ill-Housed PersonsSuicideAdolescentAdultEast African PeopleEconomic StatusEthiopiaFemaleHumansMalePrevalenceSociodemographic FactorsSuicidal IdeationYoung AdultEthiopiaHomeless young adultsHomeless youthLow and middle-income countriesPrevalencePsychiatric emergencyRooflessnessStreet homelessnessSuicidal behaviourSuicidal ideation and attempts

Identifiers

PMID37072864
PMCPMC10111304
OpenAlexW4366278317

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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.