Observational studyMedicine2024
Depression and suicidal ideation among adolescent girls in refugee settlements in northern Uganda.
Observational study in Medicine, 2024. 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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The trial behind it
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between sexual violence and mental disorders among women victim-survivors in sub-Saharan Africa: a systematic review and meta-analysis.BMJ global health · 2025Pooled it
- Can we protect refugee children from mental health problems?- a scoping review of modifiable factors to inform preventive interventions.BMC medicine · 2026Article
- Using the Columbia Suicide Severity Rating Scale to Assess Suicidality Among Young Women in the Urban Slums of Kampala Uganda: Baseline Findings from the TOPOWA Cohort Study.International journal of environmental research and public health · 2026Article
- Adolescent Pregnancies and Perinatal Mental Health-Needs and Complex Support Options: A Literature Review.Journal of clinical medicine · 2025Review
- A sport-for-protection program reduces suicidal ideation in youth affected by displacement: a secondary analysis of the Game Connect trial in Uganda.Frontiers in psychiatry · 2025Article
- Factors Associated with Repeat Teenage Pregnancy in Refugee Settlements in Uganda.Pediatric health, medicine and therapeutics · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Depression is a leading cause of disability, morbidity, and mortality among adolescent girls in Africa, with varying prevalence across different populations. However, there is paucity of data on the burden of depression among priority groups in unique settings like adolescent girls living in refugee settlements, where access to mental health services including psychosocial support and psychiatric consultation is scarce. We conducted a cross-sectional, descriptive, observational study among adolescent girls from 4 selected refugee settlements in Obongi and Yumbe districts, Uganda. A multi-stage sampling, and cluster sampling techniques, where each settlement represented 1 cluster was done. Prevalence of depression was assessed using the patient health questionnaire-9 modified for adolescents, followed by the P4 screener assessment tool for suicidal risks. We performed modified Poisson regression analysis to establish predictors of depression. P < .05 was considered statistically significant. We included 385 participants with a mean age of 17 (IQR: 15-18) years. The prevalence of depression was 15.1% (n = 58, 95% confidence interval [CI]: 11.6-19.0). Overall, 8.6% (n = 33) participants had recent suicidal thoughts (within 1 month) and 2.3% (n = 9) attempted suicide. Participants who experienced pregnancy (adjusted prevalence ratio [aPR]: 2.4, 95% CI: 1.00-5.94, P = .049), sexual abuse (aPR: 2.1, 95% CI: 1.19-3.76, P = .011), and physical abuse (aPR: 1.7, 95% CI: 1.01-2.74, P = .044) were independently associated with depression. In this study, we found about one in every 6 adolescents living in refugee settlements of northern Uganda to suffer from depression, particularly among those who experienced adolescent pregnancy and various forms of abuses. Incorporating mental health care in the existing health and social structures within the refugee settlements, exploring legal options against perpetrators of sexual abuse and encouraging education is recommended in this vulnerable population.
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