Evidence map›Paper›PMID 40296065›Full record

SynthesisBMC psychiatry2025

Suicidal ideation, attempted suicide and determinants among prisoners in Ethiopia 2024: a systematic review and meta-analysis.

Bereket Aberham Lajore, Sisay Moges, Dinku Daniel Kabiye, Abera Feyisa, Mengistu Lodebo, Betelhem Asmerom Debesay, Likawunt Samuel, Erdaro Wodebo, Zerihun Demessie, Kassahun Mekuria and 8 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. 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
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

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

18 authors.

Bereket Aberham LajoreDepartment of Family Health and Health Extension, Hossana College of Health Science, Hosanna, Ethiopia. bereketema41@gmail.com.ORCID 0000-0002-5296-7163
Sisay MogesDepartment of Family Health and Health Extension, Hossana College of Health Science, Hosanna, Ethiopia.
Dinku Daniel KabiyeHosanna College of Health Science, Hosanna, Ethiopia.
Abera FeyisaDepartment of Clinical Nursing, Hosanna College of Health Science, Hosanna, Ethiopia.
Mengistu LodeboDepartment of Midwifery, Hosanna College of Health Science, Hosanna, Ethiopia.
Betelhem Asmerom Debesay, Addis Ababa, Ethiopia.
Likawunt SamuelDepartment of Clinical Nursing, Hosanna College of Health Science, Hosanna, Ethiopia.
Erdaro WodeboDepartment of Midwifery, Hosanna College of Health Science, Hosanna, Ethiopia.
Zerihun DemessieDepartment of Midwifery, Hosanna College of Health Science, Hosanna, Ethiopia.
Kassahun MekuriaDepartment of Midwifery, Hosanna College of Health Science, Hosanna, Ethiopia.
Abrham SamuelDepartment of Emergency, Hosanna College of Health Science, Hosanna, Ethiopia.
Anebo GetachewDepartment of Midwifery, Hosanna College of Health Science, Hosanna, Ethiopia.
Merkineh MekeboDepartment of Clinical Nursing, Hosanna College of Health Science, Hosanna, Ethiopia.
Belay BanchaHosanna College of Health Science, Hosanna, Ethiopia.
Tadesse HamdallaHosanna College of Health Science, Hosanna, Ethiopia.
Degefa TadeleHosanna College of Health Science, Hosanna, Ethiopia.
Elias TeragoHosanna College of Health Science, Hosanna, Ethiopia.
Bereket BiregeDepartment of Family Health and Health Extension, Hossana College of Health Science, Hosanna, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrisoners face severe restrictions on freedom and social connections, negatively impacting their mental health and increasing suicidal thoughts and attempts. Suicide is a significant public health concern, with rates among inmates much higher than in the general population. Research indicates that suicidal ideation is common among convicts. Despite the alarming prevalence of suicidal ideation and attempts among inmates, many countries lack comprehensive data on prison suicides, highlighting the need for targeted preventive strategies. This systematic review and meta-analysis aims to synthesize findings of different studies and pool them to provide a comprehensive figure of suicidal ideation and attempts among prisoners and to inform policymakers on improving health services for vulnerable inmates.

objectiveThis study comprehensively assessed and pooled the prevalence of suicidal ideation and attempts and the effect size of determinants among prisoners in Ethiopia.

methodsSystematic searches for observational studies were conducted in various databases, including PubMed (MEDLINE), CINAHL (EBSCO), Embase, Web of Science, HINARI, Science Direct, Google Scholar, Mednar, and the Cochrane Library. Observational studies involving inmates from 2015 to 2024 were included, except those who fulfill exclusion criteria. Four research groups independently selected studies, extracted data, and assessed quality. Nine studies involving 4435 prisoners were included. A meta-analysis using random-effects models was performed.

resultsA total of nine studies involving 4435 study participants were included in the review. This study of studies revealed that the pooled prevalence of suicidal ideation and attempted suicide among prisoners in Ethiopia was 23.28% (95% confidence intervals (CI): 12.26%, 34.29%) and 10.20% (95% CI: 8.63%, 11.78%), respectively. Depression, poor social support, suicidal history, and previous mental illness were significantly associated. Statistically significant heterogeneity across included studies was found both for suicidal ideation (I

conclusionThis study revealed a high prevalence of suicidal ideation and attempts among prisoners. These public health problems are significantly determined by depression, poor social support, mental illness, and family history of suicide. The review advocates for integrating mental health services in prisons, including routine screenings, while emphasizing the need to combat the marginalization of prisoners for meaningful change.

trial registrationThe protocol for this study was submitted and registered in PROSPERO on 03 May 2024, and the first version of this protocol was published on 14 May 2024 with the PROSPERO ID of CRD42024542958.

Indexed as

PrisonersSuicidal IdeationSuicide, AttemptedEthiopiaHumansPrevalenceRisk FactorsEthiopiaPrisonersSuicidal attemptsSuicidal ideationSystematic review and meta-analysis

Identifiers

PMID40296065
PMCPMC12038958

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.