Evidence map›Paper›PMID 42240705›Full record

ArticleDiscover mental health2026

Prevalence and factors associated with suicidality among adolescents with epilepsy attending national referral hospitals in Uganda.

Hillary Kuteesa, Joan Abaatyo, Catherine Abbo, Wilson Winstons Muhwezi, Dennis Kalibbala, Mark Mohan Kaggwa

Abstract read
In one paragraph

Article in Discover mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Hillary KuteesaButabika National Referral Mental Hospital, Kampala, Uganda. larrycutesir@gmail.com.
Joan AbaatyoDepartment of Psychiatry, Mulago National Referral Hospital, Kampala, Uganda.
Catherine AbboDepartment of Psychiatry, University of Ottawa & Children's Hospital of Eastern Ontario, 401 Symth Road, Ottawa, Canada.
Wilson Winstons MuhweziDepartment of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
Dennis KalibbalaGlobal Health Uganda, Kampala, Uganda.
Mark Mohan KaggwaWaypoint Research Institute, Waypoint Centre for Mental Health Care, 500 Church Street, Penetanguishene, ON, L9M 1G3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpilepsy is associated with an increased risk of suicidality across the lifespan, including during adolescence, a developmental period characterised by heightened psychological vulnerability. Evidence on suicidality among adolescents with epilepsy in sub-Saharan Africa is limited. This study examined the prevalence of suicidality and its correlates among adolescents with epilepsy attending national referral hospitals in Uganda.

methodsA cross-sectional study was conducted among adolescents aged 10-17 years with clinician-confirmed epilepsy attending Butabika National Mental Referral Hospital and Mulago National Referral Hospital in Kampala. Suicidality and current psychiatric comorbidities were assessed using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Coping strategies were measured using the Brief Coping Orientation to Problems Experienced (COPE) and perceived social support using the Multidimensional Scale of Perceived Social Support (MSPSS). Hierarchical multivariable logistic regression was used to examine the incremental contribution of sociodemographic, clinical, psychiatric, coping, and social support domains to suicidality.

resultsNearly one-third (30.5%) reported at least one form of suicidality, most commonly passive suicidal ideation (27.8%). In multivariable analysis, female sex was associated with higher odds of suicidality (aOR 2.20, 95% CI 1.14-4.25), and poor treatment adherence was also associated with increased odds (aOR 2.28, 95% CI 1.09-4.74). Current depression showed the strongest association with suicidal behaviour (aOR 11.18, 95% CI 3.81-32.81). Higher perceived social support was associated with lower odds of suicidality (aOR 0.85, 95% CI 0.75-0.98), suggesting a protective role. Coping strategies were not significantly associated with suicidality after adjustment for clinical and psychiatric factors.

conclusionsSuicidality is common among adolescents with epilepsy in Uganda. Psychiatric comorbidity, particularly depression, accounts for the greatest proportion of explained variability in suicidal behaviour, while perceived social support provides additional protection. Integrating routine mental health screening and strengthening family and community support within epilepsy care may reduce suicide risk in this vulnerable population.

Indexed as

AdolescentsDepressionEpilepsySocial supportSub-Saharan AfricaSuicidalityUganda

Identifiers

PMID42240705
PMCPMC13457826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.