Suicidal behaviours among Ugandan university students: a cross-sectional study.


Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
01 04 2022
Historique:
received: 19 11 2021
accepted: 15 03 2022
entrez: 2 4 2022
pubmed: 3 4 2022
medline: 6 4 2022
Statut: epublish

Résumé

Suicide remains the leading cause of death among university students often resulting from multiple physical and psychological challenges. Moreover, suicidal behaviours among students appear to have increased due to the COVID-19 pandemic according to some studies. To explore the prevalence and associated factors for suicidal ideation, suicide plans, and suicide attempts among university students in Uganda. Cross-sectional study data were collected from May to September 2021 from 540 undergraduate university students in south-western Uganda (363 males, mean age 23.3 years). Questions from the General Health Questionnaire (GHQ-28) were used to assess suicidal ideation, while other bespoke questions were used to assess suicide plans and attempts. The survey also investigated the suicide attempt/plan method, location of the suicidal activity, and reason for not enacting the suicide plan. Three independent regression analyses were used to determine the factors associated with different forms of suicidal behaviours. The prevalence of past-year suicidal behaviours was 31.85% for suicidal ideation, 8.15% for suicide plans, and 6.11% for suicide attempts. Having a chronic physical medical condition increased the likelihood of having all forms of suicidal behaviours. Suicidal ideation was associated with having difficulty paying university tuition fees. However, being in the fifth year of university education, and feeling satisfied with current academic grades reduced the likelihood of suicidal ideation. Individuals feeling satisfied with academic performance appeared to be a protective factor against having suicide plans. Suicide attempts were associated with having a history of sexual abuse and having difficulty paying university tuition fees. The most common method used for attempted suicide was a drug overdose, and the most common location for attempted suicide was their homes. University students have prevalent suicide behaviours especially among students with a chronic physical medical condition, a history of sexual abuse, and problems paying university tuition fees. Based on the present study, for students at risk, universities should provide appropriate interventions such as life skills education and suicide prevention techniques.

Sections du résumé

BACKGROUND
Suicide remains the leading cause of death among university students often resulting from multiple physical and psychological challenges. Moreover, suicidal behaviours among students appear to have increased due to the COVID-19 pandemic according to some studies.
OBJECTIVE
To explore the prevalence and associated factors for suicidal ideation, suicide plans, and suicide attempts among university students in Uganda.
METHODS
Cross-sectional study data were collected from May to September 2021 from 540 undergraduate university students in south-western Uganda (363 males, mean age 23.3 years). Questions from the General Health Questionnaire (GHQ-28) were used to assess suicidal ideation, while other bespoke questions were used to assess suicide plans and attempts. The survey also investigated the suicide attempt/plan method, location of the suicidal activity, and reason for not enacting the suicide plan. Three independent regression analyses were used to determine the factors associated with different forms of suicidal behaviours.
RESULTS
The prevalence of past-year suicidal behaviours was 31.85% for suicidal ideation, 8.15% for suicide plans, and 6.11% for suicide attempts. Having a chronic physical medical condition increased the likelihood of having all forms of suicidal behaviours. Suicidal ideation was associated with having difficulty paying university tuition fees. However, being in the fifth year of university education, and feeling satisfied with current academic grades reduced the likelihood of suicidal ideation. Individuals feeling satisfied with academic performance appeared to be a protective factor against having suicide plans. Suicide attempts were associated with having a history of sexual abuse and having difficulty paying university tuition fees. The most common method used for attempted suicide was a drug overdose, and the most common location for attempted suicide was their homes.
CONCLUSION
University students have prevalent suicide behaviours especially among students with a chronic physical medical condition, a history of sexual abuse, and problems paying university tuition fees. Based on the present study, for students at risk, universities should provide appropriate interventions such as life skills education and suicide prevention techniques.

Identifiants

pubmed: 35365105
doi: 10.1186/s12888-022-03858-7
pii: 10.1186/s12888-022-03858-7
pmc: PMC8972906
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

234

Informations de copyright

© 2022. The Author(s).

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Auteurs

Mark Mohan Kaggwa (MM)

Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.
African Centre for Suicide Prevention and Research, Mbarara, 379, Uganda.

Innocent Arinaitwe (I)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda. iarinaitwe.md@gmail.com.

Moses Muwanguzi (M)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.

Elicana Nduhuura (E)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.

Jonathan Kajjimu (J)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.

Moses Kule (M)

Department of Psychiatry, Mbarara Regional Referral Hospital, Mbarara, 40, Uganda.

Sarah Maria Najjuka (SM)

College of Health Sciences, Makerere University, Kampala, 7072, Uganda.

Rahel Nkola (R)

Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.
African Centre for Suicide Prevention and Research, Mbarara, 379, Uganda.

Noble Ajuna (N)

Department of Nursing, Bishop Stuart University, Mbarara, Uganda.

Nicholas Kisaakye Wamala (NK)

Faculty of Clinical Medicine and Dentistry, Kampala International University - western Campus, Kampala, 20000, Uganda.

Ivan Machacha (I)

School of Medicine, Kabale University, Kabale, 364, Uganda.

Mohammed A Mamun (MA)

CHINTA Research Bangladesh, Savar, Dhaka, 1342, Bangladesh.
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Department of Public Health, Daffodil International University, Dhaka, Bangladesh.

Cyrus Su-Hui Ho (CS)

Department of Psychological Medicine, National University of Singapore, Singapore, 119007, Singapore.

Mark D Griffiths (MD)

Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK.

Godfrey Zari Rukundo (GZ)

Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, 1410, Uganda.
African Centre for Suicide Prevention and Research, Mbarara, 379, Uganda.

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