Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.

<h4>Background</h4>Suicidal ideation (SI) among pregnant women is a major public health concern worldwide and is associated with a higher risk of completed suicide. However, there are limited studies that determined the prevalence and the potential determinants of suicidal ideation in Su...

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Autores principales:	Tamrat Anbesaw, Alemayehu Negash, Almaz Mamaru, Habtamu Abebe, Asmare Belete, Getinet Ayano
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fd5afb97efe54bd2bbe306e4457ca084
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spelling	oai:doaj.org-article:fd5afb97efe54bd2bbe306e4457ca0842021-12-02T20:19:35ZSuicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.1932-620310.1371/journal.pone.0255746https://doaj.org/article/fd5afb97efe54bd2bbe306e4457ca0842021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255746https://doaj.org/toc/1932-6203<h4>Background</h4>Suicidal ideation (SI) among pregnant women is a major public health concern worldwide and is associated with a higher risk of completed suicide. However, there are limited studies that determined the prevalence and the potential determinants of suicidal ideation in Sub-Saharan Africa, including Ethiopia. Therefore, this study aimed to explore the prevalence of suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma, Ethiopia.<h4>Methods</h4>An institutional-based cross-sectional study was conducted among 423 pregnant women attending Jimma medical center in Southwest, Ethiopia. A systematic random sampling technique was used to select the study participants. Suicidal ideation assessed using the Suicidality Module of the World Mental Health survey initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI). Other tools used are EPDS, Abuse Assessment Scale (AAS), DASS -21, PSS, Maternity Social Support Scale (MSSS), and Pittsburgh Sleep Quality Index (PSQI). A multivariable logistic regression analysis was used to explore the potential determinants of suicidal ideation among the participants.<h4>Result</h4>The prevalence of SI among women who are on antenatal care was found to be 13.3% (95% CI (10.1,16.4). In multivariable analysis, marital status with lack of cohabiting partners (AOR = 2.80,95%CI:1.23,6.37), history of abortion (AOR = 2.45,95% CI:1.03,5.93), having depression (AOR = 4.28,95% CI:1.75,10.44),anxiety(AOR = 2.99,95% CI:1.24,7.20), poor sleep quality (AOR = 2.85,95% CI:1.19,6.79), stress (AOR = 2.50, 95% CI:1.01,5.67), and intimate partner violence (AOR = 2.43, 95% CI:1.07,5.47) were found to be significant predictors of suicidal ideation.<h4>Conclusion</h4>The prevalence of SI among pregnant women was found to be huge. Lack of cohabiting partners, previous history of abortion, depression, anxiety, intimate partner violence, poor sleep quality, and stress were variables that are independent predictors of suicidal ideation. Screening and interventions of antenatal SI are needed.Tamrat AnbesawAlemayehu NegashAlmaz MamaruHabtamu AbebeAsmare BeleteGetinet AyanoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255746 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tamrat Anbesaw Alemayehu Negash Almaz Mamaru Habtamu Abebe Asmare Belete Getinet Ayano Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
description	<h4>Background</h4>Suicidal ideation (SI) among pregnant women is a major public health concern worldwide and is associated with a higher risk of completed suicide. However, there are limited studies that determined the prevalence and the potential determinants of suicidal ideation in Sub-Saharan Africa, including Ethiopia. Therefore, this study aimed to explore the prevalence of suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma, Ethiopia.<h4>Methods</h4>An institutional-based cross-sectional study was conducted among 423 pregnant women attending Jimma medical center in Southwest, Ethiopia. A systematic random sampling technique was used to select the study participants. Suicidal ideation assessed using the Suicidality Module of the World Mental Health survey initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI). Other tools used are EPDS, Abuse Assessment Scale (AAS), DASS -21, PSS, Maternity Social Support Scale (MSSS), and Pittsburgh Sleep Quality Index (PSQI). A multivariable logistic regression analysis was used to explore the potential determinants of suicidal ideation among the participants.<h4>Result</h4>The prevalence of SI among women who are on antenatal care was found to be 13.3% (95% CI (10.1,16.4). In multivariable analysis, marital status with lack of cohabiting partners (AOR = 2.80,95%CI:1.23,6.37), history of abortion (AOR = 2.45,95% CI:1.03,5.93), having depression (AOR = 4.28,95% CI:1.75,10.44),anxiety(AOR = 2.99,95% CI:1.24,7.20), poor sleep quality (AOR = 2.85,95% CI:1.19,6.79), stress (AOR = 2.50, 95% CI:1.01,5.67), and intimate partner violence (AOR = 2.43, 95% CI:1.07,5.47) were found to be significant predictors of suicidal ideation.<h4>Conclusion</h4>The prevalence of SI among pregnant women was found to be huge. Lack of cohabiting partners, previous history of abortion, depression, anxiety, intimate partner violence, poor sleep quality, and stress were variables that are independent predictors of suicidal ideation. Screening and interventions of antenatal SI are needed.
format	article
author	Tamrat Anbesaw Alemayehu Negash Almaz Mamaru Habtamu Abebe Asmare Belete Getinet Ayano
author_facet	Tamrat Anbesaw Alemayehu Negash Almaz Mamaru Habtamu Abebe Asmare Belete Getinet Ayano
author_sort	Tamrat Anbesaw
title	Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
title_short	Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
title_full	Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
title_fullStr	Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
title_full_unstemmed	Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.
title_sort	suicidal ideation and associated factors among pregnant women attending antenatal care in jimma medical center, ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/fd5afb97efe54bd2bbe306e4457ca084
work_keys_str_mv	AT tamratanbesaw suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia AT alemayehunegash suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia AT almazmamaru suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia AT habtamuabebe suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia AT asmarebelete suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia AT getinetayano suicidalideationandassociatedfactorsamongpregnantwomenattendingantenatalcareinjimmamedicalcenterethiopia
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Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia.

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