Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti.
BMC Psychiatry
; 12: 149, 2012 Sep 19.
Article
em En
| MEDLINE
| ID: mdl-22992379
ABSTRACT
BACKGROUND:
Since the 2010 earthquake in Haiti, there has been increased international attention to mental health needs throughout the country. The present study represents one of the first epidemiologic studies of depression symptomatology, suicidal ideation, and associated factors in Haiti's Central Plateau.METHODS:
We conducted a cross-sectional, zone-stratified household survey of 408 adults in Haiti's Central Plateau. Depression symptomatology was assessed with a culturally-adapted Kreyòl version of the Beck Depression Inventory (BDI). Multivariable linear and logistic regression models were built using backward elimination, with the outcomes being continuous BDI scores and endorsing suicidal ideation, respectively.RESULTS:
The mean BDI score was 20.4 (95% confidence interval [CI] 19.3-21.5), and 6.13% (N = 25) of participants endorsed current suicidal ideation. Factors associated with BDI scores were continuous age (adjusted beta [aß] 0.14, CI 0.06-0.22), female gender (aß 2.1, CI 0.18-4.0), suicidal ideation (aß 11.1, CI 7.3-14.9), death in family (aß 2.7, CI 0.57-4.9), and prior life-threatening illness (aß 2.6, CI 0.77-4.5). Education was a risk factor for depression among women but not among men, and employment was a risk factor for both genders. Factors associated with endorsing suicidal ideation were BDI score (ten point change) (adjusted odds ratio [aOR] 2.5, CI 1.7-3.6), lack of care if sick (aOR 5.5, CI 1.1-28.6), alcohol use (aOR 3.3, CI 1.3-8.2), and ever having been to a Vodou priest (aOR 3.2, CI 1.1-9.5).CONCLUSIONS:
A large proportion of Haiti's Central Plateau may be experiencing high levels of depression symptomatology and/or current suicidal ideation. Screening could be conducted in biomedical, religious, and Vodou healing contexts. For prevention, poverty reduction and improved healthcare access are key elements. For treatment, general psychiatric services, psychosocial services for the medically ill and their families, and substance abuse interventions should be explored. Paradoxical associations related to education and employment require further exploration.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escalas de Graduação Psiquiátrica
/
Transtorno Depressivo
/
Ideação Suicida
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Caribe
/
Haiti
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article