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AIDS Research and Treatment
Volume 2016, Article ID 3015468, 9 pages
http://dx.doi.org/10.1155/2016/3015468
Research Article

Burden of Suicidal Ideation and Attempt among Persons Living with HIV and AIDS in Semiurban Uganda

1Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda
2Centre for Research and Intervention on Suicide and Euthanasia and Psychology Department, Université du Québec à Montréal, Montréal, QC, Canada H3C 3P8
3Uganda Medical Research Council, Entebbe and Department of Psychiatry, Makerere College of Health Sciences, Kampala, Uganda

Received 11 November 2015; Revised 7 February 2016; Accepted 16 February 2016

Academic Editor: Patrice K. Nicholas

Copyright © 2016 Godfrey Zari Rukundo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although the impact of HIV/AIDS has changed globally, it still causes considerable morbidity and mortality, including suicidality, in countries like Uganda. This paper describes the burden and risk factors for suicidal ideation and attempt among 543 HIV-positive attending two HIV specialized clinics in Mbarara municipality, Uganda. The rate of suicidal ideation was 8.8% (; 95% CI: 6.70–11.50) and suicidal attempt was 3.1% (17, 95% CI 2.00–5.00). The factors associated with increased risk for suicidal ideation and attempts were state anger (OR = 1.06, 95% CI: 1.03–1.09; ); trait anger (OR 1.10, 95% CI 1.04–1.16, ); depression (OR 1.13, 95% CI 1.07–1.20, ); hopelessness (OR 1.12, 95% CI 1.02–1.23, ); anxiety (OR 1.06, 95% CI 1.03–1.09); low social support (OR 0.19, 95% CI 0.07–0.47, ); inability to provide for others (OR 0.19, 95% CI 0.07–0.47, ); and stigma (OR 2.48, 95% CI 1.11–5.54, ). At multivariate analysis, only state anger remained statistically significant. HIV/AIDS is associated with several clinical, psychological, and social factors which increase vulnerability to suicidal ideation and attempts. Making suicide risk assessment and management an integral part of HIV care is warranted.