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. 2016 Jun:197:58-65.
doi: 10.1016/j.jad.2016.02.052. Epub 2016 Feb 27.

Major depressive disorder and suicidal behavior among urban dwelling Ethiopian adult outpatients at a general hospital

Anjalene B Whittier  1 , Bizu Gelaye  2 , Negussie Deyessa  3 , Yonas Bahretibeb  3 , Teshome Shibre Kelkile  4 , Yemane Berhane  5 , Michelle A Williams  2
Affiliations

Major depressive disorder and suicidal behavior among urban dwelling Ethiopian adult outpatients at a general hospital

Anjalene B Whittier et al. J Affect Disord. 2016 Jun.

Abstract

Background: We sought to evaluate the prevalence and correlates of major depressive disorder (MDD) and suicidal behavior among urban dwelling Ethiopian adults.

Methods: This was a cross-sectional study of 1097 outpatient adults (≥18 years of age) in a major hospital in Addis Ababa, Ethiopia. Sociodemographic and lifestyle characteristics were collected via structured interviews. MDD and suicidal behavior were assessed using the Composite International Diagnostic Interview (CIDI) among all study participants. Multivariable logistic regression models were fitted to estimate odds ratios (OR) and 95% confidence intervals (95% CI).

Results: Prevalence estimates for lifetime and 12-month MDD were 18.0% and 6.7%, respectively. The prevalence of suicidal behavior during the previous year (i.e., suicidal ideation, plan or attempt) was 15.2% with approximately 4% having reported attempts. Overall, women were more likely to report suicidal behavior (17.8%) than men (11.3%). MDD odds were 1.53-fold higher among women as compared with men (aOR=1.53, 95% CI 1.05-2.23). Lifetime MDD was significantly associated with age, sex, marital status, and self-reported physical health. Participants reporting poor mental health had approximately 3-fold increased odds of MDD (OR=2.93; 95%CI: 1.05-2.23); those between 35 and 44 years old (aOR=1.92; 95%CI: 1.06-3.49) and those older than 55 years (aOR=2.54; 95%CI: 1.16-5.57) had higher odds of MDD. Similarly suicidal behavior was significantly associated with sex, marital status, and self-reported physical and mental health.

Limitations: This cross-sectional study utilized self-reported data from outpatients. Causality cannot be inferred, and results may not be fully generalizable.

Conclusions: Overall results show that MDD and suicidal behavior are highly prevalent among urban-dwelling Ethiopian adults. Women and middle-age adults constitute a high-risk group and may therefore benefit from targeted interventions.

Keywords: Africa; Depression; Ethiopia; Prevalence; Sociodemographic correlates; Suicide.

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Figures

Figure 1
Figure 1. Prevalence of Major Depressive Disorders (12-month and lifetime) by sex
Figure 2
Figure 2. Prevalence of suicidal behavior* (ideation, plan and attempt) by sex
*non-mutually exclusive subcomponents
See this image and copyright information in PMC

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