Family support and suicidal ideation in people with human immunodeficiency virus infection
Methods: A cross-sectional survey was conducted among 317 HIV-positive people (men:182; women:135) aged 2060 years in Kathmandu, Nepal. Perceived family support was measured using the10-item Nepali Family Support and Difficulty Scale. Items included questions on perceived support while being sick, being consulted while making decisions, and being discriminated against by family members. Suicidal ideation was measured by a single item assessing thoughts of killing oneself in the past two weeks. The relationship between family support and suicidal ideation was assessed using multiple logistic regression analysis by adjusting potential confounders.
Results: Approximately 14% of participants (43/317) reported thoughts of suicide in the past two weeks. Those with the highest level of family support had a significantly decreased risk of suicidal ideation; the odds ratio and 95 % confidence interval of suicidal ideation for the lowest through highest tertile categories of family support were 1.00 (reference), 0.58 (0.20-1.64) and 0.33 (0.13-0.80) (P for trend=0.01). High perceived support while being sick, not being discriminated against or disliked, having a role in the family, and being consulted for decision making by family members were significantly associated with lower risk of suicidal ideation.
Conclusion: Higher family support may be important for preventing suicidal ideation among HIV-positive people.
Learning Areas:Assessment of individual and community needs for health education
Chronic disease management and prevention
Public health or related education
Public health or related research
Social and behavioral sciences
Describe the prevalence of suicidal ideation among HIV-positive people; Describe the perceived family support-related variables associated with suicidal ideation among HIV-positive people.
Keyword(s): HIV/AIDS, Mental Health
Qualified on the content I am responsible for because: I am one of the Principal Investigators of this study.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.