Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.

<h4>Background</h4>This issue represents a major global public health concern, accounting for approximately 703,000 deaths each year. Despite Mozambique having the 9th highest suicide rate in the world and the highest in Africa, there is no national data quantifying the burden of suicide...

Full description

Saved in:
Bibliographic Details
Main Authors: Angwach Abrham Asnake, Beminate Lemma Seifu, Bezawit Melak Fente, Hiwot Altaye Asebe, Meklit Melaku Bezie, Yohannes Mekuria Negussie, Zufan Alamrie Asmare, Mamaru Melkam
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315648
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823864093372579840
author Angwach Abrham Asnake
Beminate Lemma Seifu
Bezawit Melak Fente
Hiwot Altaye Asebe
Meklit Melaku Bezie
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Mamaru Melkam
author_facet Angwach Abrham Asnake
Beminate Lemma Seifu
Bezawit Melak Fente
Hiwot Altaye Asebe
Meklit Melaku Bezie
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Mamaru Melkam
author_sort Angwach Abrham Asnake
collection DOAJ
description <h4>Background</h4>This issue represents a major global public health concern, accounting for approximately 703,000 deaths each year. Despite Mozambique having the 9th highest suicide rate in the world and the highest in Africa, there is no national data quantifying the burden of suicide attempts. Therefore, this study aimed to assess the prevalence of suicide attempts and identify individual and community-level factors associated with them using mixed-effects logistic regression. This study is crucial for developing early interventions, which can help reduce the risk of suicide and enhance overall mental health outcomes for young people.<h4>Method</h4>The data used in this study were drawn from the 2022/2023 Mozambique Demographic and Health Survey (MDHS). A weighted sample of 10,909 individuals (7,716 males and 3,149 females) aged 15-29 was included. The fitted model was evaluated using AIC and BIC, with the model having the lowest Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC) is another statistical measure used to assess the quality of a model, similar to the Akaike Information Criterion (AIC). The results of the final model were presented as Adjusted Odds Ratios (AOR) with 95% confidence intervals (CI). Variables were considered statistically significant if their p-value was less than 0.05 in the multivariable analysis.<h4>Results</h4>About 3.60% (95% CI: 3.33%-4.03%) of participants were seriously considered suicide attempt in the past 12 months of before the survey. Educational status, occupation, marital status, depression, anxiety, and geographic region were significant factors associated with suicidal attempt.<h4>Conclusion</h4>The findings of this study enhance our understanding of the intricate relationships between suicide attempts and their predictors. Additionally, the results highlight the need for targeted interventions and mental health promotion strategies that consider the identified individual and community-level factors to reduce suicide rates in Mozambique.
format Article
id doaj-art-80d50b5aed464684a43e06c577cea29f
institution Kabale University
issn 1932-6203
language English
publishDate 2025-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-80d50b5aed464684a43e06c577cea29f2025-02-09T05:30:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031564810.1371/journal.pone.0315648Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.Angwach Abrham AsnakeBeminate Lemma SeifuBezawit Melak FenteHiwot Altaye AsebeMeklit Melaku BezieYohannes Mekuria NegussieZufan Alamrie AsmareMamaru Melkam<h4>Background</h4>This issue represents a major global public health concern, accounting for approximately 703,000 deaths each year. Despite Mozambique having the 9th highest suicide rate in the world and the highest in Africa, there is no national data quantifying the burden of suicide attempts. Therefore, this study aimed to assess the prevalence of suicide attempts and identify individual and community-level factors associated with them using mixed-effects logistic regression. This study is crucial for developing early interventions, which can help reduce the risk of suicide and enhance overall mental health outcomes for young people.<h4>Method</h4>The data used in this study were drawn from the 2022/2023 Mozambique Demographic and Health Survey (MDHS). A weighted sample of 10,909 individuals (7,716 males and 3,149 females) aged 15-29 was included. The fitted model was evaluated using AIC and BIC, with the model having the lowest Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC) is another statistical measure used to assess the quality of a model, similar to the Akaike Information Criterion (AIC). The results of the final model were presented as Adjusted Odds Ratios (AOR) with 95% confidence intervals (CI). Variables were considered statistically significant if their p-value was less than 0.05 in the multivariable analysis.<h4>Results</h4>About 3.60% (95% CI: 3.33%-4.03%) of participants were seriously considered suicide attempt in the past 12 months of before the survey. Educational status, occupation, marital status, depression, anxiety, and geographic region were significant factors associated with suicidal attempt.<h4>Conclusion</h4>The findings of this study enhance our understanding of the intricate relationships between suicide attempts and their predictors. Additionally, the results highlight the need for targeted interventions and mental health promotion strategies that consider the identified individual and community-level factors to reduce suicide rates in Mozambique.https://doi.org/10.1371/journal.pone.0315648
spellingShingle Angwach Abrham Asnake
Beminate Lemma Seifu
Bezawit Melak Fente
Hiwot Altaye Asebe
Meklit Melaku Bezie
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Mamaru Melkam
Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
PLoS ONE
title Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
title_full Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
title_fullStr Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
title_full_unstemmed Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
title_short Multilevel analysis of factors associated with suicide attempts: Evidence from 2022/2023 Mozambique Demographic and Health Survey.
title_sort multilevel analysis of factors associated with suicide attempts evidence from 2022 2023 mozambique demographic and health survey
url https://doi.org/10.1371/journal.pone.0315648
work_keys_str_mv AT angwachabrhamasnake multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT beminatelemmaseifu multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT bezawitmelakfente multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT hiwotaltayeasebe multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT meklitmelakubezie multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT yohannesmekurianegussie multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT zufanalamrieasmare multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey
AT mamarumelkam multilevelanalysisoffactorsassociatedwithsuicideattemptsevidencefrom20222023mozambiquedemographicandhealthsurvey