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Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Suicidal ideations and coping strategies of mothers living with physical disabilities: a qualitative exploratory study in Ghana

Authors: Angela Kwartemaa Acheampong, Lydia Aziato

Published in: BMC Psychiatry | Issue 1/2018

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Abstract

Background

Suicide is higher among adults with disabilities compared to their counterparts without disabilities and suicide is mostly preceded with suicidal ideations. For each successful suicide, there could be many ideations and attempts. Limited scientific data exist on the issue of mothers with disabilities and suicidal ideations. Therefore, this study explored suicidal ideations and coping strategies of mothers living with physical disabilities in Ghana.

Methods

Qualitative descriptive exploratory design was used and data was collected through individualized in-depth interviews. All participants were purposefully selected after informed consent was sought. Data was audiotaped, transcribed and analyzed inductively using content analysis technique.

Results

Almost all the women in this study reported suicidal ideations from time to time. Poisoning was the most predominant means which the women had considered to use if they ever attempted the suicide. Suicidal thoughts were precipitated mainly by discrimination. Their resilience and ability to cope were due to self-motivation, children, counselling, assistance from relatives and prayer.

Conclusion

We concluded that, it is crucial for all health professionals to explore and identify suicidal intentions among mothers with disabilities for them to be referred to the appropriate units for necessary help.
Literature
1.
go back to reference Hawton K. Prevention and treatment of suicidal behaviour: from science to practice. Oxford: OUP; 2005.CrossRef Hawton K. Prevention and treatment of suicidal behaviour: from science to practice. Oxford: OUP; 2005.CrossRef
2.
go back to reference Weaver B. Suicidal Ideation: Predictors, Prevalence and Prevention: Nova Science Publishers. UK: Incorporated; 2015. Weaver B. Suicidal Ideation: Predictors, Prevalence and Prevention: Nova Science Publishers. UK: Incorporated; 2015.
3.
go back to reference W.H.O.: Public health action for the prevention of suicide: a framework. 2012. W.H.O.: Public health action for the prevention of suicide: a framework. 2012.
4.
go back to reference W.H.O. Preventing Suicide: a global imperative. Geneva: WHO; 2014. W.H.O. Preventing Suicide: a global imperative. Geneva: WHO; 2014.
5.
go back to reference W.H.O. Suicide. Geneva: World Health Organization; 2017. W.H.O. Suicide. Geneva: World Health Organization; 2017.
6.
go back to reference Mars B, Burrows S, Hjelmeland H, Gunnell D. Suicidal behaviour across the African continent: a review of the literature. BMC Public Health. 2014;14(1):606.CrossRef Mars B, Burrows S, Hjelmeland H, Gunnell D. Suicidal behaviour across the African continent: a review of the literature. BMC Public Health. 2014;14(1):606.CrossRef
7.
go back to reference Lund EM, Nadorff MR, Winer ES, Seader K. Is suicide an option?: the impact of disability on suicide acceptability in the context of depression, suicidality, and demographic factors. J Affect Disord. 2016;189:25–35.CrossRef Lund EM, Nadorff MR, Winer ES, Seader K. Is suicide an option?: the impact of disability on suicide acceptability in the context of depression, suicidality, and demographic factors. J Affect Disord. 2016;189:25–35.CrossRef
8.
go back to reference Fässberg MM, Östling S, Braam AW, Bäckman K, Copeland JR, Fichter M, Kivelä S-L, Lawlor BA, Lobo A, Magnússon H. Functional disability and death wishes in older Europeans: results from the EURODEP concerted action. Soc Psychiatry Psychiatr Epidemiol. 2014;49(9):1475.CrossRef Fässberg MM, Östling S, Braam AW, Bäckman K, Copeland JR, Fichter M, Kivelä S-L, Lawlor BA, Lobo A, Magnússon H. Functional disability and death wishes in older Europeans: results from the EURODEP concerted action. Soc Psychiatry Psychiatr Epidemiol. 2014;49(9):1475.CrossRef
9.
go back to reference McConnell D, Hahn L, Savage A, Dubé C, Park E. Suicidal ideation among adults with disability in Western Canada: a brief report. Community Ment Health J. 2016;52(5):519–26.CrossRef McConnell D, Hahn L, Savage A, Dubé C, Park E. Suicidal ideation among adults with disability in Western Canada: a brief report. Community Ment Health J. 2016;52(5):519–26.CrossRef
11.
go back to reference Adinkrah M. Patterns of female suicidal behavior in Ghana. Psychol Rep. 2011;109(2):649–62.CrossRef Adinkrah M. Patterns of female suicidal behavior in Ghana. Psychol Rep. 2011;109(2):649–62.CrossRef
12.
go back to reference Adinkrah M. Confessions: suicidal ideation on a Ghanaian radio program. J Epidemiol Public Health. 2014;6(7):229–34.CrossRef Adinkrah M. Confessions: suicidal ideation on a Ghanaian radio program. J Epidemiol Public Health. 2014;6(7):229–34.CrossRef
13.
go back to reference Aradilla-Herrero A, Tomás-Sábado J, Gómez-Benito J. Associations between emotional intelligence, depression and suicide risk in nursing students. Nurse Educ Today. 2014;34(4):520–5.CrossRef Aradilla-Herrero A, Tomás-Sábado J, Gómez-Benito J. Associations between emotional intelligence, depression and suicide risk in nursing students. Nurse Educ Today. 2014;34(4):520–5.CrossRef
14.
go back to reference Goldman ML, Shah RN, Bernstein CA. Depression and suicide among physician trainees: recommendations for a national response. JAMA Psychiat. 2015;72(5):411–2.CrossRef Goldman ML, Shah RN, Bernstein CA. Depression and suicide among physician trainees: recommendations for a national response. JAMA Psychiat. 2015;72(5):411–2.CrossRef
15.
go back to reference Hawton K, i Comabella CC, Haw C, Saunders K. Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord. 2013;147(1):17–28.CrossRef Hawton K, i Comabella CC, Haw C, Saunders K. Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord. 2013;147(1):17–28.CrossRef
16.
go back to reference Oliffe JL, Ogrodniczuk JS, Gordon SJ, Creighton G, Kelly MT, Black N, Mackenzie C. Stigma in male depression and suicide: a Canadian sex comparison study. Community Ment Health J. 2016;52:302.CrossRef Oliffe JL, Ogrodniczuk JS, Gordon SJ, Creighton G, Kelly MT, Black N, Mackenzie C. Stigma in male depression and suicide: a Canadian sex comparison study. Community Ment Health J. 2016;52:302.CrossRef
17.
go back to reference Mitra M, Iezzoni LI, Zhang J, Long-Bellil LM, Smeltzer SC, Barton BA. Prevalence and risk factors for postpartum depression symptoms among women with disabilities. Matern Child Health J. 2015;19(2):362–72.CrossRef Mitra M, Iezzoni LI, Zhang J, Long-Bellil LM, Smeltzer SC, Barton BA. Prevalence and risk factors for postpartum depression symptoms among women with disabilities. Matern Child Health J. 2015;19(2):362–72.CrossRef
18.
go back to reference Isaac A-A, Ossom E, Lawer PK: Relationship between Suicidal Ideation, Depression and Self-Esteem among Physically Disabled Persons in Ghana. 2016. Isaac A-A, Ossom E, Lawer PK: Relationship between Suicidal Ideation, Depression and Self-Esteem among Physically Disabled Persons in Ghana. 2016.
19.
go back to reference Hassanian-Moghaddam H, Zamani N, Sarjami S. Violence and abuse against women who have attempted suicide by deliberate self-poisoning: a 2-year follow-up study in Iran. J Interpers Violence. 2016;31(7):1257–73.CrossRef Hassanian-Moghaddam H, Zamani N, Sarjami S. Violence and abuse against women who have attempted suicide by deliberate self-poisoning: a 2-year follow-up study in Iran. J Interpers Violence. 2016;31(7):1257–73.CrossRef
20.
go back to reference Mossige S, Huang L, Straiton M, Roen K. Suicidal ideation and self-harm among youths in Norway: associations with verbal, physical and sexual abuse. Child Fam Soc Work. 2016;21(2):166–75.CrossRef Mossige S, Huang L, Straiton M, Roen K. Suicidal ideation and self-harm among youths in Norway: associations with verbal, physical and sexual abuse. Child Fam Soc Work. 2016;21(2):166–75.CrossRef
21.
go back to reference Kassah BLL, Kassah AK, Agbota TK. Abuse of physically disabled women in Ghana: its emotional consequences and coping strategies. Disabil Rehabil. 2014;36(8):665–71.CrossRef Kassah BLL, Kassah AK, Agbota TK. Abuse of physically disabled women in Ghana: its emotional consequences and coping strategies. Disabil Rehabil. 2014;36(8):665–71.CrossRef
22.
go back to reference Neille J, Penn C. Beyond physical access: a qualitative analysis into the barriers to policy implementation and service provision experienced by persons with disabilities living in a rural context. Rural Remote Health. 2015;15(3332):1–15. Neille J, Penn C. Beyond physical access: a qualitative analysis into the barriers to policy implementation and service provision experienced by persons with disabilities living in a rural context. Rural Remote Health. 2015;15(3332):1–15.
23.
go back to reference Schröttle M, Glammeier S. Intimate partner violence against disabled women as a part of widespread victimization and discrimination over the lifetime: evidence from a German representative study. Int J Confl Violence. 2013;7(2):233. Schröttle M, Glammeier S. Intimate partner violence against disabled women as a part of widespread victimization and discrimination over the lifetime: evidence from a German representative study. Int J Confl Violence. 2013;7(2):233.
24.
go back to reference Asare-Doku W, Osafo J, Akotia CS. The experiences of attempt survivor families and how they cope after a suicide attempt in Ghana: a qualitative study. BMC Psychiat. 2017;17(1):178.CrossRef Asare-Doku W, Osafo J, Akotia CS. The experiences of attempt survivor families and how they cope after a suicide attempt in Ghana: a qualitative study. BMC Psychiat. 2017;17(1):178.CrossRef
25.
go back to reference Adinkrah M. Criminal prosecution of suicide attempt survivors in Ghana. Int J Offender Ther Comp Criminol. 2013;57(12):1477–97.CrossRef Adinkrah M. Criminal prosecution of suicide attempt survivors in Ghana. Int J Offender Ther Comp Criminol. 2013;57(12):1477–97.CrossRef
26.
go back to reference Hjelmeland H, Osafo J, Akotia CS, Knizek BL. The law criminalizing attempted suicide in Ghana: the views of clinical psychologists, emergency ward nurses, and police officers. Crisis. 2014; 35(2):132–136.CrossRef Hjelmeland H, Osafo J, Akotia CS, Knizek BL. The law criminalizing attempted suicide in Ghana: the views of clinical psychologists, emergency ward nurses, and police officers. Crisis. 2014; 35(2):132–136.CrossRef
27.
go back to reference Osafo J, Akotia CS, Andoh-Arthur J, Quarshie EN-B. Attempted suicide in Ghana: motivation, stigma, and coping. Death Stud. 2015;39(5):274–80.CrossRef Osafo J, Akotia CS, Andoh-Arthur J, Quarshie EN-B. Attempted suicide in Ghana: motivation, stigma, and coping. Death Stud. 2015;39(5):274–80.CrossRef
28.
go back to reference GSS. In: Statistics, editor. 2010 Population & Housing Census. Accra: Ghana Statistical Service; 2012. p. 81. GSS. In: Statistics, editor. 2010 Population & Housing Census. Accra: Ghana Statistical Service; 2012. p. 81.
29.
go back to reference Padgett DK. Qualitative and mixed methods in public health. CA: SAGE publications; 2011. Padgett DK. Qualitative and mixed methods in public health. CA: SAGE publications; 2011.
30.
go back to reference Li LW, Gee GC, Dong X. Association of Self-Reported Discrimination and Suicide Ideation in Older Chinese Americans. The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry. 2018;26(1):42–51.CrossRef Li LW, Gee GC, Dong X. Association of Self-Reported Discrimination and Suicide Ideation in Older Chinese Americans. The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry. 2018;26(1):42–51.CrossRef
31.
go back to reference Wilson EC, Chen Y-H, Arayasirikul S, Raymond HF, McFarland W. The impact of discrimination on the mental health of trans* female youth and the protective effect of parental support. AIDS Behav. 2016;20(10):2203–11.CrossRef Wilson EC, Chen Y-H, Arayasirikul S, Raymond HF, McFarland W. The impact of discrimination on the mental health of trans* female youth and the protective effect of parental support. AIDS Behav. 2016;20(10):2203–11.CrossRef
32.
go back to reference Burcu E. Disability and youth suicide: a focus group study of disabled university students. Rev Disabil Stud Int J. 2014;3(1 & 2):1–16. Burcu E. Disability and youth suicide: a focus group study of disabled university students. Rev Disabil Stud Int J. 2014;3(1 & 2):1–16.
33.
go back to reference Kumar KK, Sattar FA, Bondade S, Hussain MMS, Priyadarshini M. A gender-specific analysis of suicide methods in deliberate self-harm. Indian J Social Psychiat. 2017;33(1):7.CrossRef Kumar KK, Sattar FA, Bondade S, Hussain MMS, Priyadarshini M. A gender-specific analysis of suicide methods in deliberate self-harm. Indian J Social Psychiat. 2017;33(1):7.CrossRef
34.
go back to reference Tang F, Qin P. Influence of personal social network and coping skills on risk for suicidal ideation in chinese university students. PLoS One. 2015;10(3):e0121023.CrossRef Tang F, Qin P. Influence of personal social network and coping skills on risk for suicidal ideation in chinese university students. PLoS One. 2015;10(3):e0121023.CrossRef
35.
go back to reference Currier JM, Smith PN, Kuhlman S. Assessing the unique role of religious coping in suicidal behavior among US Iraq and Afghanistan veterans. Psychol Relig Spiritual. 2017;9(1):118.CrossRef Currier JM, Smith PN, Kuhlman S. Assessing the unique role of religious coping in suicidal behavior among US Iraq and Afghanistan veterans. Psychol Relig Spiritual. 2017;9(1):118.CrossRef
36.
go back to reference Clum GA, Rice JC, Broussard M, Johnson CC, Webber LS. Associations between depressive symptoms, self-efficacy, eating styles, exercise and body mass index in women. J Behav Med. 2014;37(4):577–86.CrossRef Clum GA, Rice JC, Broussard M, Johnson CC, Webber LS. Associations between depressive symptoms, self-efficacy, eating styles, exercise and body mass index in women. J Behav Med. 2014;37(4):577–86.CrossRef
37.
go back to reference Esposito F, Gendolla GH, Van der Linden M. Are self-efficacy beliefs and subjective task demand related to apathy in aging? Aging Ment Health. 2014;18(4):521–30.CrossRef Esposito F, Gendolla GH, Van der Linden M. Are self-efficacy beliefs and subjective task demand related to apathy in aging? Aging Ment Health. 2014;18(4):521–30.CrossRef
38.
go back to reference Tims M, Bakker A B, Derks D. Daily job crafting and the self-efficacy–performance relationship. J Manag Psychol. 2014;29(5):490–507.CrossRef Tims M, Bakker A B, Derks D. Daily job crafting and the self-efficacy–performance relationship. J Manag Psychol. 2014;29(5):490–507.CrossRef
Metadata
Title
Suicidal ideations and coping strategies of mothers living with physical disabilities: a qualitative exploratory study in Ghana
Authors
Angela Kwartemaa Acheampong
Lydia Aziato
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1938-x

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