Skip to main content
Top
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Suicide | Protocol

Prevalence of suicidal ideation, suicidal attempt and completed suicide in Ethiopia: a systematic review and meta-analysis protocol

Authors: Berhanu Boru Bifftu, Berihun Assefa Dachew, Bewket Tadesse Tiruneh, Yonas Deressa Guracho

Published in: Systematic Reviews | Issue 1/2019

Login to get access

Abstract

Background

Suicide is an emergency psychiatric problem that needs an urgent intervention. Ethiopia, as a nation, has been experiencing high burden of suicide. Cultural taboo, stigma, and criticism associated with suicidal behaviors affect the communities’ attitude and practice toward suicide and its help-seeking behaviors. Thus, this systematic review and meta-analysis will provide the pooled prevalence of suicidal ideation, suicidal attempt, and completed suicide in Ethiopia.

Methods

This review protocol is designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P 2015 Guidelines). Studies reporting the prevalence of suicidal ideation, suicidal attempt, and completed suicide will be included from the databases of PubMed/MEDLINE, Cochrane Library, SCOPUS, EMBASE, and Web of Sciences. The reference lists of retrieved articles, Google Scholar, and national health database reporting suicide will be also searched. No time and language restrictions will be imposed on the search strategy. The methodological quality of included studies will be assessed using the Joanna Briggs Institute critical appraisal tool. The heterogeneity between studies will be measured by the index of heterogeneity (I2 statistics) test. Funnel plots and Egger’s test will be used to determine publication bias. Moreover, subgroup and sensitivity analyses will be carried out. The pooled prevalence of suicidal ideation, suicidal attempt, and completed suicide will be calculated by metaprop command using random effects model with the Dersimonian and Laird method.

Discussion

This systematic review and meta-analysis aims to explore the available epidemiological evidences about suicidal ideation, suicidal attempt, and completed suicide. The final results of this review will be submitted for publication in a peer-reviewed journal and presented at conferences. The review of the results will help to raise awareness about the burden of suicidal ideation, suicidal attempt, and completed suicide in Ethiopia.

Systematic review registration

Literature
1.
go back to reference Jans TVT, Taneli Y, Warnke A. Suicide and self-harming behaviour. Suicide and self-harming behaviour. In: Rey JM, editor. IACAPAP e-textbook of child and adolescent mental health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions; 2018. Jans TVT, Taneli Y, Warnke A. Suicide and self-harming behaviour. Suicide and self-harming behaviour. In: Rey JM, editor. IACAPAP e-textbook of child and adolescent mental health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions; 2018.
2.
go back to reference Association AP. DSM-5, diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.CrossRef Association AP. DSM-5, diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.CrossRef
3.
go back to reference Dong M, et al. Prevalence of suicidal behaviors in patients with major depressive disorder in China: a comprehensive meta-analysis. J Affect Disord. 2018;225:32–9.CrossRef Dong M, et al. Prevalence of suicidal behaviors in patients with major depressive disorder in China: a comprehensive meta-analysis. J Affect Disord. 2018;225:32–9.CrossRef
6.
go back to reference Stone DM, Holland KM, Bartholow B, Crosby AE, Davis S, Wilkins N. Preventing suicide: a technical package of policies, programs, and practices. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2017. p. 1–62. Stone DM, Holland KM, Bartholow B, Crosby AE, Davis S, Wilkins N. Preventing suicide: a technical package of policies, programs, and practices. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2017. p. 1–62.
10.
go back to reference WHO. Figure: male: female ratio of age-standardized suicide rates (per 100 000 population). Geneva: WHO; 2015. WHO. Figure: male: female ratio of age-standardized suicide rates (per 100 000 population). Geneva: WHO; 2015.
11.
go back to reference Bantjes J, Iemmi V, Coast E, Channer K, Leone T, McDaid D, Palfreyman A, Stephens B, Lund C. Poverty and suicide research in low- and middle-income countries: systematic mapping of literature published in English and a proposed research agenda. Glob Ment Health. 2017;3:e32.CrossRef Bantjes J, Iemmi V, Coast E, Channer K, Leone T, McDaid D, Palfreyman A, Stephens B, Lund C. Poverty and suicide research in low- and middle-income countries: systematic mapping of literature published in English and a proposed research agenda. Glob Ment Health. 2017;3:e32.CrossRef
13.
go back to reference Esque Ruiz MT, Moretones Sunol MG, Rodriguez Miguelez JM, Sanchez Ortiz E, Izco Urroz M, de Lamo Camino M, et al. Medication errors in a neonatal unit: one of the main adverse events. An Pediatr (Barc 2003). 2016;84(4):211–7.CrossRef Esque Ruiz MT, Moretones Sunol MG, Rodriguez Miguelez JM, Sanchez Ortiz E, Izco Urroz M, de Lamo Camino M, et al. Medication errors in a neonatal unit: one of the main adverse events. An Pediatr (Barc 2003). 2016;84(4):211–7.CrossRef
14.
go back to reference Fekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, et al. Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. BMC Psychiatry. 2016;16:75.CrossRef Fekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, et al. Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. BMC Psychiatry. 2016;16:75.CrossRef
15.
go back to reference Alem A, Kebede D, Jacobsson L, Kullgren G. Suicide attempts among adults in Butajira, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:70–6.CrossRef Alem A, Kebede D, Jacobsson L, Kullgren G. Suicide attempts among adults in Butajira, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:70–6.CrossRef
16.
go back to reference Kebede D, Alem A. Suicide attempts and ideation among adults in Addis Ababa, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:35–9.CrossRef Kebede D, Alem A. Suicide attempts and ideation among adults in Addis Ababa, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:35–9.CrossRef
17.
go back to reference al ABe. Suicidal attempt and associated factors among patients with depressive disorder visiting psychiatric unit. IOSR J Nurs Health Sci. 2018;7(1):62–6. al ABe. Suicidal attempt and associated factors among patients with depressive disorder visiting psychiatric unit. IOSR J Nurs Health Sci. 2018;7(1):62–6.
19.
go back to reference Bekry AA. Trends in suicide, parasuicide and accidental poisoning in Addis Ababa, Ethiopia. Ethiop J Health Dev. 1999;13(3):247–61. Bekry AA. Trends in suicide, parasuicide and accidental poisoning in Addis Ababa, Ethiopia. Ethiop J Health Dev. 1999;13(3):247–61.
22.
go back to reference Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;349:g7647.CrossRef Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;349:g7647.CrossRef
23.
go back to reference Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and incidence data. Int J Evid Based Healthc. 2014;13(3):147–53.CrossRef Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and incidence data. Int J Evid Based Healthc. 2014;13(3):147–53.CrossRef
24.
go back to reference Berkey CS, Hoaglin DC, Mosteller F, Colditz GA. A random-effects regression model for meta-analysis. Stat Med. 1995;14(4):395–411.CrossRef Berkey CS, Hoaglin DC, Mosteller F, Colditz GA. A random-effects regression model for meta-analysis. Stat Med. 1995;14(4):395–411.CrossRef
25.
go back to reference DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.CrossRef DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.CrossRef
26.
go back to reference Freeman MF, Tukey JW. Transformations related to the angular and the square root. AnnMath Stats. 1950;21(4):607–11.CrossRef Freeman MF, Tukey JW. Transformations related to the angular and the square root. AnnMath Stats. 1950;21(4):607–11.CrossRef
27.
go back to reference Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539–58.CrossRef Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539–58.CrossRef
28.
go back to reference Liu JL. The role of the funnel plot in detecting publication and related biases in meta-analysis. Evid Based Dent. 2011;12(4):121–2.CrossRef Liu JL. The role of the funnel plot in detecting publication and related biases in meta-analysis. Evid Based Dent. 2011;12(4):121–2.CrossRef
29.
go back to reference Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629–34 (Clinical research ed).CrossRef Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629–34 (Clinical research ed).CrossRef
30.
go back to reference Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56:455–63.CrossRef Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56:455–63.CrossRef
Metadata
Title
Prevalence of suicidal ideation, suicidal attempt and completed suicide in Ethiopia: a systematic review and meta-analysis protocol
Authors
Berhanu Boru Bifftu
Berihun Assefa Dachew
Bewket Tadesse Tiruneh
Yonas Deressa Guracho
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Suicide
Suicide
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-0986-8

Other articles of this Issue 1/2019

Systematic Reviews 1/2019 Go to the issue