title: Suicidal Behavior and Associations with Quality of Life among HIV-Infected Patients in Ibadan, Nigeria.
abstract: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria.
  
  
  
  Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models.
  
  
  
  In this sample of 828 patients (71% female, mean age 41.3 ± 10 years), prevalence of suicidal behaviors were 15.1%, 5.8%, and 3.9% for suicidal ideation, plans, and attempts, respectively. Women were more likely than men to report suicidal ideation (odds ratio 1.7; 95% confidence interval 1.05-2.64). Depression and/or anxiety disorder was associated with increased odds of all suicidal behaviors. Suicidal behavior was associated with significantly lower overall and domain scores on the WHO-QOL.
  
  
  
  Suicidal behaviors were common and significantly associated with the presence of mental disorders and lower quality of life.
authors.affiliation: 1 Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria.
authors.forename: Bibilola Damilola
authors.initials: BD
authors.lastname: Oladeji
authors.affiliation: 2 Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Babafemi
authors.initials: B
authors.lastname: Taiwo
authors.affiliation: 3 Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
authors.forename: Olushola
authors.initials: O
authors.lastname: Mosuro
authors.affiliation: 4 Department of Medical Microbiology, College of Medicine, University of Ibadan, Nigeria.
authors.forename: Samuel A
authors.initials: SA
authors.lastname: Fayemiwo
authors.affiliation: 5 Department of Community Medicine, University of Ibadan, Nigeria.
authors.forename: Taiwo
authors.initials: T
authors.lastname: Abiona
authors.affiliation: 6 Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Angela J
authors.initials: AJ
authors.lastname: Fought
authors.affiliation: 7 Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Robertson
authors.affiliation: 8 Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
authors.forename: Adesola
authors.initials: A
authors.lastname: Ogunniyi
authors.affiliation: 9 Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Nigeria.
authors.forename: Isaac F
authors.initials: IF
authors.lastname: Adewole
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D012737:Sex Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: HIV/AIDS; depression; quality of life; suicidal behavior