Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania.

Autor:	Minja L; Kilimanjaro Clinical Research Institute, Moshi, Tanzania., Knettel BA; Duke University School of Nursing, Durham, NC, USA.; Duke Global Health Institute, Duke University, Durham, NC, USA., Pan W; Duke University School of Nursing, Durham, NC, USA.; Department of Population Health Sciences, Duke University, Durham, NC, USA., Madundo K; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Kilimanjaro Christian Medical University College, Moshi, Tanzania., Amiri I; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.; Duke Global Health Institute, Duke University, Durham, NC, USA.; Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Joel L; Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Knippler E; Duke University School of Nursing, Durham, NC, USA.; Duke Center for AIDS Research, Duke University, Durham, NC, USA., Relf MV; Duke University School of Nursing, Durham, NC, USA.; Duke Global Health Institute, Duke University, Durham, NC, USA., Vissoci JRN; Duke Global Health Institute, Duke University, Durham, NC, USA.; Duke Department of Emergency Medicine, Durham, NC, USA., Staton CA; Duke Global Health Institute, Duke University, Durham, NC, USA.; Duke Department of Emergency Medicine, Durham, NC, USA., Msoka EF; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Kilimanjaro Christian Medical University College, Moshi, Tanzania., Tarimo CS; Kilimanjaro Clinical Research Institute, Moshi, Tanzania., Katiti V; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.; Kilimanjaro Christian Medical University College, Moshi, Tanzania., Mmbaga BT; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.; Duke Global Health Institute, Duke University, Durham, NC, USA.; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Kilimanjaro Christian Medical University College, Moshi, Tanzania., Goldston DB; Department of Psychiatry & Behavioral Sciences, Duke University, Durham, NC, USA.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2023 Oct 05; Vol. 10, pp. e67. Date of Electronic Publication: 2023 Oct 05 (Print Publication: 2023).
DOI:	10.1017/gmh.2023.59
Abstrakt:	In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Suicide Severity Rating Scale (C-SSRS) Screen Version and two accompanying scales assessing self-efficacy to avoid suicidal action and reasons for living. We administered a structured survey to 80 PLWH attending two HIV clinics in Moshi, Tanzania. Factor analysis of the items revealed four subscales: suicide intensity, self-efficacy to avoid suicide, fear and social concern about suicide, and family and spirituality deterrents to suicide. The area under the receiver operating curve showed only suicide intensity, and fear and social concern met the prespecified cutoff of ≥0.7 in accurately identifying patients with a plan and intent to act on suicidal thoughts. This study provides early evidence that brief screening of intensity of suicidality in the past month, assessed by the C-SSRS Screen Version, is a strong, resource-efficient strategy for identifying suicide risk in the Tanzanian setting. Patients who report little fear of dying and low concern about social perceptions of suicide may also be at increased risk. Competing Interests: The authors declare none. (© The Author(s) 2023.)
Databáze:	MEDLINE
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