Primary research

Suicidality and depression among adult patients admitted in general medical facilities in Kenya

David M Ndetei^1,2 , Lincoln I Khasakhala^1,2 , Victoria Mutiso¹ and Anne W Mbwayo¹

¹  Africa Mental Health Foundation, Nairobi, Kenya

²  Department of Psychiatry, University of Nairobi, Nairobi, Kenya

author email corresponding author email

Annals of General Psychiatry 2010, 9:7doi:10.1186/1744-859X-9-7

Published:	12 February 2010

Abstract

Aim

To document Beck Depression Inventory (BDI) II suicidal symptoms among patients admitted to Kenyan non-psychiatric general medical facilities

Methods

All consenting adults admitted within a period of 4 weeks at 10 general medical facilities in Kenya were interviewed for suicidal symptoms and depression using the BDI-II.

Results

In all, 2,780 patients responded to item 9 (suicidal symptoms of the BDI-II). The prevalence of all BDI-II suicidal symptoms combined was 10.5%. Thoughts of 'killing oneself but have not carried them out' accounted for 9% of the suicidal symptoms. The younger age group had the highest prevalence of suicidal symptoms and the oldest age group had the least prevalence of suicidal symptoms. The more depressed the patients were on the overall BDI-II score, the higher the prevalence of suicidal symptoms.

Conclusion

On average 1 out of 10 of the patients had suicidal symptoms, more so in younger than the older people and in the more depressed. These symptoms had not been clinically recognised and therefore not managed. This calls for clinical practice that routinely enquires for suicidal symptoms in general medical wards.