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

Datos Bibliográficos

ID15700577
AutoresLinda Minja (0000-0002-3627-6733, Kilimanjaro Christian Medical Centre), Brandon A Knettel (0000-0003-2986-1579, Duke University, autor de correspondencia), Wei Pan (0000-0003-2410-9935, Duke University), Kim Madundo (0000-0003-0927-1678, Kilimanjaro Christian Medical Centre), Ismail Amiri (0000-0002-7533-7578, Duke University), Louise Joel (Kilimanjaro Christian Medical Centre), Elizabeth T Knippler (0000-0002-9976-6932, Duke University), Michael V Relf (0000-0002-4951-8869, Duke University), João Ricardo Nickenig Vissoci (0000-0001-7276-0402, Duke University), Catherine Staton (0000-0002-6468-2894, Duke University), Elizabeth F Msoka (0000-0002-2352-3520, Kilimanjaro Christian Medical Centre), Clotilda S Tarimo (Kilimanjaro Christian Medical Centre), Victor Katiti (0009-0003-4901-8551, Kilimanjaro Christian Medical Centre), Blandina T Mmbaga (0000-0002-5550-1916, Duke University), David B Goldston (0000-0001-7182-6553, Duke University)
Año2023
Volumen10
Páginas1-33
Fecha de publicación2023-10-05
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCambridge Prisms Global Mental Health (JOURNAL)
Identificadores de la revistaISSN: 2054-4251 • E-ISSN: 2054-4251
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/gmh.2023.59
PMID38024799
OpenAlexW4387367447
IdiomaEN
Citas recibidas4
Referencias citadas15

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

Action (physics · Content (measure theory · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Linguistics · Socioeconomics · Sociology · Swahili · Tanzania · Applied Psychology · Health Policy Implementation Science · HIV/AIDS Research and Interventions · Mathematics · Medicine · Mental Health Treatment and Access · Psychology

  • Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV

    Open Access•Elizabeth T Knippler, Alyssa J Martinez et al.•PLOS Global Public Health•2024

  • Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania

    Open Access•Brandon A Knettel, Ismail Amiri et al.•Evaluation and Program Planning•2025

  • Prevalence and comorbidity of mental health concerns, alcohol and drug use among young women in the urban slums of Kampala, Uganda

    Open Access•Monica H Swahn, Jane Palmier et al.•BMC Public Health•2025

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

    Open Access•Linda Minja, Brandon A Knettel et al.•Cambridge Prisms Global Mental…•2023

  • Suicide Risk Assessment and Prevention

    Open Access•Maurizio Pompili•Suicide Risk Assessment and…•2022

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    Open Access•Barbara Stanley, Gregory K Brown•Cognitive and Behavioral Practice•2012

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  • Global, regional, and national burden of suicide mortality 1990 to 2016

    Open Access•Mohsen Naghavi•BMJ•2019

  • The Healthy Activity Program (HAP), a lay counsellor-delivered brief psychological treatment for severe depression, in primary care in India

    Open Access•Vikram Patel, Benedict Weobong et al.•The Lancet•2017

  • Polychoric versus Pearson correlations in exploratory and confirmatory factor analysis of ordinal variables

    Open Access•Francisco Pablo Holgado Tello, Francisco Pablo Holgado–Tello et al.•Quality & Quantity•2010

  • Demonstration project of a lay counselor delivered trans-diagnostic mental health intervention for newly diagnosed HIV patients in Mozambique

    Wilson H Hammett, Alberto Muanido et al.•AIDS Care•2023

  • Exploratory Factor Analysis With Small Sample Sizes

    J C F de Winter, Dimitra Dodou et al.•Multivariate Behavioral Research•2009

  • They Will Start Believing in Counseling”

    Brandon A Knettel, Janvier Rugira et al.•International Perspectives in…•2018

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

    Open Access•Linda Minja, Brandon A Knettel et al.•Cambridge Prisms Global Mental…•2023

  • A community health volunteer delivered problem-solving therapy mobile application based on the Friendship Bench ‘Inuka Coaching’ in Kenya

    Open Access•Asmae Doukani, Robin Van Dalen et al.•Cambridge Prisms Global Mental…•2021

  • No implementation without cultural adaptation

    Open Access•Camila Perera, Alicia Salamanca-Sanabria et al.•Conflict and Health•2020

  • Gambling-related suicide in East African Community countries

    Open Access•Mark Mohan Kaggwa, Mohammed A Mamun et al.•BMC Public Health•2022

  • She Just Told Me Not To Cry”

    Open Access•Martha Oshosen, Brandon A Knettel et al.•AIDS and Behavior•2020

  • The Role of Religious Leaders in Suicide Prevention in Ghana. A Qualitative Analysis

    Open Access•Joseph Osafo, Charity S Akotia et al.•Pastoral Psychology•2021

Obras citantes distintas4
Citas por año1,33
Intervalo de citas2023 - 2025 (3)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 3
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