Epidemiol Health.  2017;39:e2017031. 10.4178/epih.e2017031.

Prevalence and comorbidity of common mental disorders and associations with suicidal ideation in the adult population

• Veisani Y
• Mohamadian F
• Delpisheh

• KMID: 2406635
• DOI: http://doi.org/10.4178/epih.e2017031

Abstract

OBJECTIVES
Little information exists on the association between comorbidities of mental disorders and suicidal ideation in developing countries. The current study examined the relationship between the presence of comorbid mental disorders and suicidal ideation in the adult population.
METHODS
This cross-sectional study was conducted using the cluster random sampling method in 3 steps. Data were collected from a household assets survey and the self-administered 28-item General Health Questionnaire as first step in screening, and the Persian version of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition - Text Revision was used in the second stage to determine the prevalence of mental disorders. Bivariate and multivariate analysis were used to investigate the associations between mental disorders and suicidal ideation.
RESULTS
Of the 763 participants, 199 (26.1%) had 1 or more mental disorder. Forty-two (71.4%) subjects with comorbidities had a history of suicidal ideation, whereas 59 (7.7%) of all participants had a history of suicidal ideation. We found that major depressive disorder and obsessive-compulsive disorder were the most predictive of suicidal ideation in both sexes. The odds ratio for suicidal ideation associated with having 3 comorbid disorders was 2.70 (95% confidence interval [CI], 1.40 to 14.12) in males and 3.06 (95% CI, 1.25 to 15.22) in females.
CONCLUSIONS
Consistent with pervious data, our results confirmed that mental disorders and comorbidities of mental disorders were important predictors of suicidal ideation. Our findings are very useful for applied intervention programs to reduce the suicide rate in regions in which it is high.

Keyword

Suicide; Comorbidity; Suicidal ideation; Mental disorders

MeSH Terms

Adult*
Comorbidity*
Cross-Sectional Studies
Depressive Disorder, Major
Developing Countries
Diagnostic and Statistical Manual of Mental Disorders
Family Characteristics
Female
Humans
Male
Mass Screening
Mental Disorders*
Methods
Multivariate Analysis
Obsessive-Compulsive Disorder
Odds Ratio
Prevalence*
Suicidal Ideation*
Suicide