In Africa, data on the prevalence and predictors of death and suicidal ideation is lacking. In this study, a cross-sectional design was used to investigate the prevalence and risk factors for death and suicidal ideation in a cohort of 239 psychiatric patients receiving outpatient treatment at nine sites in the Durban area (South Africa) in 2015. Prevalence rates for death and suicidal ideation were high, with 35 (16%) patients reporting death ideation and 95 (40%) reporting suicidal ideation. Both death and suicidal ideation were significantly associated with unemployment (ORs = 2.61 and 2.34, respectively) and a primary diagnosis of depressive disorder (ORs = 4.72 and 6.54, respectively). Factors that uniquely predicted death ideation were: not being in an intimate relationship (OR = 6.45), ethnicity (being Indian South African: OR = 3.28) and a primary diagnosis of bipolar disorder (OR = 4.61), with suicidal ideation being uniquely predicted by a lower level of educational attainment (OR 2.86), ethnicity (being Black South African: OR = 3.36) and a primary diagnosis of borderline personality disorder (OR = 7.14). Study findings are discussed in terms of their implications for practice and future research.

中文翻译：

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一组精神科门诊病人的自杀和死亡观念

在非洲，缺乏关于死亡和自杀意念的患病率和预测因素的数据。在这项研究中，采用横断面设计调查了2015年在南非德班地区（南非）的9个地点接受门诊治疗的239名精神病患者队列中的死亡和自杀意念的患病率和危险因素。死亡和自杀意念的发生率很高，有35（16％）位患者报告了死亡意念，有95位（40％）报告了自杀意念。死亡和自杀意念均与失业（OR = 2.61和2.34）和抑郁症的初步诊断（OR = 4.72和6.54）显着相关。唯一能预测死亡观念的因素是：没有亲密关系（OR = 6.45），种族（印度裔南非：OR = 3）。28）和双相情感障碍的初步诊断（OR = 4.61），具有较低的学历（OR 2.86），种族（黑人南非：OR = 3.36）和交界性的初步诊断可以唯一预测自杀意念人格障碍（OR = 7.14）。根据研究结果对实践和未来研究的意义进行讨论。