Prevalence and Determinants of Suicidal Ideation among Patients Diagnosed With Depression at Mental Health hospital, Jeddah 2018

Introduction: In Saudi Arabia, depressive disorders areranked as the fifth of 10 top causes of death and it accounts for5 % of all deaths. Although there are a wide range of factorsassociated with suicidal ideation include social anddemographic factors and related health issues, depression isthe most important risk factor of suicidal behavior whichcharacterized by suicidal ideation, planning and attempts. Thisstudy aimed to identify prevalence and sociodemographicdeterminants of suicidal ideation among depressive patients.Methods: This is a cross-sectional study conducted in adultpatients diagnosed with depression and attended theoutpatient clinics located at Mental Health Hospital in Jeddahcity. A random sample of 213 patients was selected and thequestionnaires were distributed to collect data aboutdemographics and 21 depression items of Beck DepressionInventory-II. The scores of the depression items were summedto indicate the severity of the depression. The frequencies andpercentages were calculated for demographics and presentedin tables. Chi-square test, Spearman’s correlations, andregression analysis were conducted to identify significantassociations and predictors at 0.05 level of significance.Results: The prevalence of suicidal ideation amongthose depressive patients was 37.6%. The depression wassevere in about 47% of the patients and minimal inapproximately 20% of the patients. The associations betweensuicidal ideation and each of marital status, occupation,age, and depression severity were found statically significant(p<0.05), while association between gender and suicidalideation was not statistically significant (p= 0.311). The findingsof logistic regression show that age and depression severityare significant predictors for suicidal ideation. Patients whoaged > 44 years old have 2.3 less risk to develop suicidal ideasthan those aged ≤44 years old. The increase in depressionseverity by one degree, such as from mild to moderate, willincrease the risk of suicidal ideation by 4.1 times.Conclusions: A high prevalence of suicidal ideation wasdetected among Saudi depressive patients. The multivariateanalysis reveals that only age and depression severity wassignificant predictors for suicidal ideation.

Knowledge, attitude and satisfaction of health care providers regarding premarital screening and genetic counseling program in Jeddah

To determine level of knowledge and premarital screening and genetic counseling [PMSGC], to identify the predictors of high knowledge score and to verify their satisfaction with and recommendations for improving the program Cross-sectional study conducted during the January 2010 - January 2011 period Outpatient clinics of three governmental hospitals in Jeddah Intervention[s]: A self-administered questionnaire containing personal and socio-demographic data, 30 were used. HCP working in the program were asked about their satisfaction and recommendations for improvement. Main Outcome Measure[s]: satisfaction of the HCP About one-half [51.6%] of the health care providers had satisfactory knowledge about PMSGC. After controlling for the confounding factors, the only predictor of satisfactory knowledge score was being a specialized provider [aOR all participants [99%] strongly agreed and agreed on the importance of the PMSGC program. Concerning satisfaction, half of HCP working in the program had excellent or percentages for counseling about discovered diseases. program. However, there is some lack of knowledge. They recommended adding vaccinations, new screening and counseling to the current program. Formal training course[s] for HCP about the program were recommended

Premarital screening and genetic counseling program: knowledge, attitude, and satisfaction of attendees of governmental outpatient clinics in Jeddah

Premarital care [PMC] is a worldwide activity that aims to diagnose and treat unrecognized disorders and reduce the transmission of diseases to couples and children. To assess the knowledge and attitude of individuals attending governmental outpatient clinics regarding the Premarital Screening and Genetic Counseling [PMSGC] programs, to identify predictors of high knowledge scores and to determine the satisfaction and recommendations of clients of the program. A cross-sectional study was conducted from January to April 2009. Individuals who attended three governmental hospital outpatient clinics on the day of the interview and agreed to participate in the study were recruited. The three hospitals were the two hospitals in Jeddah that offer the PMSGC programs and the King Abdulaziz University Hospital. Ethical considerations were followed and data were collected through an interview questionnaire that had been constructed for the study. The questionnaire asked for personal and socio-demographic data and for responses, on a 5-point Likert scale, to 30 knowledge items and 14 attitude statements. Individuals who participated in the PMSGC program were asked questions regarding the services and activities of the program to ascertain their satisfaction with the program and their recommendations for program improvement. The statistical analysis was performed using SPSS version 16 [SPSS Inc., Chicago, IL]. The sample included 655 participants, of whom 38.8% completed the PMSGC program. The participants' knowledge about the program was generally low. Education was the first predictor of a high knowledge score; individuals having >/= university degree obtained a higher score [aOR = 2.73; 95% CI: 1.77-4.20]. The second predictor was the nationality of the participants, with Saudis gaining a higher score [aOR = 2.04; 95% CI: 1.002-4.16]. The third predictor was monthly income. Regarding attitudes, the vast majority of participants [96.0%] strongly agreed on the importance of the program. Concerning the satisfaction levels of those who benefited from the program, 80.0% gave an excellent or very good score for program confidentiality, whereas lower scores were given for counseling. Counseling before the tests was conducted for only 11.7% of the study participants. The majority of participants recommended adding testing for other genetic diseases and STDs as well as additional topics for counseling. Knowledge in the general population about the PMSGC program was low. Implementation of school and university educational campaigns is important. Improved counseling and adding new topics for counseling on genetic, chronic, and psychiatric problems; building healthy families; reproduction and fertility are recommended

educational program about premarital screening for unmarried female students in King Abdul-Aziz University, Jeddah

The present study was conducted to assess knowledge and attitude of unmarried female students in King Abdul-Aziz University [KAU] towards premarital screening [PMS] program, to determine predictors of high students' knowledge scores and to improve their knowledge about PMS through conduction of an educational campaign. Multi-stage stratified random sample method was used with recruitment of 1563 students from all faculties of KAU, during the educational year 2008-2009. The Pre-test included 30 knowledge items and 14 attitude statements with student's response through a 5-point Likert scale. Health education was conducted using audiovisual aids through pre-designed educational materials. Statistical analysis was done by SPSS version 16. Students' knowledge about the program was generally low before the educational campaign. The predictors of high knowledge scores were being a health science student [aOR = 4.15; 95% CI: 2.97-5.81], age >/= 20 years [aOR = 2.78; 95% CI: 2.01-3.85], family history of hereditary diseases and income >/= 10,000 SR/month. Regarding attitude, almost all students [99.0%] agreed on the importance of PMS. After the educational program, students' knowledge about PMS was markedly improved. The mean students' knowledge score was 9.85 +/- 5.36 in Pre-test and improved to 18.45 +/- 4.96 in Post-test, with a highly statistical significant difference [paired t = 25.40, p < 0.000]. Conclusion and recommendations: The educational program was successful in improving students' knowledge about the PMS. Conduction of similar educational programs and adding PMS in the curriculum of secondary and university education are recommended

intervention educational program on child maltreatment implemented for female teachers in Jeddah primary schools

Child maltreatment is a complex problem and its prevention requires action on many fronts. Teachers spend many hours a day with children and they are likely to be concerned about child maltreatment at some time during their career. This study was carried out to explore knowledge, attitudes, and practice [KAP], and to raise awareness of teachers with respect to child maltreatment. An intervention educational program was performed, 2008, for 498 female teachers selected through multistage stratified random sample technique from 25 primary Jeddah schools. Health education was conducted using audiovisual aids and pre-designed educational materials [folder, 5 colored brochures booklet, computer CD and gifts] were given to participants. Five educational posters with different themes were distributed in the visited schools. Results showed that 33.9% and 23.0% of teachers reported using emotional and physical punishment with own their children, respectively. Only, 8.2% reported the authorities when discovering a student exposed to maltreatment. The mean teachers' knowledge score was low before the program and significantly improved after it [Paired t = 25.4, P < 0.000]. The highest percentage of knowledge gain score was noticed for indicators of sexual maltreatment, risk factors, and impact of maltreatment. Concerning attitude, considerable changes in most of teachers opinion regarding child maltreatment was found after program. It is concluded from the current study that there was lack of teachers' awareness regarding child maltreatment before the program and educational program was successful in improving it. There is an urgent need for standardized education and training programs for teachers on child maltreatment