International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 8, Issue 1, pp: (310-320), Month: April 2020 - September 2020, Available at: www.researchpublish.com
Explorative Factor Analysis (EFA) Extraction of Psychosocial Determinants Associated with Suicidal Ideation among Adults in Batticaloa District, Sri Lanka Kartheepan, K1#, Arulanandem, K2 1
Senior Lecturer in Community Medicine, Department of Primary Health Care, Faculty of Health-Care Sciences, Eastern University, Sri Lanka. (kartheepank@esn.ac.lk) 2
Senior Lecturer in Family Medicine, Department of Primary Health Care, Faculty of Health-Care Sciences, Eastern University, Sri Lanka.
Abstract: Background: Suicidal ideation is a significant public health issue, since; it leads to preventable death eventually. Moreover, it is a complex problem, therefore it has to be investigate in multi-level. Objective: Present study was directed to identify the psychosocial determinants of suicidal ideation among adults in Batticaloa District of Sri Lanka (BDSL). Methodology: A cross sectional study was carried out with the participation of 237 (majority-age category 50-<60 years) adult patients (55.5% female) admitted to medical wards of Base Hospital, Kaluwanchikudy (BHK) during the period of 1 st January to 31st May, 2019. Two stage cluster sampling method was applied. Possible psychosocial factors for suicidal ideation were included in the quesstionnare. Statistical software (SPSS 25.0) was used to analyze the data and p-value < 0.05 was considered significant for all analyses. Descriptive statistical analysis and Explorative Factor Analysis (EFA) was performed. Ethical approval was obtained from Ethical Review Committee, Faculty of Health - Care Sciences, Eastern University, Sri Lanka. Results: Sampling adequacy for EFA was full filed (KMO=0.785). Independent variables were correlated among them (Bartlett's test of sphericity was significant (chi-square=5196.99, p=0.00). In EFA, 28 independent variables were grouped in to SIX factors that are associated with suicidal ideation. These six factors were altogether contributed to the 66.9% of the total variance partitioned into 24.0% by factor-01(F1), 15.9% by factor-02(F2), 7.9% by factor-03(F3), 7.0% by factor-04(F4), 6.1% by factor-05(F5) and 5.7% by factor-06(F6). The SIX factors extracted were named as; F1-personal life and mental health status, F2-health status and married life, F3-sexual life of married people, F4-occupational status, F5-attempted suicide and F6-ethnicity. Conclusions: Twenty eight independent variables were identified as associated psychosocial factors with suicidal ideation among adult community grouped in to SIX factors as; personal life and mental health status, health status and married life, sexual life of married people, occupational status, attempted suicide and ethnicity. Keywords: Adults, Batticaloa, Explorative Factor Analysis, Psychosocial determinants, Suicidal ideation.
1. INTRODUCTION Wishes, thoughts, and the inclination towards committing suicide are defined as suicidal ideation. In young people, selfdestructive ideation has been detailed as an imperative risk factor for suicide. It is additionally related to a consequent risk of attempting suicide [24]. Suicidal ideation could be a solid predictor of suicide in both the common population as well as among adolescents. Furthermore, mental dissection ponders appear that most suicides happen on the first attempt, highlighting the significance of recognizing antecedents to suicidal ideation to advise suicide prevention efforts [16]. Suicidal attempt (the individual survives) and suicidal ideation (thinking seriously about suicide) are other measurements of the suicidal phenomenon.
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