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BACKGROUND: Suicidal behaviors are parts of the course of diabetes due to multiple burdens diabetes imposes on patient’s life. However, these areas are not well researched. So we assessed suicidal plan and the associated risk factors among Diabetes Mellitus patients in this study. METHOD: Institution based cross-sectional study was conducted in May, 2017. A pre tested, structured and standardized questionnaire was used to collect data. Systematic sampling was used to recruit 421 participants. Binary logistic regression was employed to identify factors associated with outcomes. Odds ratio with 95%CI was computed and variables with a p-value of <0.05 in the final binary logistic regression model were declared as statistically significant predictors of suicidal plan. RESULTS: Four hundred twenty one patients included in our study with 96.3% response rate. Average age of the respondents was 38.0 (±13.9) years. The prevalence suicidal plan was 10.7%. Final regression model showed that being unemployed (AOR=3.59, 95% CI: 1.25, 10.89), poor medication adherence (AOR=2.43, 95% CI: 1.83, 8.15) and current use of substance (AOR=1.82, 95% CI (1.45, 4.24) were associated factors for suicidal plan. CONCLUSION: This study reached at a point that suicidal plan was high in diabetic patients. Being unemployed, poor medication adherence and current use of substance were associated factors for suicidal plan. Due consideration should be given for such public health issue in diabetes patients.

Poor Medication Adherence, Being Unemployed and Substance Use as Correlates of Suicidal Plan in Diabetes Mellitus Patients, 2020