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Background: Suicidal thought precedes other suicidal behaviors and is associated with the risk of attempting and committing suicide. However, the issue is not well studied in developing countries in general and Ethiopia in particular. Therefore, this study is conducted to assess ’lifetime prevalence and factors affecting suicidal thoughts among diabetes mellitus patients at Felegehiwot referral hospital. Method: we conducted analytic cross-sectional study from May 21 to June 21 at diabetic follow-up clinic. A systematic random sampling technique was applied to recruit a total of 421 participants. The suicide manual of the composite international diagnostic interview was adapted to assess suicidal thoughts. The medical chart of patients was reviewed to obtain relevant data on clinical variables. The factors associated with suicidal thoughts were identified with the binary logistic regression method. The strength of association between independent variables and suicidal thought was measured with odds ratio with 95% CI and the p-value of <0.05 in multivariable logistic regression were considered statistically significant. Results: A total of 421 participants were interviewed. The lifetime prevalence of Suicidal thoughts was found to be 19.7%. Being divorced/widowed (AOR=2.38, 95% CI: 1.12, 5.02), unemployment (AOR=3.67, 95% CI: 1.19, 11.32), type 1 diabetes (AOR=2.56, 95% CI: 1.16, 5.73), comorbidity of medical illness (AOR=4.74, 95% CI: 2.26, 9.93), and comorbid depression (AOR=1.92, 95% CI: 1.09, 3.38) were associated with suicidal thought. Conclusions: Suicidal thought was found to be an important public health problem in diabetes mellitus patients. So, early identification and treatment of patients with suicidal thoughts are important. Moreover; the management of medical comorbidities, depression, and psychosocial problems should be given due consideration.

Suicidal Thought and Associated Factors Among Patients with Diabetes Mellitus at North-west Ethiopia: Unemployment and Depression Matters