Abstract

Sickle cell disease (SCD) is a chronic genetic disorder that significantly affects the quality of life, leading to various physical and psychological challenges. This study examines suicidal behaviors among sickle cell patients at the Douala Sickle Cell Care Centre in Cameroon, aiming to identify the prevalence, contributing factors, and potential interventions. Suicidal behaviors, including suicidal ideation, attempts, and completed suicides, are increasingly recognized as serious concerns in chronic illness populations, including those with SCD, due to the intense and often debilitating pain, social stigma, and emotional distress associated with the disease.

The research employs a mixed-methods approach, combining quantitative data from patient records and surveys with qualitative insights from interviews with patients, caregivers, and healthcare providers. The results reveal a concerning prevalence of suicidal ideation and attempts among the patient population, with a higher incidence observed among adolescents and young adults. Factors contributing to these behaviors include chronic pain, depression, anxiety, social isolation, and the perceived burden on family members. The stigma associated with SCD in the community also exacerbates feelings of hopelessness and despair, further increasing the risk of suicidal behaviors.

The study highlights the critical need for integrated mental health services within the care framework for SCD patients, including routine psychological assessments, counseling, and support groups. Additionally, the research underscores the importance of educating families and communities to reduce stigma and promote supportive environments for individuals with SCD. Healthcare providers are urged to adopt a holistic approach to patient care that addresses both the physical and psychological aspects of the disease, potentially reducing the incidence of suicidal behaviors and improving overall patient outcomes.

Keywords: Sickle Cell Disease, Suicidal Behaviors, Mental Health, Chronic Pain, Stigma, Douala Sickle Cell Care Centre, Cameroon.