Factors associated with reducing the risk of depression were: satisfaction with current academic performance (aOR = 0.50, 95% CI = 0.32–0.79, p = 0.003), and being in the fifth year of academic study (aOR = 0.16, 95% CI = 0.03–0.73, p = 0.018). Factors associated with depression were: having relationship issues, and having a history of sexual abuse (aOR = 2.06, 95% CI = 1.10–3.84, p = 0.023). About half of the individuals who screened positive for depression had suicidal ideation. Results: The prevalence of moderate to severe depression was 20% ( n = 108) (cut-off: 10/27 based on the PHQ-9), and the prevalence of past-2-week suicidal ideation was 13.89% ( n = 75) (cut-off: 1/3 based on the PHQ-9 Item 9). Multivariable logistic regression analyses were performed to determine the factors associated with depression and suicidal ideation. The Patient Health Questionnaire (PHQ-9) was used to assess depression, and Item 9 was used to assess suicidal ideation in the past 2 weeks. Methods: A cross-sectional study was conducted among undergraduates recruited from four universities using an online questionnaire that explored sociodemographic factors, depression, and other associated factors. This study aimed to determine the prevalence of depression and suicidal ideation, and associated factors among undergraduate university students in Uganda. Although students are vulnerable to depression and suicidal ideation, few studies have been conducted in Uganda. 13Department of Public Health, Daffodil International University, Dhaka, Bangladeshīackground: The COVID-19 pandemic has negatively impacted psychosocial well-being and mental health of students across the world.12Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh.11CHINTA Research Bangladesh, Savar, Bangladesh. ![]() 10Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom.9Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.8Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, Uganda.7College of Health Sciences, Makerere University, Kampala, Uganda.6School of Medicine, Kabale University, Kabale, Uganda.5Department of Nursing, Bishop Stuart University, Mbarara, Uganda. ![]()
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