Depressive symptoms in adolescents in Kuching, Malaysia

Prevalence and associated factors

Ai Ling Ang, Suzaily Wahab, Fairuz Nazri Abdul Rahman, Helmy Hazmi, Rosliwati Md Yusoff

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: The trend of depression is rising worldwide. There are limited studies on depression in adolescents. The aim of this study was to estimate the prevalence of and identify the factors associated with depressive symptoms in adolescents in Kuching, Malaysia, and to analyze the relationship between depressive symptoms and suicidal ideation. Methods: A cross-sectional study was conducted in 320 students from urban and rural secondary schools. The participants were randomly selected via multi-stage sampling. They completed the Malay versions of the Children's Depression Inventory (CDI) and Beck Scale for Suicide Ideation (BSS). Results: The prevalence of depressive symptoms was 26.2%. On binary logistic regression analysis, variables with significant association with depressive symptoms were race (P = 0.028), type of class (P < 0.001), mother's education level (P = 0.036), type of housing (P = 0.036), parents’ marital status (P = 0.012), alcohol intake (P = 0.005), stealing (P < 0.001) and history of disciplinary record (P = 0.005). Variables that remained significant on multivariable logistic regression were type of class (P = 0.004), parents’ marital status (P = 0.017) and stealing (P < 0.001). Students from the Arts stream (OR, 2.43) with parents who were separated, divorced or widowed (OR, 3.13) and who had experience of stealing (OR, 3.27) were predicted to be at risk of developing depressive symptoms. There was a significant correlation between total CDI score and total BSS score (P < 0.001). Conclusions: The prevalence of depressive symptoms in adolescents was high. Depressive symptoms are significantly correlated with suicidal ideation. Greater collaboration between the education and health agencies is essential for mental health promotion in schools and early detection of depression, especially in at-risk adolescents.

Original languageEnglish
Pages (from-to)404-410
Number of pages7
JournalPediatrics International
Volume61
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

Fingerprint

Malaysia
Depression
Theft
Suicidal Ideation
Parents
Marital Status
Suicide
Logistic Models
Students
Widowhood
Equipment and Supplies
Divorce
Art
Health Promotion
Health Education
Mental Health
Cross-Sectional Studies
Regression Analysis
Alcohols
Mothers

Keywords

  • adolescent
  • children
  • depression
  • depressive symptom
  • suicidal ideation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Depressive symptoms in adolescents in Kuching, Malaysia : Prevalence and associated factors. / Ang, Ai Ling; Wahab, Suzaily; Abdul Rahman, Fairuz Nazri; Hazmi, Helmy; Md Yusoff, Rosliwati.

In: Pediatrics International, Vol. 61, No. 4, 01.04.2019, p. 404-410.

Research output: Contribution to journalArticle

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abstract = "Background: The trend of depression is rising worldwide. There are limited studies on depression in adolescents. The aim of this study was to estimate the prevalence of and identify the factors associated with depressive symptoms in adolescents in Kuching, Malaysia, and to analyze the relationship between depressive symptoms and suicidal ideation. Methods: A cross-sectional study was conducted in 320 students from urban and rural secondary schools. The participants were randomly selected via multi-stage sampling. They completed the Malay versions of the Children's Depression Inventory (CDI) and Beck Scale for Suicide Ideation (BSS). Results: The prevalence of depressive symptoms was 26.2{\%}. On binary logistic regression analysis, variables with significant association with depressive symptoms were race (P = 0.028), type of class (P < 0.001), mother's education level (P = 0.036), type of housing (P = 0.036), parents’ marital status (P = 0.012), alcohol intake (P = 0.005), stealing (P < 0.001) and history of disciplinary record (P = 0.005). Variables that remained significant on multivariable logistic regression were type of class (P = 0.004), parents’ marital status (P = 0.017) and stealing (P < 0.001). Students from the Arts stream (OR, 2.43) with parents who were separated, divorced or widowed (OR, 3.13) and who had experience of stealing (OR, 3.27) were predicted to be at risk of developing depressive symptoms. There was a significant correlation between total CDI score and total BSS score (P < 0.001). Conclusions: The prevalence of depressive symptoms in adolescents was high. Depressive symptoms are significantly correlated with suicidal ideation. Greater collaboration between the education and health agencies is essential for mental health promotion in schools and early detection of depression, especially in at-risk adolescents.",
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