Risk factors for suicidal ideation, plans and attempts in Malaysia - Results of an epidemiological survey

T. Maniam, Marhani Midin, M. Firdaus, A. B. Kadir, M. J. Mazni, A. Azizul, A. A. Salina, A. R. Fadzillah, I. Nurashikin, K. T. Ang, K. Jasvindar, A. Noor Ani

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective This is an epidemiological study to determine the prevalence of suicidal behavior and its association with generalised anxiety disorder (GAD) and major depressive disorder (MDD) in a nationally representative sample. Method Suicidal ideation, plans and attempts were assessed in face-to-face interviews of respondents selected by a multistage probability sampling using items on suicidality from the WHO SUPRE-MISS questionnaire. The Mini International Neuropsychiatric Interview (MINI) was used to generate DSM-IV diagnoses of GAD and MDD. A total of 19309 subjects were studied. Multivariate regression analysis was conducted controlling for demographic characteristics such as age, gender and ethnicity. Results The prevalence estimates for suicide ideation, plans and attempts were 1.7% (95% CI: 1.4-1.9), 0.9% (CI: 0.7-1.1) and 0.5% (CI: 0.4-0.7) respectively. Younger people (16-24 years) had higher risk of suicidal behavior (OR: 2.6, CI: 1.08-6.2). Females (OR: 1.6, CI: 1.2-2.1) and Indians (OR: 3.3, CI: 2.2-4.9) also had higher risk. Conclusion The prevalence of suicidal behavior in Malaysia is low, but it broadly corresponds to the pattern described in other countries. This national study confirms that Malaysians of Indian descent have much higher rates of suicidal behavior than other groups. The younger age group, females and the Indian ethnic group would need focused preventive efforts.

Original languageEnglish
JournalComprehensive Psychiatry
Volume55
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Jan 2014

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Suicidal Ideation
Malaysia
Major Depressive Disorder
Anxiety Disorders
Interviews
Risk-Taking
Ethnic Groups
Diagnostic and Statistical Manual of Mental Disorders
Suicide
Epidemiologic Studies
Multivariate Analysis
Age Groups
Regression Analysis
Demography
Surveys and Questionnaires

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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Risk factors for suicidal ideation, plans and attempts in Malaysia - Results of an epidemiological survey. / Maniam, T.; Midin, Marhani; Firdaus, M.; Kadir, A. B.; Mazni, M. J.; Azizul, A.; Salina, A. A.; Fadzillah, A. R.; Nurashikin, I.; Ang, K. T.; Jasvindar, K.; Noor Ani, A.

In: Comprehensive Psychiatry, Vol. 55, No. SUPPL. 1, 01.2014.

Research output: Contribution to journalArticle

Maniam, T, Midin, M, Firdaus, M, Kadir, AB, Mazni, MJ, Azizul, A, Salina, AA, Fadzillah, AR, Nurashikin, I, Ang, KT, Jasvindar, K & Noor Ani, A 2014, 'Risk factors for suicidal ideation, plans and attempts in Malaysia - Results of an epidemiological survey', Comprehensive Psychiatry, vol. 55, no. SUPPL. 1. https://doi.org/10.1016/j.comppsych.2013.08.004
Maniam, T. ; Midin, Marhani ; Firdaus, M. ; Kadir, A. B. ; Mazni, M. J. ; Azizul, A. ; Salina, A. A. ; Fadzillah, A. R. ; Nurashikin, I. ; Ang, K. T. ; Jasvindar, K. ; Noor Ani, A. / Risk factors for suicidal ideation, plans and attempts in Malaysia - Results of an epidemiological survey. In: Comprehensive Psychiatry. 2014 ; Vol. 55, No. SUPPL. 1.
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AU - Midin, Marhani

AU - Firdaus, M.

AU - Kadir, A. B.

AU - Mazni, M. J.

AU - Azizul, A.

AU - Salina, A. A.

AU - Fadzillah, A. R.

AU - Nurashikin, I.

AU - Ang, K. T.

AU - Jasvindar, K.

AU - Noor Ani, A.

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N2 - Objective This is an epidemiological study to determine the prevalence of suicidal behavior and its association with generalised anxiety disorder (GAD) and major depressive disorder (MDD) in a nationally representative sample. Method Suicidal ideation, plans and attempts were assessed in face-to-face interviews of respondents selected by a multistage probability sampling using items on suicidality from the WHO SUPRE-MISS questionnaire. The Mini International Neuropsychiatric Interview (MINI) was used to generate DSM-IV diagnoses of GAD and MDD. A total of 19309 subjects were studied. Multivariate regression analysis was conducted controlling for demographic characteristics such as age, gender and ethnicity. Results The prevalence estimates for suicide ideation, plans and attempts were 1.7% (95% CI: 1.4-1.9), 0.9% (CI: 0.7-1.1) and 0.5% (CI: 0.4-0.7) respectively. Younger people (16-24 years) had higher risk of suicidal behavior (OR: 2.6, CI: 1.08-6.2). Females (OR: 1.6, CI: 1.2-2.1) and Indians (OR: 3.3, CI: 2.2-4.9) also had higher risk. Conclusion The prevalence of suicidal behavior in Malaysia is low, but it broadly corresponds to the pattern described in other countries. This national study confirms that Malaysians of Indian descent have much higher rates of suicidal behavior than other groups. The younger age group, females and the Indian ethnic group would need focused preventive efforts.

AB - Objective This is an epidemiological study to determine the prevalence of suicidal behavior and its association with generalised anxiety disorder (GAD) and major depressive disorder (MDD) in a nationally representative sample. Method Suicidal ideation, plans and attempts were assessed in face-to-face interviews of respondents selected by a multistage probability sampling using items on suicidality from the WHO SUPRE-MISS questionnaire. The Mini International Neuropsychiatric Interview (MINI) was used to generate DSM-IV diagnoses of GAD and MDD. A total of 19309 subjects were studied. Multivariate regression analysis was conducted controlling for demographic characteristics such as age, gender and ethnicity. Results The prevalence estimates for suicide ideation, plans and attempts were 1.7% (95% CI: 1.4-1.9), 0.9% (CI: 0.7-1.1) and 0.5% (CI: 0.4-0.7) respectively. Younger people (16-24 years) had higher risk of suicidal behavior (OR: 2.6, CI: 1.08-6.2). Females (OR: 1.6, CI: 1.2-2.1) and Indians (OR: 3.3, CI: 2.2-4.9) also had higher risk. Conclusion The prevalence of suicidal behavior in Malaysia is low, but it broadly corresponds to the pattern described in other countries. This national study confirms that Malaysians of Indian descent have much higher rates of suicidal behavior than other groups. The younger age group, females and the Indian ethnic group would need focused preventive efforts.

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