Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth

Lai Fong Chan, T. Maniam, Suriati Mohamed Saini, Shamsul Azhar Shah, Sit Fong Loh, Aishvarya Sinniah, Zawaha Haji Idris, Sulaiman Che Rus, Siti Sa adiah Hassan Nudin, Susan Mooi Koon Tan

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Introduction: The aim of this study was to determine the association between sexual abuse, substance abuse and socio-demographic factors with suicidal ideation (SI), plans (SP) and deliberate self-harm (DSH) and propose steps to prevent youth suicidal behavior. Methods: This was a cross-sectional study of 6786 adolescents aged 17-18 years, selected randomly from all Malaysian adolescents to undergo compulsory youth camps located in Selangor, Malaysia (2008-2009). Participants were assessed using self-administered questionnaires developed to reflect the local cultural setting. However, only 4581 subjects were analyzed after excluding incomplete data. Results: The rates of SI, SP and DSH were 7.6%, 3.2% and 6.3%, respectively. The multivariable-adjusted odds ratio showed that sexual abuse was associated with SI 1.99 (95% CI: 1.56-2.55), SP 1.57 (95% CI: 1.09-2.27) and DSH 2.26 (95% CI: 1.75-2.94); illicit drug use was associated with SI 4.05 (95% CI: 2.14-7.67), SP 2.62 (95% CI: 1.05-6.53) and DSH 2.06, (95% CI: 1.05-4.04); for alcohol use DSH was 1.34 (95% CI: 1.00-1.79). Being female was associated with all suicidal behaviors: SI 2.51 (95% CI: 1.91-3.30), SP 2.07 (95% CI: 1.39-3.08) and DSH 1.59 (95% CI: 1.19-2.11). Discussion: Given the well-founded concern of increasing risk of suicidal behavior among youth, preventive efforts should adopt a more comprehensive approach in dealing with sexual abuse and substance abuse, and their sequelae, especially in girls.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalAsia-Pacific Psychiatry
Volume5
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Apr 2013

Fingerprint

Self-Injurious Behavior
Sex Offenses
Suicidal Ideation
Risk-Taking
Substance-Related Disorders
Malaysia
Street Drugs
Cross-Sectional Studies
Odds Ratio
Alcohols
Demography

Keywords

  • Adolescent
  • Risks
  • Sexual abuse
  • Substance abuse
  • Suicidal behavior

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth. / Chan, Lai Fong; Maniam, T.; Mohamed Saini, Suriati; Shah, Shamsul Azhar; Loh, Sit Fong; Sinniah, Aishvarya; Idris, Zawaha Haji; Che Rus, Sulaiman; Hassan Nudin, Siti Sa adiah; Tan, Susan Mooi Koon.

In: Asia-Pacific Psychiatry, Vol. 5, No. SUPPL. 1, 04.2013, p. 123-126.

Research output: Contribution to journalArticle

Chan, LF, Maniam, T, Mohamed Saini, S, Shah, SA, Loh, SF, Sinniah, A, Idris, ZH, Che Rus, S, Hassan Nudin, SSA & Tan, SMK 2013, 'Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth', Asia-Pacific Psychiatry, vol. 5, no. SUPPL. 1, pp. 123-126. https://doi.org/10.1111/appy.12057
Chan, Lai Fong ; Maniam, T. ; Mohamed Saini, Suriati ; Shah, Shamsul Azhar ; Loh, Sit Fong ; Sinniah, Aishvarya ; Idris, Zawaha Haji ; Che Rus, Sulaiman ; Hassan Nudin, Siti Sa adiah ; Tan, Susan Mooi Koon. / Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth. In: Asia-Pacific Psychiatry. 2013 ; Vol. 5, No. SUPPL. 1. pp. 123-126.
@article{33164dcae0664d1a83fe9fb8865e3e23,
title = "Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth",
abstract = "Introduction: The aim of this study was to determine the association between sexual abuse, substance abuse and socio-demographic factors with suicidal ideation (SI), plans (SP) and deliberate self-harm (DSH) and propose steps to prevent youth suicidal behavior. Methods: This was a cross-sectional study of 6786 adolescents aged 17-18 years, selected randomly from all Malaysian adolescents to undergo compulsory youth camps located in Selangor, Malaysia (2008-2009). Participants were assessed using self-administered questionnaires developed to reflect the local cultural setting. However, only 4581 subjects were analyzed after excluding incomplete data. Results: The rates of SI, SP and DSH were 7.6{\%}, 3.2{\%} and 6.3{\%}, respectively. The multivariable-adjusted odds ratio showed that sexual abuse was associated with SI 1.99 (95{\%} CI: 1.56-2.55), SP 1.57 (95{\%} CI: 1.09-2.27) and DSH 2.26 (95{\%} CI: 1.75-2.94); illicit drug use was associated with SI 4.05 (95{\%} CI: 2.14-7.67), SP 2.62 (95{\%} CI: 1.05-6.53) and DSH 2.06, (95{\%} CI: 1.05-4.04); for alcohol use DSH was 1.34 (95{\%} CI: 1.00-1.79). Being female was associated with all suicidal behaviors: SI 2.51 (95{\%} CI: 1.91-3.30), SP 2.07 (95{\%} CI: 1.39-3.08) and DSH 1.59 (95{\%} CI: 1.19-2.11). Discussion: Given the well-founded concern of increasing risk of suicidal behavior among youth, preventive efforts should adopt a more comprehensive approach in dealing with sexual abuse and substance abuse, and their sequelae, especially in girls.",
keywords = "Adolescent, Risks, Sexual abuse, Substance abuse, Suicidal behavior",
author = "Chan, {Lai Fong} and T. Maniam and {Mohamed Saini}, Suriati and Shah, {Shamsul Azhar} and Loh, {Sit Fong} and Aishvarya Sinniah and Idris, {Zawaha Haji} and {Che Rus}, Sulaiman and {Hassan Nudin}, {Siti Sa adiah} and Tan, {Susan Mooi Koon}",
year = "2013",
month = "4",
doi = "10.1111/appy.12057",
language = "English",
volume = "5",
pages = "123--126",
journal = "Asia-Pacific Psychiatry",
issn = "1758-5864",
publisher = "Wiley-Blackwell",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth

AU - Chan, Lai Fong

AU - Maniam, T.

AU - Mohamed Saini, Suriati

AU - Shah, Shamsul Azhar

AU - Loh, Sit Fong

AU - Sinniah, Aishvarya

AU - Idris, Zawaha Haji

AU - Che Rus, Sulaiman

AU - Hassan Nudin, Siti Sa adiah

AU - Tan, Susan Mooi Koon

PY - 2013/4

Y1 - 2013/4

N2 - Introduction: The aim of this study was to determine the association between sexual abuse, substance abuse and socio-demographic factors with suicidal ideation (SI), plans (SP) and deliberate self-harm (DSH) and propose steps to prevent youth suicidal behavior. Methods: This was a cross-sectional study of 6786 adolescents aged 17-18 years, selected randomly from all Malaysian adolescents to undergo compulsory youth camps located in Selangor, Malaysia (2008-2009). Participants were assessed using self-administered questionnaires developed to reflect the local cultural setting. However, only 4581 subjects were analyzed after excluding incomplete data. Results: The rates of SI, SP and DSH were 7.6%, 3.2% and 6.3%, respectively. The multivariable-adjusted odds ratio showed that sexual abuse was associated with SI 1.99 (95% CI: 1.56-2.55), SP 1.57 (95% CI: 1.09-2.27) and DSH 2.26 (95% CI: 1.75-2.94); illicit drug use was associated with SI 4.05 (95% CI: 2.14-7.67), SP 2.62 (95% CI: 1.05-6.53) and DSH 2.06, (95% CI: 1.05-4.04); for alcohol use DSH was 1.34 (95% CI: 1.00-1.79). Being female was associated with all suicidal behaviors: SI 2.51 (95% CI: 1.91-3.30), SP 2.07 (95% CI: 1.39-3.08) and DSH 1.59 (95% CI: 1.19-2.11). Discussion: Given the well-founded concern of increasing risk of suicidal behavior among youth, preventive efforts should adopt a more comprehensive approach in dealing with sexual abuse and substance abuse, and their sequelae, especially in girls.

AB - Introduction: The aim of this study was to determine the association between sexual abuse, substance abuse and socio-demographic factors with suicidal ideation (SI), plans (SP) and deliberate self-harm (DSH) and propose steps to prevent youth suicidal behavior. Methods: This was a cross-sectional study of 6786 adolescents aged 17-18 years, selected randomly from all Malaysian adolescents to undergo compulsory youth camps located in Selangor, Malaysia (2008-2009). Participants were assessed using self-administered questionnaires developed to reflect the local cultural setting. However, only 4581 subjects were analyzed after excluding incomplete data. Results: The rates of SI, SP and DSH were 7.6%, 3.2% and 6.3%, respectively. The multivariable-adjusted odds ratio showed that sexual abuse was associated with SI 1.99 (95% CI: 1.56-2.55), SP 1.57 (95% CI: 1.09-2.27) and DSH 2.26 (95% CI: 1.75-2.94); illicit drug use was associated with SI 4.05 (95% CI: 2.14-7.67), SP 2.62 (95% CI: 1.05-6.53) and DSH 2.06, (95% CI: 1.05-4.04); for alcohol use DSH was 1.34 (95% CI: 1.00-1.79). Being female was associated with all suicidal behaviors: SI 2.51 (95% CI: 1.91-3.30), SP 2.07 (95% CI: 1.39-3.08) and DSH 1.59 (95% CI: 1.19-2.11). Discussion: Given the well-founded concern of increasing risk of suicidal behavior among youth, preventive efforts should adopt a more comprehensive approach in dealing with sexual abuse and substance abuse, and their sequelae, especially in girls.

KW - Adolescent

KW - Risks

KW - Sexual abuse

KW - Substance abuse

KW - Suicidal behavior

UR - http://www.scopus.com/inward/record.url?scp=84876465145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876465145&partnerID=8YFLogxK

U2 - 10.1111/appy.12057

DO - 10.1111/appy.12057

M3 - Article

C2 - 23857848

AN - SCOPUS:84876465145

VL - 5

SP - 123

EP - 126

JO - Asia-Pacific Psychiatry

JF - Asia-Pacific Psychiatry

SN - 1758-5864

IS - SUPPL. 1

ER -