Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Prev Med. 2013;57 Suppl:S45-6. doi: 10.1016/j.ypmed.2013.02.022. Epub 2013 Feb 27.
The aim of this paper is to identify at-risk groups for a focused suicide prevention program for Malaysia.
Data from 20,552 persons aged 16 years and above (males 45.9%), was obtained using stratified, random sampling in a national survey of psychiatric morbidity using locally validated General Health Questionnaire (GHQ-28) which included questions on suicidal ideation.
The overall prevalence of suicidal ideation (SI) was 6.3%, CI 6.1-6.8 (n=1288). Logistic regression analysis was performed with age, ethnicity, gender, urban/rural residence, age group, marital status, household income, type of household, presence of chronic pain, social dysfunction, somatic, anxiety or depressive symptoms, obesity, and chronic medical illnesses as independent variables. Only Insomnia, Religion, Marital Status, Depression, Social Dysfunction and Anxiety were seen to be significant predictors. Prevalence of SI was significantly higher among Indians (11.0%, CI 9.5-12.5), especially those of the Hindu faith (12.2%, CI 10.5-14.0), Chinese (9.7%, CI 8.8-10.7) and those having depressive symptoms.
In a developing country with competing priorities, prudent allocation of resources requires focusing suicide prevention efforts on treating depression in vulnerable groups.
本文旨在确定马来西亚有针对性的自杀预防计划的高危人群。
使用分层随机抽样方法，在全国范围内使用经过本地化验证的一般健康问卷（GHQ-28）对精神疾病发病率进行调查，共调查了 20552 名年龄在 16 岁及以上的人群（男性占 45.9%），该问卷包括自杀意念相关问题。
总的自杀意念（SI）患病率为 6.3%，置信区间为 6.1-6.8（n=1288）。采用逻辑回归分析，以年龄、种族、性别、城乡居住、年龄组、婚姻状况、家庭收入、家庭类型、慢性疼痛、社会功能障碍、躯体、焦虑或抑郁症状、肥胖和慢性疾病为自变量。只有失眠、宗教信仰、婚姻状况、抑郁、社会功能障碍和焦虑被认为是显著的预测因素。SI 的患病率在印度人（11.0%，CI 9.5-12.5）中显著较高，尤其是印度教（12.2%，CI 10.5-14.0）、华人（9.7%，CI 8.8-10.7）和有抑郁症状的人。
在一个资源竞争激烈的发展中国家，谨慎分配资源需要将预防自杀的工作重点放在治疗弱势群体的抑郁症上。
