Department of Psychiatry and Mental Health, Hospital Selayang, Batu Caves, Selangor, Malaysia.
Asia Pac Psychiatry. 2014 Jun;6(2):217-25. doi: 10.1111/j.1758-5872.2012.00227.x. Epub 2012 Sep 4.
The National Suicide Registry Malaysia (NSRM) is a nationwide system that captures data on completed suicides in Malaysia from all forensic departments under the purview of the Ministry of Health Malaysia.
This paper examines all suicidal deaths reported to the NSRM from 1 January 2009 to 31 December 2009. The relevant variables were recorded in the paper-based Case Report Form (CRF) and then entered into the online reporting system for analysis.
The overall suicide rate for 2009 was 1.18 per 100,000 population (n = 328). The age range was 14-94 years, with a median of 37 (IQR 24) years. There were more men than women, the gender ratio being 2.9:1 (males : females), and the majority (89% or 293/328) were Malaysian citizens. Ethnicity-wise, Indians had the highest suicide rate of 3.67 per 100,000. The Malays and Bumiputera of Sabah and Sarawak had lower rates of 0.32 to 0.37 per 100,000. Mental illness was reported in 22% (72/328) of the cases and physical illnesses in 20.4% (67/328). Previous suicide attempts were reported in 15.5% (51/328) of cases. History of substance abuse was present in 28.7% (83/328). Life events were positive in 41.2% (135/328) of cases.
Malaysia is able to generate statistics on suicide by enhancing the collaboration between forensic, psychiatry and clinical research agencies. These trends should be monitored to gain a better understanding of suicide trends.
马来西亚国家自杀登记处（NSRM）是一个全国性系统，从马来西亚卫生部管辖的所有法医部门收集马来西亚已完成自杀事件的数据。
本文检查了 2009 年 1 月 1 日至 2009 年 12 月 31 日期间向 NRSR 报告的所有自杀死亡事件。将相关变量记录在纸质病例报告表（CRF）中，然后输入在线报告系统进行分析。
2009 年的总体自杀率为每 10 万人中有 1.18 人（n = 328）。年龄范围为 14-94 岁，中位数为 37（IQR 24）岁。男性多于女性，性别比为 2.9:1（男性：女性），大多数（89%或 293/328）为马来西亚公民。在种族方面，印度人自杀率最高，为每 10 万人中有 3.67 人。马来人和沙巴和砂拉越的 Bumiputera 的自杀率较低，为每 10 万人中有 0.32 至 0.37 人。22%（72/328）的病例报告了精神疾病，20.4%（67/328）的病例报告了身体疾病。15.5%（51/328）的病例报告了既往自杀企图。28.7%（83/328）的病例存在物质滥用史。41.2%（135/328）的病例有生活事件。
马来西亚通过加强法医、精神病学和临床研究机构之间的合作，能够生成关于自杀的统计数据。应该监测这些趋势，以更好地了解自杀趋势。
