Ibrahim Norhayati, Amit Noh, Suen Melia Wong Yuin
Faculty of Health Sciences, National University of Malaysia (UKM), Kuala Lumpur, Malaysia.
PLoS One. 2014 Oct 23;9(10):e110670. doi: 10.1371/journal.pone.0110670. eCollection 2014.
There has been a drastic increase in the rate of suicides over the past 45 years in Malaysia. The statistics show that adolescents aged between 16 and 19 years old are at high risk of committing suicide. This could be attributed to issues relating to the developmental stage of adolescents. During this stage, adolescents face challenges and are exposed to various stressful experiences and risk factors relating to suicide.
The present study examined psychological factors (i.e., depression, anxiety and stress) as predictors for suicidal ideation among adolescents. A cross-sectional study was conducted on 190 students (103 males and 87 females), aged 15 to 19 years old from two different schools in Kuala Lumpur. The Depression Anxiety Stress Scale 21-item version (DASS-21) was used to measure depression, anxiety and stress among the students, and the Beck Scale for Suicide Ideation (BSS) to measure suicidal ideation. The data were analysed using Pearson's correlation and multiple regression analysis.
The results show that 11.10%, 10.00%, and 9.50% of the students reported that they were experiencing severe depression, anxiety and stress, respectively. There were significant correlations between depression, anxiety, and stress with suicidal ideation. However, only depression was identified as a predictor for suicidal ideation.
Hence, this study extends the role of depression in predicting suicidal ideation among adolescents in the Malaysian context. The findings imply that teenagers should be assisted in strengthening their positive coping strategies in managing distress to reduce depression and suicidal ideation.
在过去45年里,马来西亚的自杀率急剧上升。统计数据显示,16至19岁的青少年自杀风险很高。这可能归因于与青少年发育阶段相关的问题。在这个阶段,青少年面临挑战,并接触到各种与自杀相关的压力经历和风险因素。
本研究考察了心理因素(即抑郁、焦虑和压力)作为青少年自杀意念的预测因素。对来自吉隆坡两所不同学校的190名15至19岁的学生(103名男性和87名女性)进行了一项横断面研究。使用21项版抑郁焦虑压力量表(DASS-21)来测量学生的抑郁、焦虑和压力,并用贝克自杀意念量表(BSS)来测量自杀意念。数据采用皮尔逊相关性分析和多元回归分析。
结果显示,分别有11.10%、10.00%和9.50%的学生报告称他们正经历严重的抑郁、焦虑和压力。抑郁、焦虑和压力与自杀意念之间存在显著相关性。然而,只有抑郁被确定为自杀意念的预测因素。
因此,本研究扩展了抑郁在马来西亚背景下预测青少年自杀意念方面的作用。研究结果表明,应该帮助青少年加强应对痛苦的积极策略,以减少抑郁和自杀意念。