@article{ref1,
title="Sexual abuse and substance abuse increase risk of suicidal behavior in Malaysian youth",
journal="Asia-Pacific psychiatry",
year="2013",
author="Chan, Lai Fong and Maniam, T. and Saini, Suriati Mohamed and Shah, Shamsul Azhar and Loh, Sit Fong and Sinniah, Aishvarya and Idris, Zawaha Haji and Che Rus, Sulaiman and Hassan Nudin, Siti Sa'adiah and Tan, Susan Mooi Koon",
volume="5",
number="Suppl 1",
pages="123-126",
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.<p /> <p>Language: en</p>",
language="en",
issn="1758-5864",
doi="10.1111/appy.12057",
url="http://dx.doi.org/10.1111/appy.12057"
}