TY - JOUR PY - 2014// TI - Completed suicides and self-harm in Malaysia: a systematic review JO - General hospital psychiatry A1 - Armitage, Christopher J. A1 - Panagioti, Maria A1 - Abdul Rahim, Wirda A1 - Rowe, Richard A1 - O'Connor, Rory C. SP - 153 EP - 165 VL - 37 IS - 2 N2 - OBJECTIVE: Most of the research into suicide and self-harm has been conducted in the United States and Europe, yet the volume of research does not reflect the distribution of suicide globally, with Asia accounting for up to 60% of all suicides. The present study systematically reviews the literature to assess the prevalence and correlates of suicidal acts in Malaysia in Southeast Asia.

METHODS: Five relevant databases were searched from inception up to February 2014, and a narrative synthesis of the results from the included studies was performed. Studies were eligible for inclusion if they were correlational survey research and archival/observational research describing self-harm and suicide. Outcomes included completed suicides and self-harm including suicide attempts and self-poisoning, suicide plans and suicidal ideation.

RESULTS: In total, 29 studies met the inclusion criteria. The principal findings were that the prevalence of suicide in Malaysia is approximately 6-8 per 100,000 population per year and that there is an excess of suicide among men, people younger than 40 years and the Indian minority group. The past-month prevalence rates of suicidal ideation, plans and attempts are 1.7, 0.9% and 0.5%, respectively, whereas the past-year prevalence rates of suicidal ideation range between 6% and 8%.

CONCLUSIONS: The present research marks a first step towards understanding the prevalence and correlates of suicide and self-harm in Malaysia. However, the heterogeneity of the included studies was high. Further research into the antecedents, consequences and interventions for suicide and self-harm in the Malaysian context is required.

Language: en

LA - en SN - 0163-8343 UR - http://dx.doi.org/10.1016/j.genhosppsych.2014.12.002 ID - ref1 ER -