Abstract：
OBJECTIVE: Adolescent suicide is a significant global public health concern. Although numerous studies have investigated factors that influence the risk of suicide among adolescents around the world, limited data are available in the Malaysian context, especially among the diverse ethnic communities of Sarawak. This study aimed to determine the factors associated with the risk of suicide among adolescents in Sarawak, Malaysia.
METHODS: A community-based cross-sectional study was conducted among 1,344 adolescents in Sarawak using face-to-face interviews. Hierarchical binary logistic regression analysis was performed to identify factors that determine the risk of suicide among adolescents.
RESULTS: Two predictive models were constructed. Both models revealed that being female (OR=1.578, 95 % CI: 1.191, 2.092, p=0.001), having Malay ethnicity (OR=1.733, 95 % CI: 1.236, 2.429, p=0.001) and having a disease significantly increased the risk of suicide (OR=1.895, 95 % CI: 1.221, 2.942, p=0.004). In particular, Model 2, which showed a better fit, found that occasional religious practice (OR=1.610, 95 % CI: 1.126, 2.303, p=0.009), poor parental relationships (OR=1.739, 95 % CI: 1.035, 2.922, p=0.037) and higher addiction (OR=1.015, 95 % CI: 1.008, 1.022, p=0.001), depression (OR=1.919, 95 % CI: 1.241, 2.968, p=0.003), and stress (OR=2.707, 95 % CI: 1.689, 4.340, p=0.001) scores were significantly associated with an increased risk of suicide.
CONCLUSIONS: This study sheds light on multiple factors that contribute to the risk of suicide among adolescents in Sarawak. These findings underscore the importance of holistic prevention strategies, including psychological and social dimensions, to mitigate the risk of suicide in this population. Further research is warranted to understand the complex interplay of these factors and guide the development of targeted interventions.
METHODS: A community-based cross-sectional study was conducted among 1,344 adolescents in Sarawak using face-to-face interviews. Hierarchical binary logistic regression analysis was performed to identify factors that determine the risk of suicide among adolescents.
RESULTS: Two predictive models were constructed. Both models revealed that being female (OR=1.578, 95 % CI: 1.191, 2.092, p=0.001), having Malay ethnicity (OR=1.733, 95 % CI: 1.236, 2.429, p=0.001) and having a disease significantly increased the risk of suicide (OR=1.895, 95 % CI: 1.221, 2.942, p=0.004). In particular, Model 2, which showed a better fit, found that occasional religious practice (OR=1.610, 95 % CI: 1.126, 2.303, p=0.009), poor parental relationships (OR=1.739, 95 % CI: 1.035, 2.922, p=0.037) and higher addiction (OR=1.015, 95 % CI: 1.008, 1.022, p=0.001), depression (OR=1.919, 95 % CI: 1.241, 2.968, p=0.003), and stress (OR=2.707, 95 % CI: 1.689, 4.340, p=0.001) scores were significantly associated with an increased risk of suicide.
CONCLUSIONS: This study sheds light on multiple factors that contribute to the risk of suicide among adolescents in Sarawak. These findings underscore the importance of holistic prevention strategies, including psychological and social dimensions, to mitigate the risk of suicide in this population. Further research is warranted to understand the complex interplay of these factors and guide the development of targeted interventions.
摘要：
目的：青少年自杀是一个重要的全球公共卫生问题。尽管许多研究调查了影响世界各地青少年自杀风险的因素，在马来西亚的背景下，可用的数据有限，特别是在砂拉越的不同种族社区中。这项研究旨在确定与沙捞越青少年自杀风险相关的因素，马来西亚。
方法：使用面对面访谈对砂拉越的1,344名青少年进行了基于社区的横断面研究。进行了分层二元逻辑回归分析，以确定确定青少年自杀风险的因素。
结果：构建了两个预测模型。两种模型都显示女性（OR=1.578，95%CI：1.191，2.092，p=0.001），患有马来人种族(OR=1.733,95%CI:1.236,2.429,p=0.001)和患有疾病的自杀风险显著增加(OR=1.895,95%CI:1.221,2.942,p=0.004)。特别是,模型2，显示出更好的拟合，发现偶尔的宗教活动(OR=1.610，95%CI：1.126，2.303，p=0.009)，不良的父母关系（OR=1.739，95％CI：1.035，2.922，p=0.037）和更高的成瘾（OR=1.015，95％CI：1.008，1.022，p=0.001），抑郁（OR=1.919，95%CI：1.241，2.968，p=0.003），和压力（OR=2.707，95％CI：1.689，4.340，p=0.001）评分与自杀风险增加显着相关。
结论：这项研究揭示了导致砂拉越青少年自杀风险的多种因素。这些发现强调了整体预防策略的重要性，包括心理和社会层面，以降低这一人群的自杀风险。有必要进行进一步的研究，以了解这些因素之间的复杂相互作用，并指导制定有针对性的干预措施。
方法：使用面对面访谈对砂拉越的1,344名青少年进行了基于社区的横断面研究。进行了分层二元逻辑回归分析，以确定确定青少年自杀风险的因素。
结果：构建了两个预测模型。两种模型都显示女性（OR=1.578，95%CI：1.191，2.092，p=0.001），患有马来人种族(OR=1.733,95%CI:1.236,2.429,p=0.001)和患有疾病的自杀风险显著增加(OR=1.895,95%CI:1.221,2.942,p=0.004)。特别是,模型2，显示出更好的拟合，发现偶尔的宗教活动(OR=1.610，95%CI：1.126，2.303，p=0.009)，不良的父母关系（OR=1.739，95％CI：1.035，2.922，p=0.037）和更高的成瘾（OR=1.015，95％CI：1.008，1.022，p=0.001），抑郁（OR=1.919，95%CI：1.241，2.968，p=0.003），和压力（OR=2.707，95％CI：1.689，4.340，p=0.001）评分与自杀风险增加显着相关。
结论：这项研究揭示了导致砂拉越青少年自杀风险的多种因素。这些发现强调了整体预防策略的重要性，包括心理和社会层面，以降低这一人群的自杀风险。有必要进行进一步的研究，以了解这些因素之间的复杂相互作用，并指导制定有针对性的干预措施。
