The Prevalence and Correlates of Suicidal Ideation among University Students: A Survey
This study aims to determine the frequency and correlates of suicidal thoughts among students who are studying at a public university in Malaysia. A convenience sample strategy was used to recruit 371 undergraduate students for this survey research project. The respondents' information was analysed using descriptive and inferential statistics. According to the findings, a significant number of respondents scored positive for the emergence of suicidal ideation. The study also suggests that there is a strong link between suicidal thoughts, depression, and anxiety in this study. However, there is no notable link between suicidal ideation and substance use.
Adit, G. (2011). Second-year student makes fatal leap. Borneo Post Online. Retrieved from http://www. thebomeopost. com/2011/03/31/secondyear-student-makes-fatal-leap/
Anderson, R. N., Ph, D., Smith, B. L., Ed, B. S., & Statistics, V. (2014). Deaths: Leading Causes for 2011-2012. International Journal of Travel Medicine and Global Health, 2(2), 69-80
Arria, A.M., O'Grady, K.E., Caldeira, K.M., Vincent, K.B., Wilcox, H.C. & Wish, E.D. (2009). Suicide Ideation among College Students: a multivariate analysis. Archival Suicide Research. 13(3), 230- 246. https://doi.org/10.1080/13811110903044351
Ashraful Islam, M., Yun Low, W., Ting Tong, W., Wan Yuen, C. C., & Abdullah, A. (2018). Factors Associated with Depression among University Students in Malaysia: A Cross-sectional Study. KnE Life Sciences, 4(4), 415. https://doi.org/10.18502/kls.v4i4.2302
Atwoli, L., Mungla, P.A., Ndung'u, M. N., Kinoti, K. C., & Ogot, E. M. (2011). Prevalence of substance use among college students in Eldoret, western Kenya. BMC Psychiatry, 11(1), 34. https://doi.org/10.1186/1471-244X-11-34
Bagge, C. L., & Sher, K. J. (2008). Adolescent alcohol involvement and suicide attempts: Toward the development of a conceptual framework. Clinical Psychology Review, 28(8), 1283-1296. https://doi.org/10.1016/j.cpr.2008.06.002
Barrios LC, Everett SA, Simon TR, Brener ND. (2002). Suicide ideation among US college students: Associations with other injury risk behaviors. Journal of American College Health, 48(5), 229-233. https://doi.org/10.1080/07448480009599309
Beck, A.T.,& Steer R.A. (1989). Clinical Predictors of eventual Suicide: A 5 - to - 10-year prospective study of suicide attempters. Journal of Affective Disorder, 17, 203-209. https://doi.org/10.1016/0165-0327(89)90001-3
Brazier, Y. (2018). "What are suicidal thoughts?" Medical News Today. Retrieved from https://www.medicalnewstoday.com/kc/suicidal-thoughts-ideation-193026
Breet, E., Goldstone, D., & Bantjes, J. (2018). Substance use and suicidal ideation and behaviour in low- and middle-income countries: A systematic review. BMC Public Health, 18(1), 1-18. https://doi.org/10.1186/s12889-018-5425-6
Brent, D. A., Johnson, B., Bartle, S., Bridge, J., Rather, C., Matta, J., ... & Constantine, D. (1993). Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 32(1), 69-75. https://doi.org/10.1097/00004583-199301000-00010
Brunner, R., Parzer, P., Haffner, J., Steen, R., Roos, J., Klett, M., & Resch, F. (2007). Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents. Archives of Pediatrics and Adolescent Medicine, 161(7), 641-649. https://doi.org/10.1001/archpedi.161.7.641
Bunch, J. (2002). Substance Abuse and Academic Performance Among University Students Substance Abuse and Academic Performance Among University Students, 1(2). https://doi.org/10.18785/cat.0102.02
Cheung, A.H. & Dewa, C.S. (2006). Canadian Community Health Survey: major depressive Disorder and Suicidality in Students. Health Care Policy, 2(2), 76 - 89.
Cox B.J., Direnfeld D.M., Swinson R.P., & Norton G.R. (2005). Suicidal ideation and suicide attempts in panic disorder and social phobia. American Journal of Psychiatry, 151, 882-887. https://doi.org/10.1176/ajp.151.6.882
De Man, A. F., Leduc, C. P., & Labrèche-Gauthier, L. (1993). Correlates of suicidal ideation in French-Canadian adolescents: Personal variables, stress, and social support. Adolescence, 28(112), 819-830.
Durkheim E. (1986). An Introduction to Four Major Works. Beverly Hills, CA: Sage Publications. pp. 82-114.
Garlow, S.J., Rosenberg, J., Moore, J.D., Haas, A.P., Koestner, B., Hendin, H., & Nemeroff, C.B. (2008). Depression, desperation, and suicidal ideation in college students. Results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depression and Anxiety, 25(6), 482 - 488. https://doi.org/10.1002/da.20321
Gili-Planas M, Roca-Bennasar M, Ferrer-Perez V, Bernardo-Arroyo M. (2001). Suicidal ideation, psychiatric disorder, and medical illness. Suicide and Life-Threatening Behavior, 31(2), 207-213. https://doi.org/10.1521/suli.188.8.131.5208
Gill, J., & Mohammad, S. (2010). P01-139 - Social anxiety among medical undergraduate students in Malaysia. European Psychiatry, 25, 347. https://doi.org/10.1016/s0924-9338(10)70344-8
Gliatto, M. F., & Rai, A. K. (1999). Evaluation and treatment of patients with suicidal ideation. American Family Physician, 59(6), 1500-1506.
Gould, M.S., King, R., Greewald, S., Fisher, P., Schwab-Stone, M., Kramer, R., & Shaffer, D. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915-923. https://doi.org/10.1097/00004583-199809000-00011
Hakami, R. M., Mahfouz, M. S., Adawi, A. M., Mahha, A. J., Athathi, A. J., Daghreeri, H. H., … Arishi, N. A. (2018). Social anxiety disorder and its impact in undergraduate students at Jazan University, Saudi Arabia. Mental Illness, 9 (2), 7274
Halpern, J. H., Sherwood, A. R., Hudson, J. I., Yurgelun-Todd, D., & Pope, H. G., Jr. (2005). Psychological and cognitive effects of long-term peyote use among Native Americans. Biological Psychiatry, 58, 624-631. https://doi.org/10.1016/j.biopsych.2005.06.038
Harmer, B., Lee, S., Duong, T.H., & Saadabadi, A. (2021). Suicidal Ideation. In StatPearls. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/33351435/
Hemenway, D., Solnick, S.J., & Colditz, G.A. (1993). Harvard Injury Control Center, Mass. "Smoking and suicide among nurses.", American Journal of Public Health, 83(2), 249-251. https://doi.org/10.2105/AJPH.83.2.249
IBM Corp, N. (2013). IBM SPSS statistics for windows. Version, 22
Imran Hilmy. (2019). First-year medical student dies after fall from fourth floor. The Star Online. Retrieved from https://www.thestar.com.my/news/nation/2019/11/17/first-year-medical-student-dies-after-fall-from-fourth-floor
Izadinia, N., Amiri, M., Jahromi, R. G., & Hamidi, S. (2010). A study of relationship between suicidal ideas, depression, anxiety, resiliency, daily stresses and mental health among Tehran university students. Procedia - Social and Behavioral Sciences, 5, 1615-1619. https://doi.org/10.1016/j.sbspro.2010.07.335
Kessler, R. C., Borges, G., & Walters, E. E. (2013). Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Depression: The Science of Mental Health, 6, 31-40. doi:10.1001/archpsyc.56.7.617
Khan, T., Sulaiman, S., & Hassali, M. (2012). Clinical research: Factors associated with suicidal behaviour among depressed patients in Penang, Malaysia. Archives of Medical Science, 8(4), 697-703. https://doi.org/10.5114/aoms.2012.28601
Kokkevi, A., Rotsika, V., Arapaki, A., & Richardson, C. (2012). Adolescents' self-reported suicide attempts, self-harm thoughts and their correlates across 17 European countries. Journal of Child Psychology and Psychiatry and Allied Disciplines, 53(4), 381-389. https://doi.org/10.1111/j.1469-7610.2011.02457.x
Krejcie, R.V., & Morgan, D.W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30, 607-610.
Kroenke, K., Spitzer R.L., & Williams J.B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613.
Lewinsohn, P.M., Rohde P., Seeley J.R. (1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3(1), 25-46. https://doi.org/10.1111/j.1468-2850.1996.tb00056.x
Mars, B., Heron, J., Klonsky, E. D., Moran, P., O'Connor, R. C., Tilling, K., … Gunnell, D. (2019). Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study. The Lancet Psychiatry, 6(4), 327-337. https://doi.org/10.1016/S2215-0366(19)30030-6
Mattick, R.P., Clarke J.C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455-470. https://doi.org/10.1016/S0005-7967(97)10031-6
May, A.M., & Klonsky E.D. (2016). What distinguishes suicide attempters from suicide ideators? A meta‐analysis of potential factors. Clinical Psychology: Science and Practice, 23, 5-20. https://doi.org/10.1093/epirev/mxn002
Mazza, J. J., & Reynolds, W. M. (2001). An investigation of psychopathology in nonreferred suicidal and non-suicidal adolescents. Suicide and Life-Threatening Behavior, 31(3), 282-302.
New Strait Times. (2019). Private university reels from two students' suicides in a span of a week. The New Straits Times. Retrieved from https://www.nst.com.my/news/nation/2019/05/488510/private-university-reels-two- student-suicides-space-week
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133-154. https://doi.org/10.1093/epirev/mxn002
Nur Shahirah Osman. (2017). Purata tujuh orang bunuh diri sehari di Malaysia dikaitkan dengan kesihatan mental. Berita Harian Online. Retrieved from https://www.bharian.com.my/bhbongkar/2018/09/474627/pelajar-remaja-cenderung- bunuh-diri
O'Brien, C. P. (2008). The CAGE questionnaire for detection of alcoholism: A remarkably useful but simple tool. JAMA - Journal of the American Medical Association, 300(17), 2054-2056. https://doi.org/10.1001/jama.2008.570
Ohayon, M. M., & Schatzberg, A. F. (2010). Social phobia and depression: Prevalence and comorbidity. Journal of Psychosomatic Research, 68, 235-243. https://doi.org/10.1016/j.jpsychores.2009.07.018
Osman, T., Victor, C., Abdulmoneim, A., Mohammed, H., Abdalla, F., Ahmed, A., … Mohammed, W. (2016). Epidemiology of Substance Use among University Students in Sudan. Journal of Addiction, 2016, 1-8. https://doi.org/10.1155/2016/2476164
Pereira, A., & Cardoso, F. (2015). Suicidal ideation in university students: Prevalence and association with school and gender. Paideia, 25(62), 299-306. https://doi.org/10.1590/1982-43272562201503
Perroud, N., Baud, P., Preisig, M., Etain, B., Bellivier, F., Favre, S., et al. (2007). Social phobia is associated with suicide attempt history in bipolar inpatients. Bipolar Disorders, 9, 713-721. https://doi.org/10.1111/j.1399-5618.2007.00471.x
Pillay, AL, & Schlebusch, L. (1987). Parasuicide among Indian adolescents. Some cultural perspectives. South African Journal of Psychology, 17(3), 107-110.
Pillay, S. (2017). Suicide on the rise among Malaysia youth. The New Straight Times. Retrieved from https://www.nst.com.my/news/exclusive/2017/05/243354/suicide-rise-among-malaysian-youth
Reynolds, W. M. (1987). The Suicidal Ideation Questionnaire: SIQ Form HS. Odessa, FL: Psychological Assessment Resources
Santiago-Rivera, A. L., Gard, T., and Bernstein, B. (1999). The importance of achievement, intimacy, autonomy, and life events among first year college students. Journal of College Student Psychotherapy, 13(3), 57-73. https://doi.org/10.1300/J035v13n03_05
Santos, H. G. B. Dos, Marcon, S. R., Espinosa, M. M., Baptista, M. N., & Paulo, P. M. C. de. (2017). Factors associated with suicidal ideation among university students. Revista Latino-Americana de Enfermagem, 25, e2878. https://doi.org/10.1590/1518-8345.1592.2878
Schwartz A. J. (2006). College student suicide in the United States: 1990-1991 through 2003-2004. Journal of American College Health, 54(6), 341-352. https://doi.org/10.3200/JACH.54.6.341-352
Shamsuddin, K., Fadzil, F., Ismail, W. S. W., Shah, S. A., Omar, K., Muhammad, N. A., … Mahadevan, R. (2013). Correlates of Depression, anxiety and stress among Malaysian university students. Asian Journal of Psychiatry, 6(4), 318-323. https://doi.org/10.1016/j.ajp.2013.01.014
Sobry, A.A., & Ramli M.M. (n.d.). Suicide cases is becoming more serious. Berita Harian Online. Retrieved from https://www.bharian.com.my/node/72427
Substance Use. (2019). Retrieved from https://www.healthlinkbc.ca/substance-use
Taliaferro, L. A., Rienzo, B. A., Pigg, R. M., Miller, M. D., & Dodd, V. J. (2009). Spiritual well-being and suicidal ideation among college students. Journal of American College Health, 58(1), 83-90. https://doi.org/10.3200/JACH.58.1.83-90
Truschel, J. (2019) Depression Definition and DSM-5 Diagnostic Criteria. Retrieved from https://www.psycom.net/depression-defintion-dsm-5-diagnostic-criteria/.
Wang, Y. H., Shi, Z. T., & Luo, Q. Y. (2017). Association of depressive symptoms and suicidal ideation among university students in China: A systematic review and meta-analysis. Medicine (United States), Vol. 96. https://doi.org/10.1097/MD.0000000000006476
Wong, S. S., Zhou, B., Goebert, D., & Hishinuma, E. S. (2013). The risk of adolescent Suicide across patterns of drug use: A nationally representative study of high school students in the United States from 1999 to 2009. Social Psychiatry and Psychiatric Epidemiology, 48(10), 1611-1620. https://doi.org/10.1007/s00127-013-0721-z
World Health Organization (2014) Global status report on alcohol and health. Geneva: The World Health Organization.
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