Prevalence of Suicidal Behavior Among Students in South-East Asia: A Systematic Review and Meta-Analysis

REFERENCES

• Adhikari, A., Dutta, A., Sapkota, S., Chapagain, A., Aryal, A., & Pradhan, A. (2017). Prevalence of poor mental health among medical students in Nepal: A cross-sectional study. BMC Medical Education, 17(1), 232. doi:10.1186/s12909-017-1083-0
   PubMed Web of Science ®Google Scholar
• Ali, M., Uddin, Z., Amran Hossain, K. M., & Uddin, T. R. (2022). Depression, anxiety, stress, and suicidal behavior among Bangladeshi undergraduate rehabilitation students: An observational study amidst the COVID-19 pandemic. Health Science Reports, 5(2), e549. doi:10.1002/hsr2.549
   PubMedGoogle Scholar
• Arafat, S., Hussain, F., Hossain, M. F., Islam, M. A., & Menon, V. (2022). Literacy and stigma of suicide in Bangladesh: Scales validation and status assessment among university students. Brain and Behavior, 12(1), e2432. doi:10.1002/brb3.2432
   PubMed Web of Science ®Google Scholar
• Arafat, S. Y., & Kabir, R. (2017). Suicide prevention strategies: Which one to consider? South East Asia Journal of Public Health, 7(1), 1–5. doi:10.3329/seajph.v7i1.34671
   Google Scholar
• Arria, A. M., Winick, E. R., Garnier-Dykstra, L. M., Vincent, K. B., Caldeira, K. M., Wilcox, H. C., & O’Grady, K. E. (2011). Help seeking and mental health service utilization among college students with a history of suicide ideation. Psychiatric Services, 62(12), 1510–1513. doi:10.1176/appi.ps.005562010
   PubMed Web of Science ®Google Scholar
• Arun, P., & Chavan, B. S. (2009). Stress and suicidal ideas in adolescent students in Chandigarh. Indian Journal of Medical Sciences, 63(7), 281–287.
   PubMedGoogle Scholar
• Arun, P., Ramamurthy, P., & Thilakan, P. (2022). Indian medical students with depression, anxiety, and suicidal behavior: Why do they not seek treatment? Indian Journal of Psychological Medicine, 44(1), 10–16. doi:10.1177/0253717620982326
   PubMedGoogle Scholar
• Assanangkornchai, S., Mukthong, A., & Intanont, T. (2009). Prevalence and patterns of alcohol consumption and health-risk behaviors among High School Students In Thailand. Alcoholism, Clinical and Experimental Research, 33(12), 2037–2046. doi:10.1111/j.1530-0277.2009.01043.x
   PubMed Web of Science ®Google Scholar
• Bernal, M., Haro, J. M., Bernert, S., Brugha, T., de Graaf, R., Bruffaerts, R., … Alonso, J. (2007). Risk factors for suicidality in Europe: Results from the ESEMED study. Journal of Affective Disorders, 101(1-3), 27–34.
   PubMed Web of Science ®Google Scholar
• Bhola, P., Manjula, M., Rajappa, V., & Phillip, M. (2017). Predictors of non-suicidal and suicidal self-injurious behaviours, among adolescents and young adults in urban India. Asian Journal of Psychiatry, 29, 123–128. doi:10.1016/j.ajp.2017.04.024
   PubMed Web of Science ®Google Scholar
• Bhuiyan, M. A. H., Griffiths, M. D., & Mamun, M. A. (2020). Depression literacy among Bangladeshi pre-university students: Differences based on gender, educational attainment, depression, and anxiety. Asian Journal of Psychiatry, 50, 101944. doi:10.1016/j.ajp.2020.101944
   PubMed Web of Science ®Google Scholar
• Blum, R., Sudhinaraset, M., & Emerson, M. R. (2012). Youth at risk: Suicidal thoughts and attempts in Vietnam, China, and Taiwan. The Journal of Adolescent Health, 50(3 Suppl), S37–S44. doi:10.1016/j.jadohealth.2011.12.006
   PubMed Web of Science ®Google Scholar
• Breet, E., Matooane, M., Tomlinson, M., & Bantjes, J. (2021). Systematic review and narrative synthesis of suicide prevention in high-schools and universities: A research agenda for evidence-based practice. BMC Public Health, 21(1), 1116. doi:10.1186/s12889-021-11124-w
   PubMed Web of Science ®Google Scholar
• Borowsky, I. W., Resnick, M. D., Ireland, M., & Blum, R. W. (1999). Suicide attempts among American Indian and Alaska Native youth: Risk and protective factors. Archives of Pediatrics & Adolescent Medicine, 153(6), 573–580. doi:10.1001/archpedi.153.6.573
   PubMed Web of Science ®Google Scholar
• Chaveepojnkamjorn, W., & Pichainarong, N. (2011). Current drinking and health-risk behaviors among male high school students in central Thailand. BMC Public Health, 11, 233. doi:10.1186/1471-2458-11-233
   PubMed Web of Science ®Google Scholar
• Chomon, R. J. (2022). Depression and suicidal ideation among medical students in a private medical college of Bangladesh. A cross sectional web based survey. PLoS One. 17(4), e0265367. doi:10.1371/journal.pone.0265367
   PubMed Web of Science ®Google Scholar
• Coentre, R., & Góis, C. (2018). Suicidal ideation in medical students: Recent insights. Advances in Medical Education and Practice, 9, 873–880. doi:10.2147/AMEP.S162626
   PubMed Web of Science ®Google Scholar
• Crispim, M de O., Santos, C. M. R., Frazão I da, S., Frazão Cmf de, Q., Albuquerque, R. C. R, de., & Perrelli, J. G. A. (2021). Prevalence of suicidal behavior in young university students: A systematic review with meta-analysis. Rev Latino-Am Enfermagem, 29, e3495.
   PubMedGoogle Scholar
• Dema, T., Tripathy, J. P., & Thinley, S. (2019). Suicidal ideation and attempt among school going adolescents in Bhutan – A secondary analysis of a global school-based student health survey in Bhutan 2016. BMC Public Health, 19, 1605. doi:10.1186/s12889-019-7791-0
   PubMed Web of Science ®Google Scholar
• Desai, N. D., Chavda, P., & Shah, S. (2021). Prevalence and predictors of suicide ideation among undergraduate medical students from a medical college of Western India. Medical Journal, Armed Forces India, 77(Suppl 1), S107–S114. doi:10.1016/j.mjafi.2020.11.018
   PubMedGoogle Scholar
• El-Matury, H. J. (2021). Structural equation model factors affecting suicidal ideation among undergraduate students. European Journal of Molecular & Clinical Medicine, 8(3), 2424–2437.
   Google Scholar
• Eskin, M., AlBuhairan, F., Rezaeian, M., Abdel-Khalek, A. M., Harlak, H., El-Nayal, M., … Khatib, S. (2019). Suicidal thoughts, attempts and motives among university students in 12 Muslim-Majority Countries. The Psychiatric Quarterly, 90(1), 229–248. doi:10.1007/s11126-018-9613-4
   PubMed Web of Science ®Google Scholar
• Garg, S., Chauhan, A., Singh, S., & Bansal, K. (2022). Epidemiological risk factors of suicidal behavior and effects of the components of coping strategies on suicidal behavior in medical students: A North-Indian institution-based cross-sectional study. Journal of Neurosciences in Rural Practice, 13(3), 382–392. doi:10.1055/s-0042-1744225
   PubMedGoogle Scholar
• Gunnell, D., Caul, S., Appleby, L., John, A., & Hawton, K. (2020). The incidence of suicide in University students in England and Wales 2000/2001–2016/2017: Record linkage study. Journal of Affective Disorders, 261, 113–120. doi:10.1016/j.jad.2019.09.079
   PubMed Web of Science ®Google Scholar
• Hasan, M. T., Hossain, S., & Gupta, R. D. (2022). Depression, sleeping pattern, and suicidal ideation among medical students in Bangladesh: A cross-sectional pilot study. Journal of Public Health, 30, 465–473. doi:10.1007/s10389-020-01304-0
   Web of Science ®Google Scholar
• Hetrick, S. E., Yuen, H. P., Bailey, E., Cox, G. R., Templer, K., Rice, S. M., … Robinson, J. (2017). Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): A randomised controlled trial. Evidence-Based Mental Health, 20(3), 76–82.
   PubMed Web of Science ®Google Scholar
• Irish, A., & Murshid, N. S. (2020). Suicide ideation, plan, and attempt among youth in Bangladesh: Incidence and risk factors. Children and Youth Services Review, 116, 105215.
   Web of Science ®Google Scholar
• Jordans, M. J. D., Kaufman, A., Brenman, N. F., Adhikari, R. P., Luitel, N. P., Tol, W. A., & Komproe, I. (2014). Suicide in South Asia: A scoping review. BMC Psychiatry, 14(1), 358. doi:10.1186/s12888-014-0358-9
   PubMedGoogle Scholar
• Khan, M., Rahman, M. M., Islam, M. R., Karim, M., Hasan, M., & Jesmin, S. S. (2020). Suicidal behavior among school-going adolescents in Bangladesh: Findings of the global school-based student health survey. Social Psychiatry and Psychiatric Epidemiology, 55(11), 1491–1502. doi:10.1007/s00127-020-01867-z
   PubMed Web of Science ®Google Scholar
• Kloping, N. A., Citraningtyas, T., Lili, R., Farrell, S. M., & Molodynski, A. (2022). Mental health and wellbeing of Indonesian medical students: A regional comparison study. The International Journal of Social Psychiatry, 68(6), 1295–1299. doi:10.1177/00207640211057732
   PubMed Web of Science ®Google Scholar
• Kotera, Y., Lieu, J., Kirkman, A., Barnes, K., Liu, G. H. T., … Jackson, J. (2022). Mental wellbeing of Indonesian students: Mean comparison with UK students and relationships with self-compassion and academic engagement. Healthcare, 10(8), 1439.
   Web of Science ®Google Scholar
• Lamis, D. A., Underwood, M., & D’Amore, N. (2017). Outcomes of a suicide prevention gatekeeper training program among school personnel. Crisis, 38(2), 89–99.
   PubMedGoogle Scholar
• Lawrence, R. E., Oquendo, M. A., & Stanley, B. (2016). Religion and suicide risk: A systematic review. Arch Suicide Res, 20(1), 1–21.
   PubMed Web of Science ®Google Scholar
• Lui, J. C., Sagar-Ouriaghli, I., & Brown, J. S. L. (2022). Barriers and facilitators to help-seeking for common mental disorders among university students: A systematic review. Journal of American College Health, 2022, 1–9.
   Google Scholar
• Mamun, M. A., Rayhan, I., & Akter, K. (2022a). Prevalence and predisposing factors of suicidal ideation among the University Students in Bangladesh: A single-site survey. International Journal of Mental Health and Addiction, 20, 1958–1971. doi:10.1007/s11469-020-00403-z
   Web of Science ®Google Scholar
• Mamun, M. A., Misti, J. M., Hosen, I., & Al-Mamun, F. (2022b). Suicidal behaviors and university entrance test-related factors: A Bangladeshi exploratory study. Perspectives in Psychiatric Care, 58(1), 278–287. doi:10.1111/ppc.12783
   PubMed Web of Science ®Google Scholar
• Menezes, R. G., Subba, S. H., Sathian, B., Kharoshah, M. A., Senthilkumaran, S., Pant, S., … R., Shankar (2012). Suicidal ideation among students of a medical college in Western Nepal: A cross-sectional study. Legal Medicine, 14(4), 183–187. doi:10.1016/j.legalmed.2012.02.004
   PubMed Web of Science ®Google Scholar
• Menon, V., Sarkar, S., & Kumar, S. (2015). Barriers to healthcare seeking among medical students: A cross sectional study from South India. Postgraduate Medical Journal, 91(1079), 477–482.
   PubMed Web of Science ®Google Scholar
• Modesti, P. A., Reboldi, G., Cappuccio, F. P., Agyemang, C., Remuzzi, G., Rapi, S., … Parati, G. (2016). Panethnic differences in blood pressure in Europe: A systematic review and meta-analysis. PLoS One, 11(1), e0147601. doi:10.1371/journal.pone.0147601
   PubMed Web of Science ®Google Scholar
• Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R. P., Demyttenaere, K., … Green, J. G. (2018). The prevalence of suicidal thoughts and behaviours among college students: A meta-analysis. Psychological Medicine. 48(4), 554–565.
   PubMed Web of Science ®Google Scholar
• Mukhopadhyay, D. K., Mukhopadhyay, S., Sinhababu, A., & Biswas, A. B. (2012). Are the Adolescent Behaviors too Risky? A School-based Study in a District of West Bengal, India. Journal of Tropical Pediatrics, 58(6), 496–500. doi:10.1093/tropej/fms006
   PubMed Web of Science ®Google Scholar
• Nandagaon, V. S., & Raddi, S. A. (2020). Depression and Suicidal Ideation as a Consequence of Academic Stress among Adolescent Students. Indian Journal of Forensic Medicine & Toxicology, 14(4), 12344. doi:10.37506/ijfmt.v14i4.12344
   Google Scholar
• Nath, Y., Paris, J., Thombs, B., & Kirmayer, L. (2012). Prevalence and social determinants of suicidal behaviours among college youth in India. The International Journal of Social Psychiatry, 58(4), 393–399. doi:10.1177/0020764011401164
   PubMed Web of Science ®Google Scholar
• Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., … Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry, 192(2), 98–105.
   PubMed Web of Science ®Google Scholar
• Pandey, A. R., Bista, B., Dhungana, R. R., Aryal, K. K., Chalise, B., & Dhimal, M. (2019). Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from Global School-based Students Health Survey. PLoS One, 14(4), e0210383. doi:10.1371/journal.pone.0210383
   PubMed Web of Science ®Google Scholar
• Pavani, N., Anirudh, G., Kothia, N. R., Shaik, P. S., Priya, K. K., & Yaddanapalli, S. C. (2021). Depression, suicidal ideation, and suicidal behaviors among dental students of Neo-state capital region in India. Journal of Education and Health Promotion, 10, 432. doi:10.4103/jehp.jehp_186_21
   PubMedGoogle Scholar
• Peltzer, K., & Pengpid, S. (2012). Suicidal ideation and associated factors among school-going adolescents in Thailand. International Journal of Environmental Research and Public Health, 9(2), 462–473. doi:10.3390/ijerph9020462
   PubMed Web of Science ®Google Scholar
• Peltzer, K., & Pengpid, S. (2017). Suicidal ideation and associated factors among students aged 13–15 years in Association of Southeast Asian Nations (ASEAN) member states, 2007–2013. International Journal of Psychiatry in Clinical Practice, 21(3), 201–208. doi:10.1080/13651501.2017.1301486
   PubMed Web of Science ®Google Scholar
• Peltzer, K., Yi, S., & Pengpid, S. (2017). Suicidal behaviors and associated factors among university students in six countries in the Association of Southeast Asian Nations (ASEAN). Asian Journal of Psychiatry, 26, 32–38. doi:10.1016/j.ajp.2017.01.019
   PubMed Web of Science ®Google Scholar
• Pengpid, S., & Peltzer, K. (2020). Suicide attempt and associated factors among adolescents in five Southeast Asian Countries in 2015. Crisis, 41(4), 296–303. doi:10.1027/0227-5910/a000642
   PubMedGoogle Scholar
• Pillay, J. (2021). Suicidal behaviour among university students: A systematic review. South African Journal of Psychology, 51(1), 54–66.
   Web of Science ®Google Scholar
• Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 80(6), 982–994.
   PubMed Web of Science ®Google Scholar
• Putra, I., Karin, P., & Ariastuti, N. (2019). Suicidal ideation and suicide attempt among Indonesian adolescent students. International Journal of Adolescent Medicine and Health, 33(5), 35. doi:10.1515/ijamh-2019-0035
   Google Scholar
• Owusu-Ansah, F. E., Addae, A. A., Peasah, B. O., Asante, K., & Osafo, J. (2020). Suicide among university students: Prevalence, risks and protective factors. Health Psychology and Behavioral Medicine, 8(1), 220–233.
   PubMed Web of Science ®Google Scholar
• Rahman, M. E., Saiful Islam, M., Mamun, M. A., Moonajilin, M. S., & Yi, S. (2022). Prevalence and factors associated with suicidal ideation among University Students in Bangladesh. Archives of Suicide Research, 26(2), 975–984. doi:10.1080/13811118.2020.1833800
   PubMed Web of Science ®Google Scholar
• Rallis, B. A., Esposito-Smythers, C., Disabato, D. J., Mehlenbeck, R. S., Kaplan, S., … Geer, L. (2018). A brief peer gatekeeper suicide prevention training: Results of an open pilot trial. Journal of Clinical Psychology, 74(7), 1106–1116.
   PubMed Web of Science ®Google Scholar
• Rasheduzzaman, M., Al-Mamun, F., Hosen, I., Akter, T., Hossain, M., Griffiths, M. D., & Mamun, M. A. (2022). Suicidal behaviors among Bangladeshi university students: Prevalence and risk factors. PLoS One, 17(1), e0262006. doi:10.1371/journal.pone.0262006
   PubMed Web of Science ®Google Scholar
• Saingam, D., Assanangkornchai, S., & Geater, A. F. (2012). Drinking-smoking status and health risk behaviors among high school students in Thailand. Journal of Drug Education, 42(2), 177–193. doi:10.2190/DE.42.2.d
   PubMed Web of Science ®Google Scholar
• 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. Rev Latino-Am Enfermagem, 25, 2878. doi:10.1590/1518-8345.1592.2878
   Web of Science ®Google Scholar
• Schilling, E. A., Aseltine, R. H., & James, A. (2016). The SOS suicide prevention program: Further evidence of efficacy and effectiveness. Prevention Science, 17(2), 157–166. doi:10.1007/s11121-015-0594-3
   PubMed Web of Science ®Google Scholar
• Senanayake, S. J., Gunawardena, S., Wickramasinghe, S., Wickramasinghe, C., Gunawardena, N. S., Lokubalasooriya, A., … Rani, M. (2019). Prevalence and correlates of interpersonal violence among in-school adolescents in Sri Lanka: Results from the 2016 Sri Lankan Global School-Based Health Survey. Asia-Pacific Journal of Public Health, 31(2), 147–156. doi:10.1177/1010539519825600
   PubMed Web of Science ®Google Scholar
• Sidhartha, T., & Jena, S. (2006). Suicidal behaviors in adolescents. Indian Journal of Pediatrics, 73(9), 783–788. doi:10.1007/BF02790385
   PubMedGoogle Scholar
• Singh, S., Manjula, M., & Philip, M. (2012). Suicidal risk and childhood adversity: A study of Indian college students. Asian Journal of Psychiatry, 5(2), 154–159. doi:10.1016/j.ajp.2012.02.024
   PubMedGoogle Scholar
• Swain, S., Mohanan, P., Sanah, N., Sharma, V., & Ghosh, D. (2014). Risk behaviors related to violence and injury among school-going adolescents in Karnataka, Southern India. International Journal of Adolescent Medicine and Health, 26(4), 551–558. doi:10.1515/ijamh-2013-0334
   PubMedGoogle Scholar
• Tareq, S. R., Likhon, R. A., Rahman, S. N., Akter, S., Basher, M. S., Hasan, M. S., … Khan, M. K. (2020). Depression among medical students of Bangladesh. Mymensingh Medical Journal, 29(1), 16–20.
   PubMedGoogle Scholar
• Tang, T. C., Jou, S. H., Ko, C. H., Huang, S. Y., & Yen, C. F. (2009). Randomized study of school-based intensive interpersonal psychotherapy for depressed adolescents with suicidal risk and parasuicide behaviors. Psychiatry and Clinical Neurosciences, 63(4), 463–470. doi:10.1111/j.1440-1819.2009.01991.x
   PubMed Web of Science ®Google Scholar
• Tasnim, R., Islam, M. S., Sujan, M., Sikder, M. T., & Potenza, M. N. (2020). Suicidal ideation among Bangladeshi university students early during the COVID-19 pandemic: Prevalence estimates and correlates. Children and Youth Services Review, 119, 105703. doi:10.1016/j.childyouth.2020.105703
   PubMed Web of Science ®Google Scholar
• Tresno, F., Ito, Y., & Mearns, J. (2012). Self-injurious behavior and suicide attempts among Indonesian college students. Death Studies, 36(7), 627–639. doi:10.1080/07481187.2011.604464
   PubMed Web of Science ®Google Scholar
• Vijayakumar, L., Daly, C., Arafat, Y., & Arensman, E. (2020). Suicide prevention in the Southeast Asia Region. Crisis, 41(Suppl 1), S21–S29. doi:10.1027/0227-5910/a000666
   PubMedGoogle Scholar
• Wells, G. A., Shea, B., O’Connell, D. A., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2000). The Newcastle-Ottawa Scale (NOS) for assessing the quality of non randomised studies in meta-analyses. Retreived October 4, 2022, from https://apps.who.int/iris/handle/10665/44271
   Google Scholar
• World Health Organization. (2021). Suicide worldwide in 2019: Global Health Estimates. Retrieved September 15, 2021, from https://www.who.int/publications/i/item/9789240026643.
   Google Scholar
• Wu, A., Wang, J. Y., & Jia, C. X. (2015). Religion and completed suicide: A meta-analysis. PLoS One, 10(6), e0131715. doi:10.1371/journal.pone.0131715
   PubMed Web of Science ®Google Scholar
• Xavier, A., Otero, P., Blanco, V., & Vázquez, F. L. (2019). Efficacy of a problem‐solving intervention for the indicated prevention of suicidal risk in young Brazilians: Randomized controlled trial. Suicide & Life-Threatening Behavior, 49(6), 1746–1761. doi:10.1111/sltb.12568
   PubMed Web of Science ®Google Scholar