Background The high number of adolescents and young adults harbouring suicidal ideation, as reported by the Ministry of Health Malaysia, is alarming. This cross-sectional study aims to examine the association between social support and spiritual wellbeing in predicting suicidal ideation among Malaysian adolescents. Methods A total of 176 adolescents in selected urban areas in the states of Wilayah Persekutuan and Selangor were selected. The Suicide Ideation Scale (SIS) was used to measure the level of severity or tendency of suicidal ideation. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to measure the perceived social support received by the respondent while the Spiritual Wellbeing Scale (SWBS) was used to measure the religious wellbeing (RWB), the existential wellbeing (EWB) and the overall score of spiritual wellbeing (SWB). Results The study found that both RWB and EWB showed significant negative correlation with suicidal ideation. Similarly, support from family and friends also showed a negative correlation with suicidal ideation. Further analysis using multiple regressions showed that RWB and SWB, and family support predict suicidal ideation in adolescents. Conclusion Spiritual wellbeing in combination with family support plays a major role in predicting suicidal ideation. Therefore, intervention for encompassing spirituality and family support may contribute to a more positive outcome in suicidal adolescents.
The prevalence of motorcycle street racing is increasing in Malaysia and has become a major public concern. As
The surge prevalence of suicidal behavior among Malaysian attracts attention for prevention and intervention. More recent plates measure suicide behavior per se and predict the tendency of future suicide behavior. However, in Malaysia, such scales were understudied and cause a massive lack of scales and instruments to measure suicidal behavior among Malaysian who was converse in Malay. This study aims to examine the psychometric properties of the translated the Revised-Suicide Ideation Scale (R-SIS) Malay version adapted from the Revised-Suicide Ideation Scale (R-SIS) developed by Rudd (1989). The scales were translated using the back-translation technique once the researcher gets approval for translation from the original author and reviewed by Medical Research Ethics Committee (MREC). The data obtained from a home-to-home survey around Citizen's Housing Project in Kuala Lumpur and Selangor using purposive random sampling. Overall, a sample of 263 adolescents participated by answering two scales measuring suicidal behavior in this study. The data were analyzed using descriptive statistics, correlation, reliability, and factorial analyses. The results yielded excellent reliability of the Malay translated Revised-Suicide Ideation Scale (R-SIS) and moderate concurrent validity with Beck Suicide Ideation (BIS). Meanwhile, the item-total correlation also shows an excellent discriminant validity. The factorial analysis produces only one factor, and the entire items are loaded into one component. This finding suggests that the Malay version of the Revised-Suicide Ideation Scale (R-SIS) is reliable for measuring suicide ideation and is appropriate for predicting suicide tendencies, particularly in Malaysian adolescents. Further studies are required to examine R-SIS Malay version construct among clinical samples.
Medication adherence, especially among children and adolescents with psychiatric disorders, is often seen as a major treatment challenge. The purpose of this study is to systematically review studies addressing specific aspects of parental factors that are positively or negatively associated with medication adherence among children and adolescents with psychiatric disorders. A systematic literature search of English language publications, from inception through December 2021, was conducted from PubMed, Scopus, and MEDLINE databases. This review has complied with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. A total of 23 studies (77,188 participants) met inclusion criteria. Nonadherence rates ranged between 8% to 69%. Parents’ socioeconomic background, family living status and functioning, parents’ perception and attitude towards the importance of medication taking in treating psychiatric disorders, and parents’ mental health status are significant parental characteristics associated with medication adherence in children and adolescents with psychiatric disorders. In conclusion, by identifying specific parental characteristics related to the medication adherence of children and adolescents with psychiatric disorders, targeted interventions on parents could be developed to guide parents in improving their child’s medication adherence.
IntroductionThe rate of suicide ideation everywhere continues to increase, and adolescents are therefore at risk of displaying suicidal behaviour. This study examined the protective role of the reasons for living and coping strategies in reducing suicidal ideation among young adolescents in Malaysia.MethodsA cross-sectional survey was conducted among 176 adolescents aged between 13 and 19 years of age with the majority being Malay and Muslim. The Brief Reasons for Living for Adolescents (BRFL-A), Jalowiec Coping Scale and Suicide Ideation Scale were employed.ResultsThe results showed that the reasons for living and palliative coping strategy correlated negatively with suicide ideation; although, further analysis using multiple regression revealed that family alliance and optimistic and palliative coping strategies were found to be significant reasons for living that protect adolescents from suicidal thoughts. Also, those adolescents who used emotive and evasive coping strategies had higher suicidal ideation.ConclusionCultural and social values continue to play an important role in protecting adolescents in Malaysia from suicidal behaviour.
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