title: Suicide attempts among depressed inpatients with depressive disorder in a Malaysian sample. Psychosocial and clinical risk factors.
abstract: BACKGROUND
  Depressed inpatients constitute a high-risk population for suicide attempts.
  
  
  OBJECTIVE
  To describe the interactions of clinical and psychosocial risk factors influencing suicide attempts among a Malaysian sample of depressed inpatients.
  
  
  METHODS
  Seventy-five subjects were diagnosed with a depressive disorder according to the Structured Clinical Interview for DSM-IV Axis I Disorders-Clinical Version (SCID-CV). Data on suicide attempts, suicidal ideation (Scale for Suicidal Ideation, SSI), depression severity (Beck's Depression Inventory, BDI), recent life-event changes (Social Readjustment Rating Scale, SRRS), sociodemographic and other relevant clinical factors were collected.
  
  
  RESULTS
  A third of the subjects presented after a current suicide attempt. Significant factors for a current suicide attempt were race, religion, recent life-event changes, suicidal ideation, and alcohol use disorder. Independent predictive risk factors for a current suicide attempt were Chinese race, recent marital separation, major mortgage or loans, and being newly diagnosed with depression. Any recent change in personal habits was shown to be a protective factor against current suicide attempt. Age and gender were nonsignificant factors.
  
  
  CONCLUSIONS
  The findings are generally consistent with existing studies and highlight the role of psychosocial risk factors.
authors.affiliation: Department of Psychiatry, National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia. laifchan@gmail.com
authors.forename: L F
authors.initials: LF
authors.lastname: Chan
authors.forename: T
authors.initials: T
authors.lastname: Maniam
authors.forename: A S
authors.initials: AS
authors.lastname: Shamsul
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data; D016015:Logistic Models; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011584:Psychology; D012307:Risk Factors; D012917:Social Adjustment; D018709:Statistics, Nonparametric; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult