Suicidal ideation and associated factors among students aged 13-15 years in Association of Southeast Asian Nations (ASEAN) member states, 2007-2013.
OBJECTIVE
The aim of this study was to assess suicidal ideation and associated factors in school-going adolescents in the Association of Southeast Asian Nations (ASEAN) member states.


METHODS
The analysis included 30,284 school children aged 13-15 years from seven ASEAN countries that participated in the cross-sectional global school-based student health survey (GSHS) between 2007 and 2013.


RESULTS
The overall prevalence of suicidal ideation in the past 12 months across seven ASEAN countries was 12.3%, significantly higher in girls (15.1%) than boys (9.3%). Among seven ASEAN countries with the highest prevalence of suicidal ideation was in the Philippines (17.0%) and Vietnam (16.9%) and the lowest in Myanmar (1.1%) and Indonesia (4.2%). In multivariable logistic regression analysis, female gender, older age (14 or 15 years), living in a lower middle income country, having no friends, loneliness, bullying victimisation, having been in a physical fight in the past 12 months, lack of parental or guardian support, tobacco use and having a history of ever got drunk were associated with suicidal ideation.


CONCLUSIONS
Different rates of suicidal ideation were observed in ASEAN member states. Several risk factors for suicidal ideation were identified which can help guide preventive efforts.
a ASEAN Institute for Health Development, Mahidol University , Nakhon Pathom , Thailand.|b Department of Research Innovation and Development , University of Limpopo , Turfloop Campus , Sovenga , South Africa.|c HIV/AIDS/STIs and TB (HAST) , Human Sciences Research Council , Pretoria , South Africa.
Karl
K
Peltzer
a ASEAN Institute for Health Development, Mahidol University , Nakhon Pathom , Thailand.|b Department of Research Innovation and Development , University of Limpopo , Turfloop Campus , Sovenga , South Africa.
Supa
S
Pengpid
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000367:Age Factors; D001210:Asia, Southeastern / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D013334:Students / Q000523:psychology*; D059020:Suicidal Ideation
Southeast Asia; Suicidal ideation; demographic; factors; psychological; social environment; stress