Patterns of suicide in Brunei Darussalam and comparison with neighbouring countries in South East Asia

Telisinghe, Pemasari Upali; Colombage, Senarath M.

doi:10.1016/j.jflm.2013.11.007

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…Overall, suicide rates among Indigenous peoples varied at all levels of aggregation in both high-income and low- and middle-income countries, and spanned from zero to 187.5 deaths per 100,000 person-years (PY; Table 2 ). In high-income countries, national and provincial suicide rates among Indigenous peoples ranged from 1.7 per 100,000 in Brunei Darussalam [ 40 ] to 50.4 per 100,000 among Aboriginal and Torres Strait Islanders in Northern Territory, Australia [ 41 ]. Rates in high-income countries were highest among rural Indigenous populations and in sparsely populated regions such as the Arctic.…”

Section: Resultsmentioning

confidence: 99%

Global incidence of suicide among Indigenous peoples: a systematic review

Pollock

Naicker

Loro

et al. 2018

BMC Med

110

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BackgroundSuicide is the second leading cause of death among adolescents worldwide, and is a major driver of health inequity among Indigenous people in high-income countries. However, little is known about the burden of suicide among Indigenous populations in low- and middle-income nations, and no synthesis of the global data is currently available. Our objective was to examine the global incidence of suicide among Indigenous peoples and assess disparities through comparisons with non-Indigenous populations.MethodsWe conducted a systematic review of suicide rates among Indigenous peoples worldwide and assessed disparities between Indigenous and non-Indigenous populations. We performed text word and Medical Subject Headings searches in PubMed, MEDLINE, Embase, Cumulative Index of Nursing and Allied Health (CINAHL), PsycINFO, Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SciELO) for observational studies in any language, indexed from database inception until June 1, 2017. Eligible studies examined crude or standardized suicide rates in Indigenous populations at national, regional, or local levels, and examined rate ratios for comparisons to non-Indigenous populations.ResultsThe search identified 13,736 papers and we included 99. Eligible studies examined suicide rates among Indigenous peoples in 30 countries and territories, though the majority focused on populations in high-income nations. Results showed that suicide rates are elevated in many Indigenous populations worldwide, though rate variation is common, and suicide incidence ranges from 0 to 187.5 suicide deaths per 100,000 population. We found evidence of suicide rate parity between Indigenous and non-Indigenous populations in some contexts, while elsewhere rates were more than 20 times higher among Indigenous peoples.ConclusionsThis review showed that suicide rates in Indigenous populations vary globally, and that suicide rate disparities between Indigenous and non-Indigenous populations are substantial in some settings but not universal. Including Indigenous identifiers and disaggregating national suicide mortality data by geography and ethnicity will improve the quality and relevance of evidence that informs community, clinical, and public health practice in Indigenous suicide prevention.Electronic supplementary materialThe online version of this article (10.1186/s12916-018-1115-6) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Global incidence of suicide among Indigenous peoples: a systematic review

Pollock

Naicker

Loro

et al. 2018

BMC Med

110

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“…participants (%male/age range) Study Design Method of Suicide * No. of ethnic minority groups How ethnic group was defined Quality assessment Pavlovic (2001) Australia, Croatia, Slovenia 43 Australia: 1988–1997, Croatia and Slovenia:1985–1994 28,788 (NA/ all ages) Case series All 4 Proxy: Migrant status Low Malenfant (2004) Canada 44 1995–1997 (average) 3863 (79·1%/all ages) Case series All 2 Proxy: Migrant status Low Karmali (2005) Canada 45 1999–2002 data grouped NA (NA/ all ages) Cohort ‘Traumatic’ suicide 2 Self-report/census linked High Yun (2016) USA 46 2000–2014 26,857 (NA/ all ages) Case series All 3 Coroner/death records Moderate Wissow (2001) ** USA 47 1990–1993 23 (NA/ all ages) Case series All 1 Self-report/census linked High Wainiqolo (2012) Fiji 48 2005–2006 73 (63·9%/all ages) Case series All 2 Self-report/census linked Low Voracek (2009) ** Austria 49 1970–2006 1439 (NA/ all ages) Case series All 21 Proxy: Migrant status Low Telisinghe (2014) Brunei 50 1999–2010 124 (81%/ all ages) Case series All 3 ...…”

Section: Resultsmentioning

confidence: 99%

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

et al. 2022

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“…11 It may be due to the prohibition of alcohol sale, especially to individuals at risk could have an important effect in reduction of thinking about suicide. 28 Furthermore, according to the model of stress-diathesis, risk factors like alcohol use imposes bigger stress and lead person to commit suicide so as to escape from problems, 11 of most common risk factors, alcohol use/substance abuse represent high percentage in suicide as mentioned by studies. 13,35,45,47…”

Section: Psychosocial Factorsmentioning

confidence: 99%

“…23 Although the majority of suicides (76% in 2012, 79% in 2019) are committed by residents in low-and middle-income countries (LMICs) with 84 percent of the population, 5,26 high income countries (HICs) including Brunei Darussalam (hereinafter is referred to as Brunei)-located in the WHO Western Pacific Region, also suffers from its side effects. 27,28 Furthermore, the majority of the problem has moved to Asia (accounts for higher rate of suicide in the world) from Western Europe. 29 With approximately one-fourth of the world's population located in the 11 countries of the WHO South East Asia Region, almost 40% of the suicide happens in the region.…”

Section: Introductionmentioning

confidence: 99%

Global School-based Student Health Survey reveals correlates of suicidal behaviors in Brunei Darussalam: a nationwide cross-sectional study

Shahedifar¹,

Shaikh

Oporia³

et al. 2020

J Inj Violence Res

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Background: This study aimed to determine the prevalence of and correlates for suicidal behaviors among school attending adolescents in Brunei. Methods: Nationally representative cross-sectional data on (n=2599) adolescents derived from the Global School-based Health Survey in Brunei Darussalam were examined. Data on suicidal behaviors, psychosocial and demographic characteristics were analyzed using multiple logistic regression taking survey design into account.Results: Twelve months prior to being surveyed, the prevalence of suicidal behaviors was 9.3%, 6.5% and 5.9% for suicidal ideation, suicidal plan and suicidal attempt, respectively. Females were overrepresented in attempts (61.2%).Several self-reported characteristics such as suicide ideation (69%), anxiety (28%), and loneliness (30%) were significantly different between the attempters of suicide and non-attempters (p less than 0.05). Also, some suicide-related behaviors such as having planned a suicide (52%), being bullied (21%), involved in a physical fight (29%), serious injury (29%), early sexual debut (8.5%), alcohol use at early age (21%), alcohol use in the past 30-days (12%), and being physically attacked (30%) differed by suicide category (p less than 0.05). Compared to those who did not report attempting suicide, attempters were more likely to have suicide ideation (OR=10.58; 95% CI 5.10, 21.97); have planned suicide (OR=9.82; 95% CI 4.60, 20.96); or sustained serious injury (OR=4.01; 95% CI 2.03, 7.93) within the recall period.Conclusions: This study provided evidence, which overall confirm that the psycho-social environment in school settings modify suicidal behavior. The results, taken together emphasize the importance of the school environment on the development of school attending adolescents. Where possible, the results may provide additional information on which self-reported behaviors represent avenues for potential preventive programming.

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Patterns of suicide in Brunei Darussalam and comparison with neighbouring countries in South East Asia

Cited by 5 publications

References 20 publications

Global incidence of suicide among Indigenous peoples: a systematic review

Global incidence of suicide among Indigenous peoples: a systematic review

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

Global School-based Student Health Survey reveals correlates of suicidal behaviors in Brunei Darussalam: a nationwide cross-sectional study

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