Gatekeeper Suicide Training's Effectiveness Among Malaysian Hospital Health Professionals: A Control Group Study With a Three-Month Follow-Up

Siau, Ching Sin; Wee, Lei Hum; Ibrahim, Norhayati; Visvalingam, Uma; Yeap, Lena Lay Ling; Wahab, Suzaily

doi:10.1097/ceh.0000000000000213

Cited by 19 publications

(18 citation statements)

References 54 publications

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“…Frontline health workers, educators, and the general public have received training at regional and national levels from public-private local and international partnerships, as well as NGOs and patient advocacy groups. Siau et al ( 38 ) reported improved awareness of suicide prevention in the short term amongst non-psychiatric health professionals. Future research is needed to build the evidence base for sustainable models of gatekeeper training that are culturally appropriate to diverse populations in Malaysia.…”

Section: Discussionmentioning

confidence: 99%

Looking Into Recent Suicide Rates and Trends in Malaysia: A Comparative Analysis

et al. 2022

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Background: Suicide is a preventable cause of death. Examining suicide rates and trends are important in shaping national suicide prevention strategies. Therefore, the objectives of this study were to analyze age-standardized suicide trends of Malaysia between 2000 and 2019 using the WHO Global Health Estimates data, and to compare the 2019 rate with countries from the Association of South-East Asian Nations (ASEAN), Muslim majority countries, and the Group of Seven (G7).Methods: The age-standardized suicide rates data were extracted from the WHO Global Health Estimates. We calculated the average age-standardized suicide rates of the last 3 years from 2017 to 2019. Joinpoint regression analysis was conducted to calculate the average annual percentage change (APC) of the age-standardized suicide rates in Malaysia from 2000 to 2019.Results: Between 2000 and 2019, the minimum and maximum suicide rates for both sexes in Malaysia were 4.9 and 6.1 per 100,000 population respectively, whilst the past 3-year (2017–2019) average rates were 5.6, 8.8, and 2.4 for both sexes, males, and females, respectively. The suicide rates decreased significantly for both sexes between 2000 and 2013. Between 2014 and 2019, the suicide rates increased significantly for males. In 2019, Malaysia recorded the rate of 5.8 per 100,000 population, with an estimated 1,841 suicide deaths, i.e., ~5 deaths per day. The Malaysian suicide rate was the second highest amongst selected Muslim majority countries, in the middle range amongst ASEAN countries, and lower than all G7 countries except Italy.Conclusions: There is a need to further explore factors contributing to the higher suicide rates among Malaysian males. In light of the rising suicide rates in Malaysia, national mental health and suicide prevention initiatives are discussed and the importance of high-quality suicide surveillance data is emphasized.

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Section: Discussionmentioning

confidence: 99%

Looking Into Recent Suicide Rates and Trends in Malaysia: A Comparative Analysis

et al. 2022

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“…There is a need to further explore attitudes towards suicide among adolescents, with further attempts at diversity and inclusion [40,41]. Increasing awareness of and training healthcare professionals to better identify suicide may be worth exploration as future avenue for further research in this area [42][43][44]. A proper rehabilitation and monitoring programme may be necessary with the longerterm objective of reducing the risk factors and to nurture the protective factors.…”

Section: Discussionmentioning

confidence: 99%

Psychological characteristics of suicide attempters among undergraduate college students in China: a cross-sectional study

et al. 2021

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Background There is a need to understand the psychological characteristics of suicide attempters to prevent future suicide attempts. This study aims to examine potential differences between individuals who have attempted suicide and those who have not done so, on several risk and protective measures. Method Participants were 11,806 undergraduate students from seven provinces in China, of which 237 reported a non-fatal suicide attempt. We used the random numbers generator function within the SPSS to randomly select a control subset of 1185 participants to be used as the comparison group based on a 1:5 case-control ratio. Scores on three commonly used risk measures (depression, hopelessness, and psychache) and three protective measures (social support, self-esteem, and purpose in life) for suicidality were adopted to compare the responses of the two groups. Results Suicide attempters had indicated higher Median scores for all three risk factor measurements. Suicide attempters also reported significantly lower Median scores for all three protective factor measurements compared to non-suicide attempters. The results suggest that the suicide attempters’ group had higher risks of suicidality compared to the non-attempter group. Conclusions Suicide attempters continued to report higher scores of risk factors and lower scores of protective factors, indicating that they may continue to be at a higher likelihood of a suicide attempt. Key protective factors should be identified for each individual in order to deliver appropriate clinical interventions to reduce their risk of reattempting.

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“…This positive outcome is not limited to medical undergraduates as it also applies to nurses who received training in suicide management. Trained nurses were reported to have a strong capability to prevent potential suicide [34] and have improved perceived knowledge, self-efficacy, and willingness to assist suicidal patients [35].…”

Section: Discussionmentioning

confidence: 99%

Attitude Towards Suicide and Help-Seeking Behavior Among Medical Undergraduates in a Malaysian University

et al. 2021

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Objective The attitude of medical personnel towards suicide may influence the outcome of suicidal-patients management. This study aimed to determine the attitudes of medical undergraduates towards suicide and its association with their help-seeking behavior. Methods A cross-sectional study involving 290 medical undergraduates was conducted in a Malaysian university. The questionnaires on the attitude towards suicide and general help-seeking behavior were used as research instruments. Results The mean age of the participants was 22.4 years. Participants who did psychiatry posting indicated a greater tendency to agree on suicide as a way of communication (p = 0.008) than those who did not. Participants previously diagnosed with a psychiatric illness indicated a greater ability to understand and accept suicide (p < 0.001) as well as a greater tendency to agree on the normality of suicide (p = 0.019) than those without a previous diagnosis. Those who attended a suicide prevention program also indicated a greater tendency to agree that loneliness and avoidance could be triggers to suicide (p = 0.037) than those who did not. No correlation was found between the “attitude towards suicide” and “general help-seeking behavior” variable. Conclusion Education programs in suicide prevention and management need to be incorporated early into the undergraduate medical curriculum to cultivate a more positive attitude towards suicide and help-seeking behavior.

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Gatekeeper Suicide Training's Effectiveness Among Malaysian Hospital Health Professionals: A Control Group Study With a Three-Month Follow-Up

Abstract: This study confirmed the short-term effectiveness of the gatekeeper training program. Gatekeeper suicide training is recommended for implementation for nonpsychiatric health professionals nationwide.

Cited by 19 publications

References 54 publications

Looking Into Recent Suicide Rates and Trends in Malaysia: A Comparative Analysis

Looking Into Recent Suicide Rates and Trends in Malaysia: A Comparative Analysis

Psychological characteristics of suicide attempters among undergraduate college students in China: a cross-sectional study

Attitude Towards Suicide and Help-Seeking Behavior Among Medical Undergraduates in a Malaysian University

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