Controlling Noncommunicable Diseases in Transitional Economies: Mental Illness in Suicide Attempters in Singapore-An Exploratory Analysis

Biomed Res Int. 2019 Jan 15:2019:4652846. doi: 10.1155/2019/4652846. eCollection 2019.

Abstract

Background: Mental illness is a pertinent risk factor related to suicide. However, research indicates there might be underdiagnosis of mental illness in Asian suicide attempters; this phenomenon is concerning. This study explored prediction of diagnosis of mental illness in suicide attempters in Singapore using available variables.

Methods: Three years of medical records related to suicide attempters (N = 462) who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. Of the sample, 25% were diagnosed with mental illness; 70.6% were females and 29.4% were males; 62.6% were Chinese, 15.4% Malays, and 16.0% Indians. Their age ranged from 12 to 86 (M = 29.37, SD = 12.89). All available variables were subjected to regression analyses.

Findings: The full model was significant in predicting cases with and without diagnosis of mental illness and accurately classified 79% of suicide attempters with diagnosis of mental illness.

Conclusions: The findings were discussed in regard to clinical implications in diagnosis and primary prevention.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian People
  • Child
  • Emergency Service, Hospital
  • Female
  • Hospitalization
  • Humans
  • Male
  • Mental Disorders / prevention & control*
  • Middle Aged
  • Noncommunicable Diseases / prevention & control*
  • Risk Factors
  • Singapore
  • Suicide Prevention*
  • Suicide, Attempted / prevention & control*
  • Young Adult