Suicide Among Southeast Asian Youth

  • Consuelo C. CagandeEmail author
  • Kalvin Foo


Since the turn of the millennium, suicide among Southeast Asian diverse youth has increased. It has become one of the leading causes of mortality in young people globally. Therefore, it has become a public health concern in developing countries such as those in Southeast Asia (SEA). Suicide was identified to be one of the five leading causes of death in people aged 15–29 years (Patton et al. Lancet. 2009;374(9693):881–92). There appears to be specific predisposing and risk factors, psychiatric diagnoses, and access to means of self-harm among youth who either thought of suicide, attempt suicide, or complete suicide in the majority of these countries. Fortunately, some countries have taken steps to prevention and intervention. In other countries, the stigma of mental illness is still profound. This stigma can translate into their adopted countries such as the USA, where there are profound difference in Asian-American mental healthcare utilization (Abe-Kim et al. Am J Public Health. 2007;97(1):91–98). We performed a literature search of the most recent publications with the most recent statistics and epidemiology of suicide among youth from Southeast Asian ethnicity and found that there are very limited studies or literature. But, there are studies studying mental health among Asian-Americans. The countries we will focus on in this chapter are Brunei, Cambodia, Malaysia, the Philippines, Thailand, and Vietnam.


Southeast Asia Southeast Asian-Americans Asian-Americans Youth Suicide Risk factors Protective factors Prevention 


  1. 1.
    Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009;374(9693):881–92.CrossRefPubMedGoogle Scholar
  2. 2.
    Abe-Kim J, Takeuchi DT, Hong S, Zane N, Sue S, Spencer MS, et al. Use of mental health–related services among immigrant and US-Born Asian Americans: results from the National Latino and Asian American Study. Am J Public Health. 2007;97(1):91–8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Ai AL, Nicdao EG, Appel HB, Lee DHJ. Ethnic identity and major depression in Asian American Subgroups Nationwide: differential findings in relation to subcultural contexts. J Clin Psychol. 2015;71(12):1225–44.CrossRefPubMedGoogle Scholar
  4. 4.
    Centers for Disease Control and Prevention. Suicide facts at a glance 2015.
  5. 5.
    Lee SY, Martins SS, Hochang BL. Mental disorders and mental health service use across Asian American Subethnic Groups in the United States. Community Ment Health J. 2015;51:153–60.CrossRefPubMedGoogle Scholar
  6. 6.
    Blair RG. Risk factors associated with PTSD and major depression among Cambodian refugees in Utah. Health Soc Work. 2000;25(1):23–30.CrossRefPubMedGoogle Scholar
  7. 7.
    Supple AJ, Graves K, Daniel S, Kiang L, Su J, Cavanaugh AM. Ethnic, gender, and age differences in adolescent nonfatal suicidal behaviors. Death Stud. 2013;37(9):830–47.CrossRefPubMedGoogle Scholar
  8. 8.
    World Health Organization. Global health estimates 2015: deaths by cause, age, sex, by country and by region, 2000–2015. Geneva; 2016.Google Scholar
  9. 9.
    World Health Organization. Health for the world’s adolescents. What we can learn from mortality data?
  10. 10.
    World Health Organization. Health for the world’s adolescents. Disability adjusted life years in adolescents by WHO Regions 2000 & 2012 age 10 to 19 years. Disability-adjusted life years: combining mortality and morbidity.
  11. 11.
    Redaniel MT, Lebanan-Dalida MA, Gunnell D. Suicide in the Philippines: time trend analysis (1974–2005) and literature review. BMC Public Health. 2011;11:536.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Blum R, Sudhinaraset M, Emerson MR. Youth at risk: suicidal thoughts and attempts in Vietnam, China, and Taiwan. J Adolesc Health. 2012;50(3 Suppl):S37–44.CrossRefPubMedGoogle Scholar
  13. 13.
    Jegannathan B, Dahlblom K, Kullgren G. Outcome of a school-based intervention to promote life-skills among young people in Cambodia. Asian J Psychiatr. 2014;9:78–84.CrossRefPubMedGoogle Scholar
  14. 14.
    Maniam T, Marhani M, Firdaus M, Kadir AB, Mazni MJ, Azizul A, et al. Risk factors for suicidal ideation, plans and attempts in Malaysia – results of an epidemiological survey. Compr Psychiatry. 2014;55(Suppl 1):S121–5.CrossRefPubMedGoogle Scholar
  15. 15.
    Telisinghe PU, Colombage SM. Patterns of suicide in Brunei Darussalam and comparison with neighbouring countries in South East Asia. J Forensic Legal Med. 2014;22:16–9.CrossRefGoogle Scholar
  16. 16.
    Yadegarfard M, Ho R, Bahramabadian F. Influences on loneliness, depression, sexual-risk behaviour and suicidal ideation among Thai transgender youth. Cult Health Sex. 2013;15(6):726–37.CrossRefPubMedGoogle Scholar
  17. 17.
    Myint S, Rerkamnuaychoke B, Peonim V, Riengrojpitak S, Worasuwannarak W. Fatal firearm injuries in autopsy cases at central Bangkok, Thailand: a 10-year retrospective study. J Forensic Legal Med. 2014;28:5–10.CrossRefGoogle Scholar
  18. 18.
    Ibrahim N, Amit N, Suen MW. Psychological factors as predictors of suicidal ideation among adolescents in Malaysia. PLoS One. 2014;9(10):e110670.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Armitage CJ, Panagioti M, Abdul Rahim W, Rowe R, O’Connor RC. Completed suicides and self-harm in Malaysia: a systematic review. Gen Hosp Psychiatry. 2015;37(2):153–65.CrossRefPubMedGoogle Scholar
  20. 20.
    Page RM, West JH, Hall PC. Psychosocial distress and suicide ideation in Chinese and Philippine adolescents. Asia Pac J Public Health. 2011;23(5):774–91.CrossRefPubMedGoogle Scholar
  21. 21.
    Jollant F, Malafosse A, Docto R, Macdonald C. A pocket of very high suicide rates in a non-violent, egalitarian and cooperative population of South-East Asia. Psychol Med. 2014;44(11):2323–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Kim LS, Chun C. Ethnic differences in psychiatric diagnosis among Asian American adolescents. J Nerv Ment Dis. 1993;181(10):612–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Huang KY, Calzada E, Cheng S, Brotman L. J Pediatr. 2012;160(2):331–6.CrossRefPubMedGoogle Scholar
  24. 24.
    Willgerodt MA. Family and peer influences on adjustment among Chinese, Filipino, and white youth. Nurs Res. 2008;57(6):395–405.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Ahmad N, Cheong SM, Ibrahim N, Rosman A. Suicidal ideation among Malaysian adolescents. Asia Pac J Public Health. 2014;26(5 Suppl):63S–9S.CrossRefPubMedGoogle Scholar
  26. 26.
    UNDP, USAID. Being LGBT in Asia: Thailand country report. Bangkok; 2014.
  27. 27.
    Zhou M, Bankston CL. Growing up American: how Vietnamesse children adapt to life in the United States. New York: Russell Sage Foundation; 1998.Google Scholar
  28. 28.
    Tran TV, Manalo V, Nguyen VT. Nonlinear relationship between length of residence and depression in a community-based sample of Vietnamese Americans. Intl J Soc Psychiatry. 2007;53(1):85–94.CrossRefGoogle Scholar
  29. 29.
    Nguyen PV. Perceptions of Vietnamese Fathers’ acculturation levels, parenting styles, and mental health outcomes in Vietnamese American adolescent immigrants. Soc Work. 2008;53(4):337–45.CrossRefPubMedGoogle Scholar
  30. 30.
    Wyatt LC, Ung T, Park R, Kwon SC, Trinh-Shevrin C. Risk factors of suicide and depression among Asian American, Native Hawaiian, and Pacific Islander youth: a systematic literature review. J Health Care Poor Underserved. 2015;26(2):191–237.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Willgerodt MA, Thompson EA. Ethnic and generational influences on emotional distress and risk behaviors among Chinese and Filipino American adolescents. Res Nurs Health. 2006;29:311–24.CrossRefPubMedGoogle Scholar
  32. 32.
    Kalibatseva A, Leong FTL, Ham EH. Psychol Med. 2014;44:2567–78.CrossRefPubMedGoogle Scholar
  33. 33.
    World Health Organization. World Health Organization 2008. Suicide and suicide prevention in Asia. ISBN 978 92 4 159689 3.
  34. 34.
    Li H, Seidman L. Engaging Asian American youth and their families in quality mental health services. Asian J Psychiatr. 2010;3:169–72.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Fox PF, Rosetti J, Burns KR, Popovich J. South Asian refugee children: a school-based mental health intervention. Int J Psychiatr Nurs Res. 2005;11(1):1227–37.PubMedGoogle Scholar
  36. 36.
    Kitada M. Genetic polymorphism of cytochrome P450 enzymes in Asian populations:focus on CYP2D6. Int J Clin Pharmacol Res. 2003;23(1):31–5.PubMedGoogle Scholar
  37. 37.
    Guerrero APS, Hishinuma ES, Andrade NN, Nishimura ST, Cunanan VL. Intl J Soc Psychiatry. 2006;52(4):343–35.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of PsychiatryCooper Medical School of Rowan University and Cooper Health SystemCamdenUSA

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