The development of an integrated counseling model with stakeholder participation in preventing suicidal risk behaviors among adolescents
Keywords:
Model Development, Counseling, Suicidal Behavior Risks in AdolescentsAbstract
This developmental research aimed to 1) study the problems and factors related to suicidal risk behaviors in adolescents 2) develop of an integrated counseling model with stakeholders to participate in preventing suicidal behavior risks in adolescents 3) evaluate the effectiveness of the counseling model. The research was conducted in 3 stages: Stage 1 To studied the problems and related factors. The sample consisted of 40 students with mild to severe depression and 35 related stakeholders including teachers, friends, family, nurses and public health officers. The research instruments were the Thai version of The Patient Health Questionnaire for Adolescent: PHQ-A) and the semi-structured interview form. Data were analyzed using content analysis. Phase 2 Development of the consultation model developed by the researcher. The model passed the content validity check by 3 experts. The item consistency scores for each item were between .67-1.00. Phase 3: Evaluation of the effectiveness of the counseling model. The sample consisted of 20 students with mild to severe depression. They were randomly assigned to an experimental group and a control group, with 10 students per group. The research instruments were the Adolescent Depression Assessment Form. Data were analyzed using the Wilcoxon signed ranks test and the Mann-Whitney U test. The results of the research found that:
1. The problem of suicidal behavior in adolescents is increasing. The related factors include negative life events, rumination, stress and depression.
2. The model has 6 activities, including promoting positive attitudes and participation of those involved, assessing problems and needs, adjusting thoughts and behavior, strengthening self-worth social support and strengthening and sustaining
3. After the experiment, the experimental group's mean depression score was lower than before the experiment, with a statistically significant difference at the .05 level and the mean depression scores of the experimental and control groups after the experiment were not statistically significant difference at the .05
Therefore, this counseling model can help prevent suicide risk behavior in adolescents and use basic information to formulate policies for student care and assistance with the participation of teachers, friends, parents, and public health officials.
References
Austad, C. S. (2009). Counseling and Psychotherapy Today: Theory, Practice, and Research. New York: McGraw Hill.
Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond.(2nd ed). New York: The Guilford Press.
Beck, A. T., & Alford, B. A. (2009). Depression: Clinical, Experimental, and Theoretical Aspects (2ndeds.). Pennsylvania: University of Pennsylvania.
Chaniang, S., Fongkaew, W., Stone, T. E., & Sethabouppha, H. (2019). Development and evaluation of a suicide prevention program for secondary school students. Pacific Rim International Journal of Nursing Research, 23(3), 201-212.
Chaniang, S., & Meuangkhwa, P. (2019). Adolescent suicide rick behavior. Journal of Nursing Siam University, 20(39), 121-130. (in Thai)
Child and Adolescent Mental Health Rajanakarindra Institute. (2018). Development of the Thai version of the Patient Health Questionnaire for Adolescents. Department of Mental Health, Ministry of Public Health). (in Thai)
Cohen, J. M., & Uphoff, N. T. (1981). Rural Development Participation: Concept and Measures for Project Design Implementation and Evaluation. Ithaca, NY: Rural Development Committee Center for Internation Studies, Cornell University.
Corey, G. (2016). Theory and Practices of Group Counseling (8th ed.). Belmont, CA: Brooks/Cole. Cengage Learning.
Dexter, G., & Wash, M. (1995). Psychiaitric Nursing Skills: A Patient-Centered Approach(2nded.). London: Chapman&Hall.
Hataiyusuk, S., & Apinuntavech, S. (2020). Adolescent suicide in Thailand: Incidence, causes and prevention. Siriraj Medical Bulletin, 13(1), 40-47. (in Thai)
Jansam, S. (2016). The Development of Community Participation Model for Suicide Prevention in Yasothon Province. A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Nursing Science in Nursing Administration, Sukhothai Thammathirat Open University. (in Thai)
Joungtrakul, J., & Wongprasit, N. (2019). Content analysis for data analysis in qualitative research. PAAT Journal, 2(2), 1-14. (in Thai)
Khammanee, N. (2016). A Development of Integrative Multi-Theoretical Group Counseling: Existential and Reality Therapy to Enhancing the Reasons for Living of Female Inmates. A Dissertation Submitted in Partial Fulfillment of the Requirements for the Counseling Psychology, Burapha University. (in Thai)
Monthong, A. (2015). The Effective of Gestal Group Counselling on The Enhancement of Psychology Immunity of Lower Secondary School. A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Science in Counseling Psychology, Burapha University. (in Thai)
Panyawong, W., Pavasuthipaisit, C., & Santitadakul, R. (2022). Validation of the Thai version of the patient health questionnaire for adolescents (PHQ-A) in school setting. Journal of Mental Health of Thailand, 30(1), 38-48. (in Thai)
Rungsang, B., & Chaimongkol N. (2017). The prevalence of suicidal ideation among high school students in Thailand and its potential related risk factor. Thai Pharmaceutical and Health Science Journal, 12(1), 31-35. (in Thai)
Sukhawaha, S., & Arunpongpaisal, S. (2017). Risk factor and theory associated with suicide in adolescents: Narrative reviews. Journal of the Psychiatric Association of Thailand, 62(4), 359-378. (in Thai)
Thapinta, D. (2015). Cognitive behavior counseling. Nursing Journal CMU, 42(Supplement), 205-213. (in Thai)
Vanprom, W., Saithanwanitkul, M., Chantarachit, R., & Aekwarangkoon, S. (2022). The effective of depression and mental trauma experience on suicide risk among elementary school students in extended opportunity schools, Nakhon Si Thammarat province. The Journal of Psychiatric Nursing and Mental Health, 36(1), 88-103.
Vatansin, D. (2023). Adolescent Depression: Basic Concept and Nursing Care. Chiang Mai: Wanida Printing.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Journal of Nursing and Education
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
