Guidelines for managing a district health system for solving the problems of parasuicide and completed suicide: a case study of Phromphiram District, Phitsanulok Province
Keywords:
Completed suicide, Parasuicide, Mental healthAbstract
The purposes of this descriptive research were 1) to study the population's characteristics and behaviors of parasuicide and completed suicide and 2) to study guidelines for suicide managing in a district health system of the population living in Phromphiram district, Phitsanulok. Data were collected from 2 groups from 2012 to 2016 including; 1) 145 people who conducted intentional self-harm behaviors, using a standard form for depression and self-harm surveillance system (Report 506 DS) and 2) 29 death certificates of people who committed suicide, and data were analyzed using logistic regression. An in-depth interview was conducted with 16 stakeholder staffs who were in Phromphiram district health system, and data were
analyzed using content analysis.
The result showed that 1) the causes of parasuicide of those who are between 20 and 29 years old (49.0%), the cause of parasuicide is an intimate quarrel (37.1%) and overdose of medicine (31.8%). In additional, factors that were influenced completed suicide were gender, major depressive disorder, and stress, at p-value = 0.05. The guidelines for managing a district health system in terms of completed suicide and parasuicide were composed of (1) developing a service system for patients who were in a mental health crisis in the district, (2) providing a standard psychiatric service in according to the national mental health service system as a public health service unit in sub-district, and (3) providing knowledge and technology for preventing suicide and following up suicide attempters in the area of responsibility, including investigation the cause of suicide in order to design an appropriate guideline.
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