Depression and Suicide Literacy and Mental Health Seeking Behavior among Family Caregivers of Older People in Community


  • Phachongchit Kraithaworn Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Suwatjana Noinam Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University


depression and suicide literacy, mental health seeking behavior, family caregivers of older people in the community


The purpose of this descriptive research was to examine the relationship between personal factors, depression and suicide literacy and mental health seeking behavior among family caregivers of older people in community. The sample consisted of 400 family caregivers of older people in Nakhon Pathom province. The measurements used for data collection were personal information questionnaires, the depression and suicide literacy questionnaire, actual mental help and mental health seeking behavior questionnaire. The measurements were tested for content validity and reliability. The reliability of measurements was .94 and .81. Data were analyzed using descriptive statistics, Pearson’s product moment correlation, Spearman’s rank correlation, Point Biserial and Biserial correlation. The findings revealed that depression and suicide literacy was significantly associated with mental health seeking behavior (r = .25, p = .01), age (r = -.142, p <.01), and education (rb = .380, p <.01). While the relationship between mental health seeking behavior was found to be associated with age (rs = -. 149, p <.01) and education (rb = .251, p <.05). Consequently, nurses and health personnel should organize interventions to enhance knowledge about depression and suicide for older people’s caregivers in order to foster depression and suicide literacy which may lead to further access to mental health services in older people.


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World Health Organization. Depression and other common mental disorders: global health estimates. Geneva, Switzerland: WHO Document Production Services; 2017.

Bunloet A. Prevalence and factors associated with depression among the elderly community residents with chronic diseases in Samliam urban primary care unit, Khon Kaen. Srinagarind Med J. 2016;31(1):25-33. (in Thai)

Charoensakulchai S, Usawachoke S, Kongbangpor W, et al. Prevalence and associated factors influencing depression in older adults living in rural Thailand: A cross-sectional study. Geriatr. Gerontol. Int. 2019;19:1248-1253.

Saelim S. Prevalence and associated factors of depression in the elderly in Muang district, Ranong province. Reg 11 Med J. 2019;31(1): 193-202. (in Thai).

Phantong W, Khammathi A, Saengthong W, Nilphat O, Khakhuen S. Prevalence and factors related to depression among elderly people in community hospitals. The Southern College Network Journal of Nursing and Public Health. 2020;7(2):114-26. (in Thai).

Wongpanarak N, Chaleoykitti S. Depression: a significant mental health problem of elderly. Journal of The Royal Thai Army Nurses. 2014;15(3):24-31. (in Thai).

Pocklington C. Depression in older adults. BJMP. 2017;10(1):8-14.

Eawarangkun S. Understand and take care of depression. 2nded. Bangkok: Chulalongkorn University Press; 2011. (in Thai).

White M, Casey L. Helping older adults to help themselves: the role of mental health literacy in family members. Aging Ment Health. 2017;21(11):1129-37.

Ediriweera HW, Fernando SM, Pai NB. Mental health literacy survey among Sri Lankan carers of patients with schizophrenia and depression. Asian J Psychiatr.2012;5:246-50.

Jorm AF, Barney LJ, Christensen H, Highet NJ, Kelly CM, Kitchener BA. Research on mental health literacy: what we know and what we still need to know. Aust N Z J Psychiatry. 2006;40(1):3-5.

Ram D, Chandran S, Gowdapp B. Suicide and depression literacy among healthcare profession students in tertiary care center in South. J. Mood Disord. 2017;7(3):149-55.

Kerebih H, Abera M, Soboka M. Pattern of help seeking behavior for common mental disorders among urban residents in southwest Ethiopia. Qual Prim Care.2017;25(4):208-16.

Venkataraman S, Patil R, Balasundaram S. Why mental health literacy still matters: a review. Int J Community Med Public Health. 2019; 6(6):2723-9.

Yu Y, Liu Z, Hu M, Liu H, Yang JP, Zhou L, et al. Mental health help-seeking intentions and preferences of rural Chinese adults. PLoS One. 2015;10(11):1-16.

Kim YS, Rhee TG, Lee HY, Park BH, Sharratt ML. Mental health literacy as a mediator in use of mental health services among older Korean adults. Int.Psychogeriatr. 2017;29(2):269-79.

Thangkratok P, Palacheewa N, Trainattawan W, Boonpradit P. Mental health literacy: concept and application for mental health problem prevention in older adults. CMMJ. 2020;59(3):163-72. (in Thai).

Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers R, Pollitt P. “Mental health literacy”: a survey of the public’s ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Med. J. Aust. 1997;166(182):182-6.

Cochran WG. Sampling techniques. 2nd ed. New York: John Wiley and Sons;1963.

Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioral therapy interventions on stigmatizing attitudes to depression: Randomized controlled trial. Br. J. Psychiatry. 2004;185:342-9.

Chan WI, Batterham P, Christensen H, Galletly C. Suicide literacy, suicide stigma and help-seeking intentions in Australian medical students. Australas Psychiatry. 2014;22(2):132-9.

Rickwood D, Deane F, Wilson C, Ciarrochi J. Young people’s help-seeking for mental health problems. AeJAMH. 2005; 4(3) (Supplement): 3-34.

Roberts T, Miguel Esponda G, Krupchanka D, Shidhaye R, Patel V, Rathod S. Factors associated with health service utilisation for common mental disorders: a systematic review. BMC Psychiatry. 2018 Aug 22;18(1):262.

Mojtabai R, Evans-Lacko S, Schomerus G, Thornicroft G. Attitudes toward mental health help seeking as predictors of future help-seeking behavior and use of mental health treatments. Psychiatr Serv. 2016; 67(6):650-7.

Shwetha KT, PR, D’souza L. Help seeking behavior among caregivers of psychotic patientsinfluence of select demographic factors. Int j Indian psychol. 2018;6(4):36-41.

Gabra RH, Ebrahim OS, Osman DMM, Al-Attar GST. Knowledge, attitude and health-seeking behavior among family caregivers of mentally ill patients at Assiut university hospitals: a cross-sectional study. MECP. 2020;27(10):1-8.

Mendenhall AN, Frauenholtz S. Predictors of mental health literacy among parents of youth diagnosed with mood disorders. Child Fam Soc Work. 2015;20(3):300-9.

Poreddi V, BIrudu R, Thimmaiah R, Math SB. Mental health literacy among caregivers of persons with mental illness: A descriptive survey.J Neurosci Rural Pract. 2015;6(3):355-60.

Tachavijitjaru C. Health literacy: a key indicator towards good health behavior and health outcomes. Journal of The Royal Thai Army Nurses. 2018;19 (supplement):1-11. (in Thai)



How to Cite

Kraithaworn P, Noinam S. Depression and Suicide Literacy and Mental Health Seeking Behavior among Family Caregivers of Older People in Community. J Royal Thai Army Nurses [Internet]. 2021 Sep. 5 [cited 2022 Oct. 1];22(2):260-9. Available from:



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