การพัฒนารูปแบบการป้องกันการฆ่าตัวตาย ในกลุ่มเสี่ยงที่มีภาวะซึมเศร้าในชุมชน จังหวัดจันทบุรี

Puttiporn  Pongnantakunkij; Sutteeporn  Moolsart; Prakarn  Thomyangkoon

Authors

Puttiporn Pongnantakunkij School of Nursing, Sukhothai Thammatirat Open University
Sutteeporn Moolsart School of Nursing, Sukhothai Thammatirat Open University
Prakarn Thomyangkoon Doctor of Psychiatry, Rajavithi Hospital

Keywords:

Model, IPV prevention intervention, Suicide, Depression, Community

Abstract

Introduction: Depression and suicidal thoughts are important health problems in Thailand. Patients, families, and all relevant sectors should cooperate to prevent suicide attributed to depression in risk groups.

Research Objectives: This study aimed to: 1) investigate the problems and needs of care in risk groups with depression and suicidal thoughts, 2) develop a suicide prevention model in the community for the risk group of depression, and 3) evaluate the appropriateness of activities and community readiness for implementation of the suicide prevention model in the community for risk group of depression.

Research methodology: In phase 1, this phase aimed to investigate problems and needs of care in risk group of depression with suicidal thoughts in the community. Participants were 10 depressed and suicidal patients. In phase 2, this phase aimed to develop a suicide prevention model for risk group of depression. Nineteen participants were healthcare providers, community leaders, individuals with depression. The three-step theory (3ST) proposed by Klonsky and May was used to guide model development. In phase 3, this phase aimed to assess the appropriateness of activities and community readiness for implementation of the suicide prevention model. Participants were 67 healthcare providers, and community leaders. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using content analysis.

Results: Findings were as follows. 1) The problems of risk groups with depression and suicidal thoughts were physical health, loss of a loved one, disappointment, and economic problems. The needs were physical, mental, and social needs, and healthcare accessibility. 2) The suicide prevention model included (1) screening for suicidal thoughts in depressed individuals; and (2) prevention of suicidal thought development by preventing feelings of discouragement and despair, strengthening emotional resilience, building family relationships, and preventing environments conducive to suicide. 3) Public health personnel and community leaders reported that the model was appropriate at a high level.

Conclusions: Community and healthcare providers are very ready for the implementation of suicide prevention model in the community for risk group of depression.

Implications: There should be further study to develop the suicide prevention program.

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