การรับรู้ของนักเรียนมัธยมศึกษาตอนปลายและครูเกี่ยวกับสาเหตุและการป้องกันการฆ่าตัวตายในโรงเรียนระดับมัธยมศึกษาในเขตอำเภอเมือง จังหวัดนครพนม

Surachai  Chaniang; Parichart  Meuangkhwa; Kamonnat  Klongdee

Authors

Surachai Chaniang Borromarajjonnani College of Nursing, Nakhon Phanom, Nakhon Phanom University, Thailand
Parichart Meuangkhwa Borromarajjonnani College of Nursing, Nakhon Phanom, Nakhon Phanom University, Thailand
Kamonnat Klongdee Borromarajjonnani College of Nursing, Nakhon Phanom, Nakhon Phanom University, Thailand

Keywords:

qualitative research, cause of suicide, suicide prevention, secondary school students, Nakhon Phanom

Abstract

Introduction: Adolescent suicidal behavior has become a major public health concern around the globe including Thailand, yet suicidal behavior is preventable. Research objectives: This descriptive qualitative study explored the perception of the students and teachers on cause of suicide, and prevention of suicide at secondary school in Nakhon Phanom Province, Thailand. Research methodology: A purposive sampling was used to recruit 20 adolescents for focus group discussions, and in-depth interviews were conducted with 7 school teachers, from June-October 2019. Data were analyzed using content analysis. Results: Findings of this study were two-folds: 1) the causes of adolescent suicide which could be summarized into 4 sub-categories; namely parents' expectations in education achievements and live, family problems, lack of problem-solving skill, bullying, and imitating behavior from the media; and 2) prevention of adolescent suicide, which had 4 sub-categories namely cultivating the self-resilience, peer support, family support, and school supportive environments. Conclusions: These findings provide a clear evidence for a mental health needs among students. Implications: Furthermore, psychiatric nursing and mental health personnel should play a critical role at school by developing a suicide prevention program. The program should involve peer, parents, school nurses, and school teachers. All stakeholders should recognize the school social context and emotional needs of the students.

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