Prevalence of depression and suicidal risks in Thai adolescents: a survey in schools from 13 Public Health Region
Prevalence of depression and suicidal risks in Thai adolescents
Keywords:
adolescents, depression, prevalence, Public Health Region, suicidal ideaAbstract
Objective: This study aimed to examine the prevalence of depression and suicidal ideation of Thai adolescents in schools from 13 Public Health Region.
Methods: The samples were adolescents in schools aged between 11 and 19 years old from 13 Public Health Region Thailand. The Thai version of Patient Health Questionnaire for Adolescents (PHQ-A) was used. Descriptive statistics and Odd Ratios (OR) were used for data analysis.
Results: From a total of 5,345 children, 17.5% were possibly diagnosable with depression (PHQ-A score ≥ 10) and 50.0% had mild depression (PHQ-A score 5-9). The Public Health Region found to have the highest proportion of adolescents with depression were the 5th (25.0%), 7th (24.0%), and 13th (23.9%) respectively. In terms of suicidality 20.5% had thoughts of death; 5.1% had suicidal thoughts; and 6.4% has attempted suicide at least once. Regarding the severities of suicidal risk, of the 22.5% who reported suicidal risk, 2.2% exhibited high risk. Moreover, teenagers who had suicidal risk were 9.8 times more likely to have depression than those who did not (OR = 9.8; 95% CI. 8.4-11.5).
Conclusion: The results illustrated the magnitude of Thai adolescents with depression and suicidal problems in schools who should receive proper treatment as soon as possible. Screening system in school and referral system to mental services would be recommended.
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References
World Health Organization (WHO). Depression and other common mental disorders: global health estimates [Internet]. Geneva: WHO; 2017 [cited 2018 Nov 16]. Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
World Health Organization (WHO). Health for the world’s adolescents: a second chance in the second decade. Geneva: WHO; 2014.
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1545–602.
ศุภรัตน์ เอกอัศวิน, จอมสุรางค์ โพธิสัตย์, รสสุคนธ์ ชมชื่น. ความชุกของโรคจิตเวชในนักเรียนไทยอายุ 13-17 ปี [The prevalence of psychiatric disorders in Thai students aged 13-17 year]. วารสารสุขภาพจิตแห่งประเทศไทย. 2559;24:141-53.
World Health Organization (WHO). Mental health status of adolescents in south-east Asia: evidence for action [Internet]. New Delhi: WHO, Regional Office for South-East Asia; 2017 [cited 2018 Nov 16]. Available from: https://apps.who.int/iris/handle/10665/254982
วิมลวรรณ ปัญญาว่อง, โชษิตา ภาวสุทธิไพศิฐ, รัตนศักดิ์ สันติธาดากุล. รายงานการวิจัย เรื่องการพัฒนาแบบประเมินภาวะซึมเศร้าในวัยรุ่นฉบับภาษาไทย. [Development of the Thai version of the Patient Health Questionnaire for Adolescents (PHQ-A)]. กรุงเทพฯ: บียอนด์ พับลิชชิ่ง; 2561.
สำนักนโยบายและยุทธศาสตร์ กระทรวงสาธารณสุข. ประชากรกลางปี 59. [Mid Population 2559] [อินเตอร์เน็ต]. นนทบุรี: กระทรวงสาธารณสุข; 2560 [สืบค้นเมื่อวันที่ 15 ม.ค. 2561]. จาก: https://bps.moph.go.th/new_bps/sites/default/files/Mid%20Population%202559.pdf
Kronke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606-13.
Johnson JG, Harris ES, Spitzer RL, Williams JBW. The Patient Health Questionnaire for Adolescents: Validation of an instruments for the assessment of mental disorders among adolescent primary care patients. J Adolesc Health. 2002;30:196-204.
Siu AL. Screening for depression in children and adolescents: US preventive services task force recommendation statement. Pediatrics. 2016 Mar;137(3):e20154467. doi:10.1542/peds.2015-4467.
Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. CMAJ. 2012;184:e191-6.
พิทักษ์พล บุณยมาลิก, พนมศรี เสาร์สาร, วรวรรณ จุฑา. ความชุกของภาวะซึมเศร้าในนักเรียนระดับมัธยมศึกษาตอนปลายและประโยควิชาชีพ: การสำรวจโรงเรียนและวิทยาลัยระดับชาติ ปี 2547 [Prevalence of depression among senior high school and vocational certificate students: a national school and college survey in 2004]. วารสารสมาคมจิตแพทย์แห่งประเทศไทย. 2550;52:172-80.
Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet. 2012;379(9820):1056–67. doi:10.1016/S0140-6736(11)60871-4.
Maslow GR, Dunlap K, Chung RJ. Depression and suicide in children and adolescents. Pediatr Rev. 2015;36:299-310.
Weller BE, Blanford KL, Butler AM. Estimated prevalence of psychiatric comorbidities in U.S. adolescents with depression by race/ethnicity, 2011–2012. J Adolesc Health. 2018;62:716–21. doi:10.1016/j.jadohealth.2017.12.020.
Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull. 2017;143:783–822. doi:10.1037/bul0000102.
Avenevoli S, Swendsen J, He JP, Burstein M, Merikangas K. Major depression in the national comorbidity survey-adolescent supplement: prevalence, correlates, and treatment. J Am Acad Child Adolesc Psychiatry. 2015;54:37–44.e2. doi:10.1016/j.jaac.2014.10.010.
Mojtabai R, Olfson M, Han B. National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics. 2016;138. doi:10.1542/peds.2016-1878.
Mohammadia MR, Alavia SS, Ahmadib N, Khaleghia A, Kamalic K, Ahmadia A, et. al. The prevalence, comorbidity and socio-demographic factors of depressive disorder among Iranian children and adolescents: to identify the main predictors of depression. J Affect Disord. 2019;247:1–10. doi:10.1016/j.jad.2019.01.005.
Shain B and AAP committee on adolescence. Suicide and suicide attempts in adolescents. Pediatrics. 2016;138:e20161420. doi:10.1542/peds.2016-1420.
Simon GE, Rutter CM, Peterson D, Oliver M, Whiteside U, Operskalski B, et. al. Do PHQ depression questionnaires completed during outpatient visits predict subsequent suicide attempt or suicide death?. Psychiatr Serv. 2013;64:1195–202. doi:10.1176/appi.ps.201200587.
Evans E, Hawton K, Rodham K, Deeks J. The prevalence of suicidal phenomena in adolescents: a systematic review of population-based studies. Suicide and Life-threatening Behavior. 2005;35:239-50.
Kann L, McManus T, Harris WA, Shanklin SL, Flint K, Queen B, et.al. Youth Risk Behavior Surveillance, United States, 2017 [internet]. MMWR Surveill Summ 2018 [cited 2019 Jun 13];67(8):1-114. Available from: https://www.cdc.gov/mmwr/volumes/67/ss/ss6708a1.htm
ศูนย์ป้องกันการฆ่าตัวตายระดับชาติ โรงพยาบาลจิตเวชขอนแก่นราชนครินทร์. อัตราการฆ่าตัวตายแยกตามช่วงอายุ ประจำปี 2560. [Suicide rate divided by age group 2017] [อินเตอร์เน็ต]. ขอนแก่น: โรงพยาบาล; 2561 [สืบค้นเมื่อวันที่ 18 มิ.ย. 2562]. จาก: https://www.suicide.dmh.go.th/report/suicide/viewg1.asp?id=26
Jeon GS, Choi K, Cho S. Gender differences in exposure and vulnerability to psychosocial and behavioral factors of suicide attempt among Korean adolescents. Asia Pac Psychiatry. 2017 Dec;9. doi:10.1111/appy.12272.
Soole R, Kõlves K, Leo D. Suicide in Children: A Systematic Review. Arch Suicide Res. 2015;19:285-304. doi:10.1080/13811118.2014.996694.
Haw C, Hawton K, Niedzwiedz C, Platt S. Suicide clusters: a review of risk factors and mechanisms. Suicide Life Threat Behav. 2013 Feb;43:97-108. doi:10.1111/j.1943-278X.2012.00130.x.
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