Development of a suicide prevention model for community leaders and village health volunteers

Authors

  • Chutchada Lomsri Mental Health Center 1
  • Orathai Chiamdamrat Mental Health Center 1
  • Sumitporn Chomchan Boromarajonani College of Nursing Chiang Mai
  • Surintorn Iupa Mental Health Center 1
  • Arisa Harntecha Mental Health Center 1

Keywords:

program suicidal prevention, community leaders, village health volunteers, Upper-Northern Thailand

Abstract

The study objective was to study, develop, and evaluate a suicide prevention model for community leaders and village health volunteers in Lamphun province. The research and development (R&D) approach was used to conduct the investigation between October 2019 - August 2020, at Mueang District, Lamphun. The samples included 69 model developers who were community leaders, village health volunteers, prior suicide attempts, local government officers, and health care practitioners, and 50 community leaders or village health volunteers for model evaluation. The following research instruments were used: 1) a focus group discussion form, 2) a prototype model of suicide prevention for community leaders and village health volunteers, and 3) a prototype model evaluation form. Descriptive statistics were used to analyze the data.

Results:  Interviews and focus groups provided the data for the research and development phase.  According to the findings of the study, a suicidal prevention model for community leaders and village health volunteers consisted of 1) encouraging participation across all social networks to prevent suicide in all communities 2) improving the skills of community leaders and village health volunteers through a participatory learning (PL) training session that emphasizes practice and continual process monitoring. Questionnaires were used to collect data for the model evaluation phase. In this phase, there were 50 participants, the majority of whom were male (60%), aged between 20 and 62 years old, and engaged in agricultural work (58%). The evaluation of all components showed a good level, with mean scores of 2.19±0.17 for the environment component, 2.04±0.13 for the influencing/input elements, 2.23±0.10 for the implementation component, and 2.06±0.12 for the output component.

Conclusion: This study has developed a suicide prevention model for community leaders/villages, comprising a collaboration between healthcare services, local administrative organizations, and community leaders/villages. The overall evaluation of the model was positive; however, it should be implemented and further developed in other communities.

References

World Health Organization. Suicide data 2016. [cited 2020 November 28]. Available from: https://www.who.int/publications/i/item/suicide-in-the-world [In Thai]

Department of Mental Health. International Mental Health Symposium 17th Symposium and Symposium 15th Child Mental Health and Psychiatry 2018. Nonthaburi: Beyond Publishing Company Limit; 2018. [In Thai]

Meewongsom C, Cowawintaweewat S, Chamsuwanwong A. The suicide situation and methods in relation to gender-age-region in thailand in 2012-2016. Journal of Criminology and Forensic Science. 2021;7(2), 90–107.[In Thai]

National Center for Suicide Prevention. Suicide Statistics Report; 2018. [cited 2018 November 24]. Available from: https://suicide.dmh.go.th/report/suicide/ [In Thai]

Lamphun Provincial Public Health Office. The analysis reported the problem of suicide Lamphun Provincial Governance Committee Meeting 2017. Lamphun: Health Promotion Working Group; 2018. [In Thai]

Phutchong C, Charoenchukiattikit W, Kongkaew U, Yothasamut J, Khampang R, Somna S, et al. Study of problem conditions Related factors Pre-suicide signals to prepare recommendations for the development of suicide prevention measures at the community level. Bangkok: Thana Press; 2011.[In Thai]

The Ministry of Public Health. Suicide Information Annual Meeting of the Ministry of Health. Chiang Mai: The Ministry of Public Health; 2018. [In Thai]

Voraprani P, Bumrueraj S, Sukhawaha S. A study of factors influencing suicide attempts in Kongkailas District Sukhothai Province. Journal of Community Health Development Quarterly Khon Kaen University. 2013;1(1):69–78. [In Thai]

Aiamsaart N, Thaweeses P. Epidemiological study of suicidal attempt and completed suicide patients at Phraputthabat hospital. Department of health Service Support Journal. 2020;16(3):23-30. [In Thai]

Charoensri H, Khiewyoo J. Suicidal risk prevalence and factors related to suicidal risk among people in Ban Tak District, Tak Province. KKU RESEARCH JOURNAL (GRADUATE STUDY). 2017;17(3):77-93. [In Thai]

Anusak B, Tatiyananthaporn S, Khamthita P. Development of a model for strengthening community power in suicide prevention, Lamphun Province. Phrae Medical Journal and Clinical Sciences. 2021;29(2):65–77.[In Thai]

Khummeeseenon P, Khummeeseenon P, Chokrassameehirun J, Srichanla E, Khamchompu S, Saokaew W. Risk and Protective Factors of People Who Attempted Suicide in the 7th Health District of Thailand. Journal of Suicide Prevention of Thailand. 2020;1(1):25-40. [In Thai]

Somsukcharoen S, Sakdiworaphong C. Emotional quotient, family relationship and the suicide at-risk prevention of the TO BE NUMBER ONE Project’s Members. Journal of Social Sciences and Humanities. 2012;38(1):136-49.[In Thai]

Chaitongsri J, Butsaeng A, Surawan J, Lophongpanit P. The effectiveness of suicide surveillance and prevention guidelines with the community participation in Sam Sung District, Khon Kaen Province. J Psychiatr Assoc Thailand. 2022;67(1):59-70. [In Thai]

Surakarn A, Arin N. Mental health care: the participation of the community. Srinakharinwirot University (Journal of Science and Technology). 2014;6(12):176–84. [In Thai]

Polmeesak J, Pansila W, Pakanon P. Development of the participation model in the surveillance and care for people with depression and risk group of suicide: A case study, Tabtoa Village, Numkumyai Subdistrict, Mueang District, Yasothon Province. Mahasarakham Hospital Journal. 2015;12(1):31–9. [In Thai]

Penglia Y, Tippunya S, Puksorn K, Likasitdamrongkul W, Thanee S, Luprasong S. Application of community participatory programs for suicide prevention: a case study at Jarim sub-district, Tha-Pla district, Uttaradit province. J Ment Health Thai. 2018 ;26(3):184-96. [In Thai]

Udthatho A, Manoton A. Development of community participation process is solving suicide problems successfully new normal in Maeteep Subdistrict, Ngao District, Lampang Province. Academic Journal of Community Public Health. 2023;9(1):69-83.[In Thai]

Tungkasamesamran K. Driving the development of repeated suicide prevention model on suicide attempters in Uttaradit Province, Thailand. Journal of Health Science. 2022;31(4):638-47.[In Thai]

Surakarn A, Arin N. Mental Health Care: The Participation of The Community. Srinakharinwirot University (Journal of Science and Technology). 2014;6(12):176–84. [In Thai]

Wongsawad S, Yoelao D, Peungposop N. Development of mental health promotion model for aging population at risk by community health care team. The Southern College Network Journal of Nursing and Public Health. 2019;6(2):229-43.[In Thai]

Pamarapa N. The development of suicidal prevention model for attempted suicide patients with depression in Uttaradit Province. Journal of Disease Prevention and Control: DPC.2 Phitsanulok. 2022;9(3):92–107. [In Thai]

Kochragsa N, Inchaithep S. Development of Suicide Prevention through Community Engagement, Lampang. Royal Thai Navy Medical Journal. 2020;47(2):446–63. [In Thai]

Sirithongthaworn S, Gornnum S, Virojanapa S, Kanjanarat P, Inchuea S, Borriharn P, et al. Evaluation research on the national suicide prevention strategy 2017 – 2022. Journal of Mental Health of Thailand. 2023;31(1):64-78.[In Thai]

Suparum K, Kamsa-ard S. Incidence and factors associated with completed suicide among adolescent aged 10-19 years, Health Region 10. Srinagarind Medical Journal. 2023;38(5):459-69. [In Thai]

Wongpiromsant Y. The science of promoting mental health prevention. Nonthaburi: Dinatoo Company Media Plus Ltd; 2017. [In Thai]

National Center for Suicide Prevention. Suicide Statistics Report;2020. [cited 2020 November 24]. Available from: https://suicide.dmh.go.th/report/suicide/main.asp?ndead=2 [In Thai]

Huajium B. The Empowerment for Community Health. Academic Journal Phranakhon Rajabhat University. 2016;7(1):19–25. [In Thai]

Lamphun Provincial Public Health Office. Report on the problem of suicide. Lamphun: Governance Committee Meeting Lamphun Province; 2016. [In Thai]

Downloads

Published

07-12-2023

How to Cite

Lomsri , C., Chiamdamrat , O. ., Chomchan, S., Iupa , S., & Harntecha , A. . (2023). Development of a suicide prevention model for community leaders and village health volunteers. Journal of Nakornping Hospital, 14(2), 291–311. Retrieved from https://he01.tci-thaijo.org/index.php/jnkp/article/view/263683

Issue

Section

Research article