Development of Suicide Prevention through Community Engagement, Lampang

Main Article Content

Nongkran Kochragsa
Sriprapai Inchaithep

Abstract

          This study aimed to conduct a situational analysis related to suicide and community involvement in suicide prevention in Lampang, develop a model for community-engaged suicide prevention, and evaluate the outcomes of suicide prevention model. This was a research and development design using mixed methods of data collection and analysis in three phases, i.e., situational analysis, model development, and evaluation. The revised model was implemented and evaluated in 13 hospitals and 142 primary care units across Lampang Province. 6,694 local residents and 157 mental health professionals comprised the participants. Suicide prevention literacy and community engagement were measured through questionnaires. Model utilization was assessed through interview. Descriptive statistical analysis, paired t-test, and content analysis were performed.


          A content analysis showed that components of the suicide prevention model consisted of networking, community capacity building, and community-engaged suicide prevention including primary, secondary and tertiary prevention. The quality of the model was rated as good. Suicide prevention literacy improved significantly after the implementation (p < 0.05). All primary care units successfully established a network for suicide prevention. The suicidal attempt increased from 12.22 to 12.75 per 100,000 population whereas successful suicide rate decreased from 8.86 to 7.59. The suicide prevention model may improve suicide prevention literacy but cannot prevent suicide. Other strategies must be explored to strengthen the model. The suicide prevention model may improve suicide prevention literacy and successful suicide rate decreased but cannot prevent suicide.


 

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Article Details

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Research Article

References

World Health Organization. Suicide data. [Internet]. [cited 2019 October 12]. Available from: http://www.who.int/mental_health/prevention/suicide/suicide prevent/en/.

Department of Mental Health. Suicide rate per 100,000 population; 2017. [Internet]. [cited 2019 September 12]. Available from: https://www.dmh.go.th/report/suicide/

download/view.asp?id=171&fbclid. (in Thai).

Bureau of Mental Health Management, Department of Mental Health. Strategic plan, department of mental health 2017-2021. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2017. (in Thai).

Ministry of Public Health. Inspection plan of the Ministry of Public Health annual budget 2017. Nonthaburi: Bureau of Inspection and Assessment Office of the Inspector General, Ministry of Public Health Department of Mental Health; 2017. (in Thai).

National Suicide Prevention Center. Report suicide rate per 100,000 populations. [Internet]. [cited 2019 May 18]. Available from: https://suicide.dmh.go.th/report/

suicide/fsearch.asp. (in Thai).

Hamermesh D, Soss NM. An economic theory of suicide. Journal of Political Economy 1974;82(1):83-98.

Durkheim E. Suicide. New York: Mc Millan Publishing; 1996.

Prateepteranun V. Rate of suicide and factors related to suicidal behavior at Chaophayayommarat Hospital, Suphanburi province. The Journal of Psychiatric Nursing and Mental Health 2014;28(3):90-103. (in Thai).

Khamma A. Risk factors associated with suicide: a case-control study in Sukhothai province. Journal of Psychiatric Association 2013;58(1):3-16. (in Thai).

Department of Mental Health. Surrounding the mental health development and strategic plan, Department of Mental Health 2015. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2015. (in Thai).

United Nations. Yearbook of international trade statistics. United Nations: UN Press; 1981.

Cohen JM, Uphoff NT. Rural development participation: concept and measures for project design implementation and evaluation. Ithaca, NY: Rural Development Committee Center for International Studies, Cornell University; 1981.

Junsam S, Thongkhamrod R, Sarakan K. The development of a community participatory model in preventing suicide of Yasothon province. The 8th STOU national research conference; 2018. (in Thai).

Thonghima T. The effectiveness of a suicidal prevention program in elderly with depression in the community. Journal of Nursing, Public Health and Education 2019;20(2):105-18. (in Thai).

Jorm A. Mental health literacy: empowering the community to take action for action for better mental health. Psychology 2012;67(2):231-43.

Satayatham C, Jansuk P, Charoensuk S. Psychiatric and mental health nursing 2 (Revised version). Bangkok: Tana Press; 2013. (in Thai).

Stufflebeam DL, Shinkfild AJ. Evaluation theory, models and applications. San Francisco, CA: Jossey-Bass; 2007.

Yamane T. Statistics: an introductory analysis. 3rd ed. New York: Harper & Row; 1973.

Yokchinda W. Public participation in community development of Thung Krang Village, Tambon Thap Sai, Amphoe Pong Nam Ron, Chanthaburi province. [Master’s Thesis, Faculty of Graduate School of Public Administration]. Burapha University; 2014. (in Thai).

Public Health Office Lampang. Population statistic in Lamlang. [Internet]. [cited 2020 March 14]. Available from: http://lampang.nso.go.th/index.php? option=com_

content&view=article&id. (in Thai).

Neuman WL. Social research methods: qualitative and quantitative approaches. Boston: Allyn and Bacon; 1991.

Winairobkob W, Inchaithep S, Thinwang W. The promoting model of mental health literacy to prevent and minimize the severity of depression among the people in Lampang Province. Research and Development Health System Journal 2019;12(3):654-63. (in Thai).

Sukhawaha S, Arunpongpaisal S. Risk factor and suicide theory associated with suicide in adolescents. Journal of Psychiatric Association 2017;62(4):359-78.

Surakarn A, Arin N. Mental health care: the participation of community. Journal of Science and Technology 2014;6(12):176-84. (in Thai).

Gibson CH. A concept analysis of empowerment. Journal of Advance Nursing 1991;16(2):354-61.

World Health Organization. Preventing suicide: a community engagement toolkit. [Internet]. [cited 2020 January 22]. Available from: https://apps.who.int/iris/handle/

/272860.

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. Journal of Mental Health of Thailand 2018;26(3):184-96. (in Thai).