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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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