Suicide Prevention Model for High-Risk Suicide Groups in Phraphrom District, Nakhon Si Thammarat Province

Abstract

This research and development study aimed to: 1) Study the situation, problems, and needs regarding suicide prevention. 2) Develop a suicide prevention model. And 3) Evaluate the suicide prevention model among individuals at risk of suicide. The study was conducted in three phases and involved two target groups: Community mental health networks and Caregivers of individuals at risk of suicide. Research tools included secondary data, focus group discussions, questionnaires, and the KAM-END Model. The instruments were validated by three experts, with IOC (Index of Item-Objective Congruence) values ranging from 0.67 to 1.00. The reliability (in terms of caregiving skills assessment) was 0.81. Data analysis included descriptive statistics, content analysis, One-Sample t-test, and Wilcoxon Signed Rank Test.

Research findings revealed that: 1) the majority of individuals at risk of suicide were patients with chronic illnesses, and the trend of suicide risk was increasing. 2) The developed model, KAM-END Model, consists of: Knowledge (K), Access (A), Monitor (M), Encourage (E),Network (N), Data Center (D) and 3) After implementing the model: Rates of depression and depressive symptoms decreased, Suicide rates decreased, Caregivers' skills in providing care improved and Caregivers experienced reduced stress levels in providing care.

Phra Phrom Hospital and relevant community agencies should adopt the model for use in communities, expanding its coverage to all areas. The focus should be on improving the efficiency of screening using 2Q, 9Q, and 8Q assessment tools, and enhancing caregiving skills and the ability of community members to recognize suicide warning signs.