The development of a suicide prevention and surveillance model or self-aggression by the participation mechanism of network partners, Lamae District, Chumphon Province.

Abstract

     This research is a participatory action research (PAR) with the objective of developing a model for prevention and monitoring of suicide or self-violence in Lamae District, Chumphon Province. The sample group was purposive selection, including representatives of government agencies, private sector representatives, network partners, community leaders, community leaders, family leaders, elder leaders, village wise men, monks, public health personnel, youth leaders, village public health volunteers, relatives of chronically ill patients, and stakeholders in monitoring and caring for psychiatric patients, depressed patients, and those at risk of suicide in the community of Lamae District, Chumphon Province, according to their willingness, totaling 55 people. Data were collected through non-structured interviews, observation, and in-depth interviews with relevant people in the community. Content analysis was used.
     The results of the study found that the group of people with mental health problems, the group of chronically ill patients, and the group of alcoholics and drug addicts 100% of them were screened and monitored for suicide, and 3 people who met the criteria for treatment were referred to community hospitals. In 1 year, there were 94 people who attempted suicide and committed violence, which is 12.75 per 100,000 population. All suicide attempters received at least 1 home visit within 30 days by health personnel using an individual care plan and continued follow-up for 1 year from health personnel and/or community networks until they were safe from suicide. The successful suicide rate in 2024 decreased to 3.40 per 100,000 population.