The Development of a Therapeutic Program for Psychiatric Patients with Negative Automatic Thoughts and Suicide Risk
Keywords:
Therapeutic Program, Psychiatric Patients, Negative Automatic Thoughts, Suicide RiskAbstract
This research and development study aimed to 1) examine the current situation and related factors in the treatment of psychiatric patients with negative automatic thoughts and suicide risk; 2) develop a therapeutic program for these patients; and 3) evaluate the outcomes of the program's implementation. The study was conducted in three phases: Phase 1 involved data analysis, Phase 2 focused on program development, and Phase 3 involved implementation and evaluation. The research took place from April 2022 to February 2024. A purposive sample of 30 psychiatric patients with negative automatic thoughts and suicide risk was selected. The research instruments included a therapeutic program and a set of questionnaires, comprising a personal information form, a problem-solving skill assessment, the 9-item Depression Assessment Scale (PHQ-9), and the 8-item Suicide Risk Assessment Scale. Data were analyzed using mean, frequency, percentage, Paired t-test, and Wilcoxon signed-rank test.
The results revealed that the mean score for problem-solving skills assessment (PSI) before participating in the program was 34.67 (S.D.= 4.05), which increased significantly to 73.50 (S.D.= 5.44) after the program (p < 0.05). The mean score for depression assessment before participation was 23.73 (S.D.= 2.10), which significantly decreased to 4.57 (S.D.= 1.43) after participation (p < 0.05). Similarly, the mean score for suicide risk assessment decreased significantly from 40.23 (S.D.= 6.59) before the program to 3.20 (S.D.= 1.62) after the program (p < 0.05).
This therapeutic program is an individual-based intervention that emphasizes the involvement of close persons who serve as key sources of social support. It aims to enhance problem-solving skills and reduce suicidal thoughts and behaviors. The program offers an alternative approach for providing suicide prevention services among psychiatric patients in community hospitals and sub-district health promoting hospitals.
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