Development and Evaluation of a Suicide Prevention Program for Secondary School Students

Authors

  • Surachai Chaniang RN, PhD Candidate, Faculty of Nursing, Chiang Mai University, and Lecturer, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Thailand.
  • Warunee Fongkaew RN, PhD, Professor, Faculty of Nursing, Chiang Mai University, Thailand.
  • Teresa E. Stone RN, RMN, BA, MHM, PhD, FACMHN, Visiting Professor Faculty of Nursing, Chiang Mai University, Thailand.
  • Hunsa Sethabouppha RN, PhD, Lecturer, Faculty of Nursing, Chiang Mai University, Thailand.
  • Sumalee Lirtmunlikaporn RN, PhD, Assistant Professor, Faculty of Nursing, Chiang Mai University, Thailand.

Keywords:

Action research, Adolescent suicide, Suicide prevention program, Secondary school students, Thailand

Abstract

                 Adolescent suicide is a major public health concern in many countries, including Thailand, and the importance of suicide prevention programs at secondary school level has been recognized. This is the second paper of a large action research study focused on the development, implementation and evaluation of the Thai Suicide Prevention Program for Secondary School Students, undertaken in collaboration with stakeholders of adolescent peer leaders, students, parents, school teachers and administrators. This involved seven steps: 1) establishing mutual commitment and engaging a core working group; 2) conducting a situational analysis; 3) analyzing problems and needs; 4) designing; 5) implementing; 6) evaluating; and 7) critiquing feasibility. Qualitative data were collected from focus group discussions and in-depth interviews and analyzed using content analysis. Quantitative data was collected using suicide knowledge and attitude questionnaires and analyzed using descriptive statistics, and a t-test was used to compare scores preand post-training.

                The Program outcomes indicated significant positive change in the scores of the three stakeholder groups in suicide knowledge and attitude compared with the baseline scores. Stakeholder reflections noted that adolescent peer leaders developed leadership skills and parents and teachers learnt how to identify at-risk children. The process described illustrates how nurses can work with communities to improve health and build knowledge regarding suicide and prevention programs for adolescents.

Author Biographies

Surachai Chaniang, RN, PhD Candidate, Faculty of Nursing, Chiang Mai University, and Lecturer, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Thailand.

Hunsa Sethabouppha, RN, PhD, Lecturer, Faculty of Nursing, Chiang Mai University, Thailand.

References

1. World Health Organization. Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030) 2018 Monitoring report: Current Status and Strategic Priorities [Internet]. 2018 [cited 6 August 2018]. Available from: https://www.unaids.org/sites/default/files/media_asset/ EWECGSMonitoringReport2018_en.pdf

2. Ekasawin S, Phothisut C, Chomcheun R. The prevalence of psychiatric disorders in Thai students aged 13-17 years. J Ment Health Thai. 2016; 24(3): 141-153.

3. Rungsang B, Chaimongkol N. The prevalence of suicidal ideation among high school students in Thailand and its potential related risk factors. Thai Pharm Health Sci J. 2017;12(1):31-5.

4. Ministry of Public Health. E-report 2016 [Internet]. 2016 [cited 2018 August 6]. Available from: https://www. dmh.go.th/report/suicide/

5. Robinson J, Cox G, Malone A, Williamson M, Baldwin G, Fletcher K, et al. A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide-related behavior in young people. Crisis. 2013;34(3):164-82.

6. Bergen H, Hawton K, Waters K, Ness J, Cooper J, Steeg S, et al. Premature death after self-harm: a multicentre cohort study. Lancet. 2012;380(9853):1568-74.

7. Borges G, Nock MK, Abad JMH, Hwang I, Sampson NA, Alonso J, et al. Twelve month prevalence of and risk factors for suicide attempts in the WHO World Mental Health Surveys. J Clin Psychiatry. 2010;71(12):1617-28.

8. Zalsman G, Hawton K, Wasserman D, Van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646-59.

9. Wasserman D, Hoven CW, Wasserman C, Wall M, Eisenberg R, Hadlaczky G, et al. School-based suicide prevention programmes: the SEYLE cluster-randomised, controlled trial. Lancet. 2015;385(9977):1536-44.

10. Vuthiarpa S, Sethabouppha H, Soivong P, Williams R. Effectiveness of a school-based cognitive behavioral therapy program for Thai adolescents with depressive symptoms. Pacific Rim Int J Nurs Res. 2012;16(3):206-21.

11. N, Deoisres W, Wongnam P. Suicidal ideation among Thai adolescents: An empirical test of a causal model. Pacific Rim Int J Nurs Res. 2017;21(2):97-107.

12. Thanoi, W., Phancharoenworakul, K., Thompson, E. A., Panitrat, R., & Nityasuddhi, D. (2010). Thai adolescent suicide risk behaviors: testing a model of negative life events, rumination, emotional distress, resilience and social support. Pacific Rim International Journal of Nursing Research, 14(3), 187-202.

13. Aseltine RH, James A, Schilling EA, Glanovsky J. Evaluating the SOS suicide prevention program: a replication and extension. BMC Public Health [Internet]. 2007 [cited 2018 August 6];7:161. Available from: https://bmcpublichealth.biomedcentral.com/articles/ 10.1186/1471-2458-7-161

14. Sawyer MG, Pfeiffer S, Spence SH, Bond L, Graetz B, Kay D, et al. School‐based prevention of depression: a randomised controlled study of the beyond blue schools research initiative. J Child Psychol Psychiatry. 2010; 51(2):199-209.

15. Stone DM, Crosby AE. Suicide prevention: state of the art review. Am J Lifestyle Med. 2014;8(6):404-20.

16. Miller DN, Eckert TL, Mazza JJ. Suicide prevention programs in the schools: a review and public health perspective. School Psych Rev. 2009;38(2):168-188.

17. Checkland P, Holwell S. Action research. In Kock N, editor. Information systems in action research: an applied view of emerging concepts and methods. New York: Springer; 2007. p. 3-17.

18. Candace L. Knowledge development with adolescents in a PAR process. Educ Action Res. 2008;16(2): 221-233.

19. Tsourtou V, Hatzinikolaou K, Chatzinikolaou C. Action research with children and adolescents working on the streets of Athens., Greece. Dev Pract. 2014;24(3): 313-326.

20. Goldston DB, Molock SD, Whitbeck LB, Murakami JL, Zayas LH, Hall GC. Cultural considerations in adolescent suicide prevention and psychosocial treatment. Am Psychol. 2008;63(1):14-31.

21. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294(16):2064-74.

22. National Action Alliance for Suicide Prevention. TRANSFORMING COMMUNITIES: Key Elements for the Implementation of Comprehensive Community-Based Suicide Prevention. Waltham, MA: Education Development Center; 2017.

23. Kaesornsamut P, Sitthimongkol Y, Williams RA, Sangon S, Rohitsuk W, Vorapongsathorn T. Effectiveness of the BAND intervention program on Thai adolescents’ sense of belonging, negative thinking and depressive symptoms. Pacific Rim Int J Nurs Res. 2012;16(1):29-47.

24. Vuthiarpa S. Cognitive Behavioral Therapy for adolescents with depression and suicidality. J Sci Technol. 2012; 20(5):457-67. (in Thai)

25. Reangsing C. The effects of the rational-emotive behavior therapy group program on the levels of depression amongst secondary school students. J Nurs Educ. 2013;6(2):29-41. (in Thai)

26. Chaniang S, Fongkaew W, Sethabouppha H, Lirtmunlikaporn S, Schepp G. K. Perceptions of adolescents, teachers and parents towards causes and prevention of suicide in secondary school students in Chiang Mai. Pacific Rim Int J Nurs Res. In Press.

27. Holter IM, Schwartz Barcott D. Action research: what is it? How has it been used and how can it be used in nursing?. J Adv Nurs. 1993;18(2):298-304.

28. Kalafat J, Underwood M. Lifelines: A school based adolescent suicide response program Dubuque. Iowa: Kendall/Hunt; 1989.

29. World Health Organization (WHO) [Internet]. Process of translation and adaptation of instruments. 2018 [cited 2018 August 6]. Available from: https://www.who.int/ substance_abuse/research_tools/translation/en/

30. Miles MB, Huberman AM, Saldaña J. Qualitative data analysis: a methods sourcebook and the coding manual for qualitative researchers. Thousand Oaks, CA: SAGE, 2013.

31. Lincoln SY, Guba EG.Naturalistic inquiry. Newbury Park: Sage; 1985.

32. Lindquist-Grantz R. Youth participatory action research as a strategy for adolescent suicide prevention [Dissertation]. Cincinnati, OH: University of Cincinnati; 2017.

33. Rodríguez M, Huertas IB. Suicide prevention in college students: A collaborative approach. Interam J Psychol. 2013;47(1):53-60.

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Published

2019-06-19

How to Cite

1.
Chaniang S, Fongkaew W, Stone TE, Sethabouppha H, Lirtmunlikaporn S. Development and Evaluation of a Suicide Prevention Program for Secondary School Students. PRIJNR [Internet]. 2019 Jun. 19 [cited 2024 Mar. 29];23(3):201-13. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/144034

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Original paper