Applying the Problem-Solving Therapy Program for psychiatric patients with suicidal ideations and behaviors

Abstract

Abstract: Thailand is the 3^rd highest in the global ranking of suicide rates. Furthermore, 45% of psychiatric patients were found to be at high risk of suicide. Risk factors were found to include having a negative view of the problem, inappropriate problem-solving skills, impulsive feelings, low self-worth, denial and avoidance of problems, stress and depression. Suicide is not a terrible disease and can be prevented by having a good protective and monitoring system. Patients, family and significant people must clearly perceive and understand the problems and their causes, and this will enable to provide immediate assistance. This article aims to describe the concept and therapeutic scheme innovated from research and development of problem-solving therapy program for psychiatric patients with suicidal ideations and behaviors (PST-PPS) under the 5-factor model. A case study is applied in which patients are engaged in every step of therapy, helping them to learn and solve problems effectively through the process of identifying the problems and having a positive view of them, and also increasing the problem-solving skill with creative options and logical thinking skills on a daily basis. Supporting patients to increase their problem-solving skills step-by-step until they can direct themselves, initiating a good plan, and finding ways to solve their problems effectively would help patients to gain more problem-solving skills, and this can reduce suicidal thoughts and behaviors.