Family Relationships and Suicidal Risks of Clients Receiving Services at Mental Health and Psychiatric Clinic.
Keywords:
Family relationships, Suicidal risks, Clients, Mental health, psychiatric clinicAbstract
Suicide risks are a major mental health and psychiatric problem in the world. There are many important factors related to suicide risks, especially family relationships. The purpose of this descriptive correlational research was to study the relationship between suicidal risks of clients receiving services at mental health and psychiatric clinics and the relationships with their families. Participants included 383 clients who are between 25-59 years old and received services at mental health and psychiatric clinics in community hospitals located in the Northern Thailand. The data was collected between May to August 2017. Research tools were Family relationship assessment and the suicidality in Mini International Neuropsychiatric Structure Interview [M.I.N.I.]. The data were analyzed using descriptive statistics and Spearman rank correlation coefficient.
The results revealed that:
- The participants had fairly good family relationships as a whole ( = 3.58,SD = 0.77). They also had fairly good family relationships in each of the following domains: love and caring concern domain , sharing of recreation domain , respect for each other domain and the unity in the family domain.
- Almost 39% (38.38%) of the participants had suicidal thoughts or attempted suicide.
- There was a moderate negative correlation of family relationship as a whole with suicidal risks (r = -.52, p< .001), and also there was a moderate negative correlation of each domain with suicidal risks.
This results can help the mental health and psychiatric personnel in community hospitals located in Northern Thailand when they screening for suicidal risks in clients who had poor family relationship and develop guidelines for suicidal risks surveillance among adult clients.
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Samaritans. (2014). ABOUT SAMARITANS. Retrieved from http://www. Samaritansthai. com/aboutus/. (In Thai)
Samranchai, R. (1998). A Study of Family Relationship and Adaptation of Menopausal Women in Satahip Naval Base Chonburi Province . A thesis submit of the graduate school in partial fulfillment of the requirements for the degree of Master. Graduate school, Mahidol University. (In Thai)
Setachandana, V. (2011). Epidemiology of Intentional Self-harm and Suicide in Buriram Province. Journal of Nakhon Ratchasima Rajanagrindra psychiatric hospital, 11(1), 51-59. (In Thai)
Sheehan, D., Lecrubier, Y., Sheehan, K. H., Sheehan, M., Amorim, P., Janavs, J., ... & Weiller, E. (2006). M.I.N.I. The Mini International Neuropsychiatric Interview English Version 5.0.0 DSM-IV. Retrieved September 16, 2016, From http://narr.bmap. ucla.edu/docs /MINI_v5_00 2006.pdf
Sriruenthong, W., Kongsuk, Th., Pangchun, W., Kittirattanapaiboon, P., Kenbubpha, K., Yingyeun, R., Sukawaha, S., & Leejongpermpoon, J. (2011 ). The Suicidality in Thai population: A National survey. Journal of the Psychiatric Association of Thailand, 56(4), 413-424. (InThai)
Srisatidnarakul, B. (2007). The methodology in nursing research. (Edition 4th). Bangkok: U & I inter media. (InThai)
Satipan, C., Sriareporn, P., & Sansiriphun, N. (2016). Marital Relationship, Father-infant Attachment and Father Involvement in Postpartum Period.
Nursing Journal, 43(Supplement), 71-81. (In Thai)
Survivors of Bereavement by Suicide. (2014). How suicide affects others. Retrieved November 16, 2016, From http://uk-sobs.org.uk/suicide-bereavement/how-suicide-can-affect-you/how-suicide- affects - others/
Thandee, D. (2013). The social and cultural context . Retrieved from http://www3. ru.ac.th/korea/article1/article11.pdf. (In Thai)
The Royal Institute Dictionary . (2011). Relationship. Reteived from http://www.royin. go.th/dictionary/. (In Thai)
The Royal Institute Dictionary . (2011). Family. Reteived from http://www.royin.go.th/dictionary/. (In Thai)
World Health Organization. (2016). World health statistics 2016: monitoring health for the SDGs, sustainable development goals. (1st ed.). France: WHO Library Cataloguing.
Beck, A. T., Steer, R. A., & Ranieri, W. F. (1988). Scale for suicide ideation: Psychometric
properties of a self‐report version. Journal of clinical psychology, 44(4), 499-505.
Chompikul, J., Sutcharitchan, P., Sueluerm, K., & และ Dammee,D. (2009). Relationships in Thai Families Nakhon pathom: ASEAN Institute for Health Development, Mahidol University. (In Thai)
Department of Mental Health, Ministry of Public Health.. (2016). Strategic Plan during the 12 th. National Economic and Social Development Plan (2017-2021) of Department of Mental Health Retrieved from http://www.dmh.go.th /intranet/p25542560-2564.pdf. (In Thai)
Friedman, M. M. (1992). Family nursing (3rd ed.). Norwalk: Appleton & lange.
Friedman, M. M., Bowden, V. R., & Jones, E. (2003). Family nursing: Research, theory & practice: Pearson.
International Association for Suicide Prevention. (2016). Welcome. Retrieved November 29, 2016, From https://www.iasp.info/
Jordan, J. R., & McIntosh, J. L. (2011). Grief after suicide: Understanding the consequences and caring for the survivors (1st ed.). New York: Routledge.
Khamlue, A. (2012). Suicide attempters and complete suicide in Rongkwang Hospital. Bulletin of Suan Prung , 28(1), 42-50. (In Thai)
Kittirattanapaiboon, P., Arunpongpaisal, S., Mahatnirunku, S., Kongsuk, T.,
Chuwong, K., Booncharoen, H., ... Charatsingha, A. (2007). Mini International
Neuropsychiatric Interview Thai version 5.0.0-revised 2007. Reteived from http://www.skph.go.th/newskph/Doc_file/Miti4_MINIInterview5.0.pdf. (In Thai)
Krejcie, R. V., & Morgan, D. W. (1970). Table for determining sample size from a given
population. Educational and Psychological Measurement, 30(3), 607-610.
Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., ... Dunbar, G. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic
structured interview: reliability and validity according to the CIDI. European Psychiatry,
12(5), 224-231.
Lotrakul, M.. (2010). Suicide Ttreatment and Prevention (1st ed). Bangkok:
Mahidol University. (In Thai)
Maneeton, B. (2009). Consultation- Liaison Psychiatry (1st ed). Chiangmai: Department of Psychiatry Faculty of Medicine Chiangmai University. (In Thai)
Mongkol, A., Yotkham, M., Anusak, B, ., Rojanaratanangkule, S., Tungsaree, T., & Monkol, N.
(2011).Cultural Factor with Suicide Prevrntion in Upper North. Journal of health science , 20(1), 25-40. (In Thai)
Morrow, P. M., & Wilson, R. C. (1961). Family relationship of bright high-achieving and under-achieving high school boy. Child Development, 32(3), 501-510.
National Center For Suicide Prevention. (2015). The report of the suicidal rate in Thailand
in 2014. Reteived from https://www.suicidethai.com/ report/ download/
view.asp?id=18. (In Thai)
National Center For Suicide Prevention. (2016). The report of the suicidal attempt rate in Thailand. Retrieved from https://www.suicidethai.com/report/dmh/age_506s.asp (InThai)
National Center For Suicide Prevention. (2017). The report of the suicidal rate in Thailand
in 2016. Reteived from https://www.suicidethai.com/ report/ download/
view.asp?id=20. (In Thai)
National Center For Suicide Prevention. (2017). The report of the suicidal attempt rate in Thailand. Retrieved from https://www.suicidethai.com/ 506ds/ graph/506ds1.asp?suid=& uname=. (In Thai)
Pacific Grove Hospital. (2016). Causes, Symptoms & Effects of Suicidal Ideations. Retrieved
October 19,2016, From http://www.pacificgrovehospital.com/disorders/suicidal-ideation
/symptoms-signs-effects.
Promtub, P. (2008). Suicidal risk among hill tribes and related factors . A thesis submit of the graduate school in partial fulfillment of the requirements for the degree of Master of Nursing. Graduate school, Chiangmai University. (In Thai)
Robkob, W., Skulphan, S., & Sethabouppha, H. (2018). Depression, Alcohol Drinking Behaviors, and Suicidal Risks of Adolescents. Nursing Journal, 45(4), 144-158.
Sadock, B. J., Sadock, V. A., & Ruiiz, P. (2015). Synopsis of Psychiatry Behavioral Sciences/Clinical Psychiatry (11 ed.). Philadelphia: Wolters Kluwer.
Samaritans. (2014). ABOUT SAMARITANS. Retrieved from http://www. Samaritansthai. com/aboutus/. (In Thai)
Samranchai, R. (1998). A Study of Family Relationship and Adaptation of Menopausal Women in Satahip Naval Base Chonburi Province . A thesis submit of the graduate school in partial fulfillment of the requirements for the degree of Master. Graduate school, Mahidol University. (In Thai)
Setachandana, V. (2011). Epidemiology of Intentional Self-harm and Suicide in Buriram Province. Journal of Nakhon Ratchasima Rajanagrindra psychiatric hospital, 11(1), 51-59. (In Thai)
Sheehan, D., Lecrubier, Y., Sheehan, K. H., Sheehan, M., Amorim, P., Janavs, J., ... & Weiller, E. (2006). M.I.N.I. The Mini International Neuropsychiatric Interview English Version 5.0.0 DSM-IV. Retrieved September 16, 2016, From http://narr.bmap. ucla.edu/docs /MINI_v5_00 2006.pdf
Sriruenthong, W., Kongsuk, Th., Pangchun, W., Kittirattanapaiboon, P., Kenbubpha, K., Yingyeun, R., Sukawaha, S., & Leejongpermpoon, J. (2011 ). The Suicidality in Thai population: A National survey. Journal of the Psychiatric Association of Thailand, 56(4), 413-424. (InThai)
Srisatidnarakul, B. (2007). The methodology in nursing research. (Edition 4th). Bangkok: U & I inter media. (InThai)
Satipan, C., Sriareporn, P., & Sansiriphun, N. (2016). Marital Relationship, Father-infant Attachment and Father Involvement in Postpartum Period.
Nursing Journal, 43(Supplement), 71-81. (In Thai)
Survivors of Bereavement by Suicide. (2014). How suicide affects others. Retrieved November 16, 2016, From http://uk-sobs.org.uk/suicide-bereavement/how-suicide-can-affect-you/how-suicide- affects - others/
Thandee, D. (2013). The social and cultural context . Retrieved from http://www3. ru.ac.th/korea/article1/article11.pdf. (In Thai)
The Royal Institute Dictionary . (2011). Relationship. Reteived from http://www.royin. go.th/dictionary/. (In Thai)
The Royal Institute Dictionary . (2011). Family. Reteived from http://www.royin.go.th/dictionary/. (In Thai)
World Health Organization. (2016). World health statistics 2016: monitoring health for the SDGs, sustainable development goals. (1st ed.). France: WHO Library Cataloguing.
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Published
2020-09-18
How to Cite
Muangmakham , S., Skulphan , S., & Hunsa Sethabouppha , H. (2020). Family Relationships and Suicidal Risks of Clients Receiving Services at Mental Health and Psychiatric Clinic. Nursing Journal CMU, 47(3), 240–252. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/245768
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