Alcohol Drinking Patterns and Suicidal Risks of Clients Receiving Services at Mental Health and Psychiatric Clinics
Keywords:
Alcohol drinking patterns, Suicidal risks, Clients, Mental health and psychiatric clinicAbstract
Suicide is a major mental health and psychiatric problem with incidents across all regions of the world including Thailand. This problem causes a massive loss of human resources and affects the people surrounding the person with the problem. Drinking alcohol is one factor related to suicidal risk. The purpose of this descriptive correlational research was to study the relationship between alcohol drinking patterns and suicidal risk of clients receiving services at mental health and psychiatric clinics. Participants included 378 clients between 25-59 years old who received services at mental health and psychiatric clinics in community hospitals located in Northeast Thailand. The research instruments consisted of personal questionnaires, the Alcohol Use Identification Test (AUDIT), and the Mini Inter- national Neuropsychiatric Structured Interview [M.I.N.I.] for suicidality. The data were analyzed by descriptive statistics and Spearman’s rank correlation coefficient.
The results revealed that
1. Most of the participants (69.3%) had alcohol drinking patterns, which could be divided into four patterns: low-risk drinking (57.3%), hazardous drinking (21.8%), harmful drinking (6.5%), and dependence drinking (14.5%).
2. Some participants (33.1%) experienced suicidal risk, which could be divided into the following levels: low risk (80%), moderate risk (13.6%), and high risk (6.4%).
3. There was no statistically significant relationship between suicidal risk and any of the four alcohol drinking patterns.
Mental health staff at community hospitals should screen clients for alcohol drinking problems and suicidal risk in order to develop problem prevention guidelines for clients in the healthcare system.
References
Alexander Nemtsov. (2003). Suicides and alcohol consumption in Russia, 1965–1999. Drug and Alcohol Dependence,71(2). 161-168.
Assanangkornchai, S., Hmuktong, A., & Inthanon T., (2009). A surveillance of drinking behaviorsand other health-risk behaviors among high school students in Thailand.Bangkok: Pimdee. (in Thai)
Assanangkornchai, S. & Arunpongpaisan, S. (2014). Alcohol use disorders and related problems:Significance and management in Thailand. Bangkok: Sahamitpattanakanpim. (in Thai)
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.
Department of Mental Health, Ministry of Public Health. (2016). Strategic Plan Department of Mental Health during the development plan Economy and Society, Vol. 12 (2017-2021). Retrieved from http://www.dmh.go.th/intranet/p2554/download/ view.asp?id=159 (in Thai)
Jumpa, N., Chainurak, P., & Jumpa, A. (2017). The study of context and patterns on alcoholdrinking of Myanmar migrant workers in Chiang Rai Province. Journal of SocialAcademic, 10(2), 133-149. (in Thai)
Keiwkingkaew, S. (2011). Psychiatric Nursing (2nd ed). Bangkok: Thammasat University. (in Thai)
Khamma, A. (2013). Risk factors associated with suicide: A case-control study in Sukhothai
Province. Journal of the Psychiatrist Association of Thailand, 58(1), 3-16. (in Thai)
Kittirattanapaiboon, P., Arunpongpaisal, S., Mahatnirunkul, S., Kongsuk, T., Choovong, K.,
Booncharoen, H., … Thai M.I.N.I. Core Group. (2007). Mini international neuropsychiatric interview Thai version 5.0.0-Revised 2007. Retrieved from http://www.skph.go.th/newskph/Doc_file/Miti4_MINIInterview5.0.pdf. (in Thai)
Kittirattanapaiboon, P., Tantirangsee, N., Chutha, W., Tanaree, A., Kwansanit, P., Assanangkornchai, S., … Thai Mental Health Survey Working Group. (2016).Prevalence of mental disorders and mental health problems: Results from Thai national mental health survey 2013 (1st ed.). Nonthaburi: Beyond Enterprise. (in Thai)
Krejcie, R. V., & Morgan, D. W. (1970). Table for determining sample size from a givenpopulation. Educational and Psychological Measurement, 30(3), 607-610.
Kwansanit, P. (2011). The relationship between alcohol consumption and suicide: Aliteratuer review. Journal of Somdet Chaopraya Institute of Psychiatry, 5(2), 49-65.
Lotrakul, M. (2010). Suicide: Treatment and prevention. Bangkok: Beyond Enterprise.
Lotrakul, M., & Sukanich, P. (2015). Psychiatry (4th ed.). Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University. (in Thai)
National Center for Suicide Prevention. (2016). The report of the suicide rate in 2015. Retrieved from https://www.suicidethai.com/report/download/view.asp?id=19 (in Thai
National Center for Suicide Prevention. (2015). The report of the suicide rate in 2014. Retrieved from https://www.suicidethai.com/ report/ download/ view.asp?id=18 (in Thai)
Nortun, J., Jenjai, Ch., & Ruengorn, Ch. (2016). Prevalence and factors associated with suicidalbehavior in patients with mental and behavioral disorder due to alcohol. Journal of Health Systems Research, 10(2), 137-151. (in Thai)
Patanavanichanun, N., Kessomboon, P., & Sirivattana, R. (2008). Risk and protective factors of self-harm behaviours. Thai Journal of Nursing Council, 23(3), 61-71. (in Thai)
Promthub, P. (2010). Suicidal risk among hill tribes and related factors. Nursing Journal, 37(4), 153-166. (in Thai)
Saenchai, C. (2006). Suicide risk of alcohol patients at Suan Prung Phychiatric Hospital, Chiang Mai Province (Unpublished master’s thesis). Chiang Mai University, Thailand. (in Thai)
Schneider, B. (2009). Substance use disorders and risk for completed suicide. Archives ofSuicide Research, 13(4), 303-316.
Sheehan, D., Lecrubier, Y., Sheehan, K. H., Sheehan, K., Amorim, P., Janavs, J., ... Dunbar, G.(2006). The Mini International Neuropsychiatric Interview (M.I.N.I.): The developmentand validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(suppl 20), 22-33.
Silpakit, P., & Kittirattanapaiboon, P. (2009). AUDIT The alcohol use disorders identification test: Guidelines for use in primary care (2nd ed.). Chiang Mai: Trantawan Paper. (in Thai)
Sitdhiraksa, N. (Ed). (2015). Psychiatric Siriraj DSM-5 (2nd ed.). Bangkok: Faculty of MedicineSiriraj Hospital, Mahidol University. (in Thai)
Suriyong, J., Viboonma, K., Keawma, P., Khamwongpin, M., & Tamdee, D. (2014). Prevalence ofalcohol use disorders of schizophrenic patients. Journal of Mental Health of Thailand, 22(1), 38-47. (in Thai)
Sriruenthong, W., Kongsuk, T., Pangchuntr, W., Kittirattanapaiboon, P., Kenbubpha, K.,
Yingyeun, R., … Leejongpermpoon, J. (2011). The suicidality in Thai population: A national survey. Journal of the Psychiatrist Association of Thailand, 56(4), 413-424. (in Thai)
Srisatidnarakul, B. (2007). The methodology in nursing research (4th ed.). Bangkok: U & I inter media. (in Thai)
Tittabut, J. (2011). Situation analysis of adolescent attempted suicide in Chaiprakarn
District, Chiang Mai Province, Thailand (Master’s thesis). Chulalongkorn University, Thailand. (in Thai)
Treepraseetsuk, S. (2007). Alcohol is not an ordinary commodity: Health impacts andtreatment. Bangkok: Morchawban. (in Thai)
World Health Organization. (2013). Suicide prevention (SUPRE). Retrieved from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
World health Organization. (2001). Audit. Retreived from http://apps.who.int/iris/bitstream/10665/67205/1/WHO_MSD_MSB_01.6a.pdf
Yaldizli, O., Kuhl, H. C., Graf, M., Wiesbeck, G. A., & Wurst, F. M. (2010). Risk factors for suicideattempts in patients with alcohol dependence or abuse and a history of depressive symptoms: A subgroup analysis from the WHO/ISBRA study. Drug and Alcohol Review, 29(1), 64-74.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
