Chaniang Surachai, Klongdee Kamonnat, Jompaeng Yupared
Boromarajjonani College of Nursing Nakhon Phanom, Nakhon Phanom University, 48000, Thailand.
Belitung Nurs J. 2022 Feb 22;8(1):60-66. doi: 10.33546/bnj.1746. eCollection 2022.
Suicide is the second leading cause of death among adolescents around the globe. Therefore, understanding its causes and prevention is needed.
This study aimed to explore Thai secondary school students' perceptions related to causes and preventions of suicide and the learning needs of suicide prevention.
A descriptive qualitative approach was employed in this study. Purposive sampling was used to select 32 adolescents for focus group discussions and ten adolescents for in-depth interviews. Data were collected from September 2019 to March 2020 and analyzed using content analysis.
Causes of suicide included seven sub-categories: parents' expectations of children's academic achievement, bullying, family problems, teenage love, lack of stress management skill, imitation behavior on social media, and substance use behavior. Suicide prevention consisted of five sub-categories: peer support, parental support, school support, health professionals and significant support, and knowing the value and believing in self. In addition, students' learning needs had two sub-categories: developing online learning platforms regarding suicide prevention and mental health promotion and prevention projects.
The findings of this study could guide nurses and other health professionals to develop a suicide prevention program for secondary school students. The study results could also be used as essential evidence for driving health care policy in promoting and preventing suicide in adolescents with the involvement of key stakeholders.
自杀是全球青少年中第二大死因。因此，需要了解其成因及预防方法。
本研究旨在探讨泰国中学生对自杀成因及预防的看法以及自杀预防的学习需求。
本研究采用描述性定性研究方法。采用目的抽样法选取32名青少年进行焦点小组讨论，选取10名青少年进行深入访谈。数据收集时间为2019年9月至2020年3月，并采用内容分析法进行分析。
自杀原因包括七个子类别：父母对孩子学业成绩的期望、欺凌、家庭问题、早恋、缺乏压力管理技能、社交媒体上的模仿行为以及物质使用行为。自杀预防包括五个子类别：同伴支持、父母支持、学校支持、健康专业人员及重要支持以及认识到价值并相信自己。此外，学生的学习需求有两个子类别：开发关于自杀预防和心理健康促进的在线学习平台以及预防项目。
本研究结果可为护士和其他健康专业人员制定中学生自杀预防计划提供指导。研究结果还可作为重要证据，推动在关键利益相关者参与下促进和预防青少年自杀的医疗保健政策。
