ปัจจัยทำนายพฤติกรรมการฆ่าตัวตายในผู้ใหญ่ตอนต้น

Abstract

Suicidal behavior among early adults is a major public health and social problem around the world, as suicide has increased in violence and frequency, both global and in the Thai context. This predictive correlational descriptive study aimed to explore suicidal behavior, such as self-esteem, social support and hope. Participants were selected by following the inclusion criteria and consisted of 89 early adulths between the ages of 20 to 40 years old, both male and female, who had received services from mental health and psychiatric out patient department at community hospitals in Health Region 1 of Thailand, from March to May 2021. The research tools used were 1)the Demographic data record; 2)the Rosemberg Self-esteem Scale:Revised Thai RSES; 3)Social Support Questionaire ;4) the Revised Version of the Thai Herth Hope Index and; 5)the Mini International Neuropsychiatric Structure Interview [M.I.N.I]:Suicidality part. Descriptive statistics and, the multiple linear regression stepwise method were used for data analysis. The findings revealed that: 1. Regarding suicidal behavior of the sample, when classified by the level of suicide behavior, most participants were at the low level of suicide risk, (79.78%), followed by a moderate level (14.61%) and a high level of risk (5.62%). 2. Social support is the only factor that could predict the suicide behavior of early adults at 33.90%,with a significance level of 0.01 (R2= 0.339, P<0.01). As for feelings of self-worth and hope, it was not possible to predict suicide behavior in early adults via those factors. The results of this research can benefit psychiatric nurses and related staff working in mental health. The findings, can be used as primary information for planning to prevent the risk of suicidal behavior in early adults and for enhancing social support for early adults receiving services at community hospitals in Health Region 1 of Thailand.