suicide prevention

contemporary medicine

                                   

                                                                           Suicide prevention

          Epidemiology: most of cases  which being success in suicide  is male  while  female is  the most of  attempted  case  more than male.Regarding to regions,northern part of Thailand  is the most in attempt and complete  case.Moreover risk factors  are  aged  around 20-49 year (laboured group),married ,blue collar,quarrel with closed one esp.their spouse or lover.Psychosis is  the first of top ten  underlying causes  to  do suicide.The  interesting thing is that  only  36% of attempt  cases  need to die wheareas  the  left  have another reasons to do  suicide such as  want to sarcastic to someone,be ashamed  of something.However, there are protective factors(compared between  case and control) as reason for living  such as have to  look after for parent,having life goal, understanding about life,having religious belief,caring for other  people’s view,having more confidence  which  control  have higher  score than  case.To date,the  majority of   health  service  to suicide prevention  is  consultation,nevertheless;family,community and societal  support also have  crucial role to cope with  this  problem,so,Mann, JJ et al. (2005) recommended  the strategy for  suicide prevention as,at once we detect  our  targeted person  having  stressful life event  or  having  psychiatric disorder,consequently,we have to  monitor the sign of suicidal ideation  which  in   many  means  of access,for example;depressive symptom  screening  by VHV  and  referring  by health worker in primary,develop consultation skill in  nurse practitioner and medical doctor which is  relevant to empirical data  that strengthening  gatekeeper and primary doctor  can reduce  suicide rate up to 40-73% while  using  drug can reduce 3.2% .Finally,the last  important area is to  integrate  care plan with  multidisciplinary profession  such as  local government officer,Ministry  of social development  and human security  officer ,Ministry of education  officer  etc.