Incidence and Factors Associated with Completed Suicide among Adolescent Aged 10-19 Years, Health Region 10
Keywords:
suicide, successful suicide among adolescents, incidence, self-harmAbstract
Background and Objective: Thailand has the highest of deaths from suicide per year in the ASEAN region. Especially, the Health Region 10 (2019-2021) found the most completed suicide of students. This study aimed to determine incidence rate (IR) and factors associated with completed suicide in adolescents aged between 10 and 19 years, Health Region 10.
Methods: The retrospective cohort study (aged 10-19 years), Health Region 10, with 627 suicides (2017-2021). Data from the System for Surveillance of attempted self-harm, Department of Mental Health. All were followed up until 2022. The generalized linear model (GLM) was used which presenting with adjusted Relative Risk (Adj RR) with their 95% Confidence interval (95%CI).
Result: A total of 47 adolescents completed suicide, corresponding the IR as 7.5 per 100 person-years (95%CI; 5.6 to 9.8). The factors associated significantly with adolescents completed suicide were gender and hanging method (p < 0.05). It was found that females had a 0.40 times risk to completed suicide compared to males (Adj RR = 0.40; 95%CI; 0.23 to 0.69), while self-harm by hanging were 20.5 times risk to completed suicide compared to self-harm with firearms (Adj RR = 20.5; 95%CI; 10.0 to 41.9).
Conclusion: The finding showed gender and methods of self-harm by hanging were strongly associated with completed suicide in adolescents aged 10 to 19 years, Health Region 10, while the IR of completed suicide is high.
References
World Health Organization. Risk and Protective Factors [online]. 2022. [cited August 25, 2022]. Available from: https://www.cdc.gov/suicide/factors/index.html
World Health Organization. Suicide Data and Statistics 2019. [online]. 2022 [cited August 25, 2022]. Available from: https://www.cdc.gov/suicide/suicide-data-statistics.html3. World Health Organization. Preventing Suicide: A Technical Package of Policy, Programs, and Practices.2022 [online]. 2022 [cited August 25, 2022]. Available from: https://www.cdc.gov/suicide/pdf/suicideTechnicalPackage.pdf
World Health Organization. Suicides on The Rise in Thailand 2019 [online]. 2022 [cited September 29, 2022]. Available from: https://theaseanpost.com/article/suicides-rise-thailand
UNICEF Thailand. Strengthening Mental Health and Psychosocial Support systems and services for children and adolescents in the East Asia and Pacific region: Thailand country report 2022. [online]. 2022 [cited August 3, 2022]. Available from: https://www.unicef.org/thailand/media/8876/file/ MHPSS%20Report%202022.pdf
Khon Kaen Ratchanakarin Psychiatric Hospital. Suicide prevention and reduce self harm in Thailand; 2020.
Department of Mental Health. Documents for the meeting summarizing the civil service inspection and supervision for the year 2022, Ministry of Public Health; 2022.
Mental health center 10. Summary of civil service inspection and supervision for the year 2022, Health Region 10; 2022.
. Sukhawaha S, Kenbubpha K, Saguanrum K, Pianthong K, Thongbenjamas S, Hasook P. Prevalence of depression and its association with suicide risk in junior high school students of Ubon Ratchathani province. J Psychiatr Assoc Thai 2020;65(1):15-24.
Robkob W, Skulphan S, Sethabouppha H. Depression, alcohol drinking behaviors, and suicidal risks of adolescents. Nurs J 2018;45(4):144-58.
Pitman A, Krysinska K, Osborn D, King M. Suicide in young men. Lancet 2012;379(9834):2383-92. doi.org/10.1016/S0140-6736(12)60731-4.
Kammeesinon P, Kammeesinon P, Chokrassameehirun J, Srichanla E, Khamchompu S, Saokaew W. Risk
and protective factors of people who attempted suicide in the 7th Health District of Thailand.
JSPT 2020;1(1):25-40.
Polpipatpong S, Chaimongkol N, Vatanasin D. Suicidal Ideation in Adolescent and Its Associated Factors.
J Facul Nurs Burapha Univer 2018;26(1):40-9.
Prateepathiranan W. Rate of suicide and factors related to suicidal behavior at Chao Phraya Yommarat
Hospital Suphanburi Province. JPNMH 2014;28(3):90-103.
Arunpongpaisal S, Assanagkornchai S, Chongsuvivatwong V, Jampathong N.
Time-series analysis of trends in the incidence rates of successful and attempted suicides in Thailand in 2013–2019 and their predictors. BMC Psychiatry 2022;22(1):579. doi.org/10.1186/s12888-022-04125-5.
Meewongsom J, Kowawinthaweewat S, Chaemsuwanwong A. Situations and sex-related sex-age-
region methods of suicide in Thailand, 2012-2016. J Criminol Forensic Sci 2021;7(2):90-107.
Hataiyusuk S, Apinuntavech S. Adolescent suicide in Thailand: incidence, causes
and prevention. Siriraj Med Bull 2020;13(1): 40-7.
Uddin R, Burton NW, Maple M, Khan SR, Khan A. Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 low-income and middle-income countries: a population-based study. Lancet Child Adolesc Health 2019;3(4):223-33. doi.org/10.1016/S2352-4642(18)30403-6.
Kaewhao S, Wirojanapa S, Tansupasiri P, Nusorn K, Thippanya S, Sakulthong L, et al. The development
of suicide prevention and surveillance system by the participation of district community. [online]. 2020 [cited May 30, 2023]. Available from: https://dol.thaihealth.or.th/File/media/29d354bd-77fc-4e14-aea6-5f03d413b4c9.pdf
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