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A Comparative Study of Patients who Committed Suicide between Residents of Khanuworalaksaburi District and Khlongkhlung District, Kamphaengphet Province in 2007

ทวีศักดิ์ คณุตม์วงศ์; Thaweesak Khanutwong; สุมาลี เฮงสุวรรณ; Sumalee Hengsuwan; วินัย ลีสมิทธิ์; Vinai Leesmidt;
Date: 2551
Abstract
This study was aimed at identifying the general characteristics and different factors related to the commission of suicide, and the factors affecting the accomplishment of suicide between residents of Khanuworalaksaburi and Khlongkhlung districts in 2007. Secondary information on the patients was obtained from the report 506 DS in 2007. The data were analyzed by descriptive statistics, t-test and logistic regression. The study included 110 patients, 12 were successful in committing suicide, equal to 10.6 percent of the total. The death rate of Khlongkhlung’s victims was four-fold greater than Khanuworalasaburi’s. Nearly all of the suidcides committed were Thai agriculturists, in the working-age group and married. The prevalence in females was four times higher than in males. For most of the subjects, it was their first attempt; of those who survived, they were reluctant to repeat the suicide attempt. Most of the victims had two or more precipitating factors: the most common was depression, physically chronic diseases and having sufferred abuse; these were enabling factors but not significant. Most of the victims received service provision two or more times. The comparative study indicated that there was significance in the different modes of committing suicide, especially with regard to the use of insecticide, and physically chronic illness, particularly rheumatic diseases, as well as tobacco addiction. The types of services provision included making suggestions to their relatives, handout distribution, medication for depressive disorder, other supportive services such as referral for repeated suicide attempts. The risk factors and service provision were both significant factors in decreasing the success rate of those intending to commit suicide. Having suffered abuse was an important factor in raising the success rate. The authors suggest that the provision of good-quality and appropriate services would effectively decrease the success of attempts to commit suicide, while the screening for the precipitating factors and a change in abusive behavior would reduce the number of attempts.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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