Development of a Model for Reducing Suicide Problems with a Community-based Vaccine in Wiang Sa District, Nan Province Development of a Model for Reducing Suicide Problems with a Community-based Vaccine in Wiang Sa District, Nan Province

Abstract

This research study on the development of a model for reducing suicide problems using the Heart Vaccine in the community in Wiang Sa District, Nan Province, has three objectives: 1. To study the causes and risk factors of suicide among people in Wiang Sa District, Nan Province; 2. To develop and implement the Heart Vaccine activity in the community to strengthen morale and reduce risk factors of suicide among people in Wiang Sa District, Nan Province; and 3. To evaluate the effectiveness of the Heart Vaccine in the community to reduce suicide among people in Wiang Sa District, Nan Province. This participatory action research was conducted with 40 network partners and a sample of 400 people.

          The research results found that 1) Causes and risk factors of successful suicide in Wiang Sa District in 2024-2025, there were 19 cases, most of whom were male, aged 20-59 years (68.42%). The suicide methods were hanging (63.16%), using toxic substances (21.05%), and using guns (15.79%). Risk factors (underlying conditions) were physical illnesses, cancer, high blood pressure, diabetes, chronic kidney disease (47.37%), followed by psychiatric illnesses (26.32%), alcohol and drug addiction (26.32%). Triggers were family relationship problems, quarrels with close people, feeling discouraged (47.37%), suffering from illness (42.11%), economic problems, debt, unemployment, no income (10.53%). 2) The community activity format consisted of 7 steps: 1) Survey the target group at risk of suicide and depression 2. Provide knowledge and understanding about mental health 3. Strengthen coping and problem-solving skills 4. Create a social support network 5. Promote good health and reduce behavioral risk factors 6. Access to mental health services 7. Monitor and evaluate 3) In terms of effectiveness, it was found that the suicide attempt rate decreased. After organizing the activity, participants were highly satisfied overall (𝑥̅= 3.94, S.D.= 0.74)