Our primary health outcome is the severity of suicidality in suicide-risk patients, including patients who have experienced suicide attempts, chronic mental illnesses, chronic non-communicable diseases, or an acute life crisis. In our study, chronic mental illnesses cover schizophrenia, bipolar disorder, depressive disorder, and alcohol and substance use disorders. Chronic non-communicable diseases include cancers, cardiovascular, diabetes, hypertension and chronic respiratory diseases. The seve
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who have used health services and been recorded in health records in the studied sub-district health centres, both intervention and control sub-districts. 2. Patients who have at least one of the following chronic mental illnesses: schizophrenia, bipolar disorder, depressive disorder, and alcohol and substance use disorders 3. Patients who have at least one of the following chronic non-communicable diseases: cancers, cardiovascular, diabetes, hypertension and chronic respiratory diseases 4. Patients who have experienced an acute life crisis
Exclusion criteria
Exclusion criteria: 1. Patients who move out of the studied areas during the study period 2. Patients who have too many symptoms to cooperate in data collection 3. Patients who cannot communicate using the Thai language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The severity of suicidality At baseline before starting the studied interventions, and one-year and two-year after starting the studied interventions The severity of suicidality is measured by the 8-question scale (8Q) developed by the Department of Mental Health, Ministry of Public Health. | — |
Secondary
| Measure | Time frame |
|---|---|
| Depressive symptom at baseline before starting the studied interventions, and one year and two-year after starting the studied interventions PHQ-2 and PHQ-9,Quality of life at baseline before starting the studied interventions, and one year and two-year after starting the studied interventions EQ-5D-5L,Stress level at baseline before starting the studied interventions, and one year and two-year after starting the studied interventions 5-item stress test,accessibility to suicide-prevention health service at baseline before starting the studied interventions, and one year and two-year after starting the studied interventions suicide-prevention health service accessibility assessment questionnaire ,accessibility to suicide-prevention community service at baseline before starting the studied interventions, and one year and two-year after starting the studied interventions suicide-prevention community service accessibility assessment questionnaire | — |
Countries
Thailand
Contacts
University of Toronto, Dalla lana school of public health