Psychosocial Support Provided by Health Volunteer for Older Adult with Depression and Suicide Attempt: A Case Study

Saifon AEKWARANGKOON; Naiyana NOONIL; Rewwadee PETSIRASAN

doi:10.48048/wjst.2019.4053

Authors

Saifon AEKWARANGKOON School of Nursing, Walailak University, Nakhon Si Thammarat 80161
Naiyana NOONIL School of Nursing, Walailak University, Nakhon Si Thammarat 80161
Rewwadee PETSIRASAN School of Nursing, Walailak University, Nakhon Si Thammarat 80161

DOI:

https://doi.org/10.48048/wjst.2019.4053

Keywords:

Depression, suicide attempt, psychosocial support, health volunteer, older adult

Abstract

Depression causes major disabilities and can lead to suicide among older adults in Thai rural communities. A case study was used to present the psychosocial support provided by a health volunteer to an older adult suffering from depression and attempted suicide. Content analysis was applied to analyze the data. The results revealed that the psychosocial support given by the health volunteer consisted of 4 processes; 1) support and motivation to keep alive, 2) encouragement for a new life, 3) empowerment for life change, and 4) evaluation of the change process. These processes not only help mitigate patients’ symptoms of depression and possible suicide risks but also prove to promote psychological well-being. The patient outcome benefits indicated sustainability over the course of 18 months.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

K Bosanquet, N Mitchell, R Gabe, H Lewis, DM Millan, D Ekers, D Bailey and S Gilbody. Diagnostic accuracy of the Whooley depression tool in older adults in UK primary care. J. Affect. Disord. 2015; 182, 39-43.

WHO. Depression Fact Sheet. World Health Organization Media Centre, Available at: http://www.who.int/mediacentre/factsheets/fs369/en, accessed July 2016.

M Miravitlles, J Molina, JA Quintano, A Campuzano, J Pérez and C Roncero. Factors associated with depression and severe depression in patients with COPD. Resp. Med. 2014; 108, 1615-25.

World Health Organization. First WHO report on suicide prevention. World Health Organization Media Centre, Available at: http://www.who.int/mediacentre/news/releases/2014/suicide-prevention-report/en, accessed May 2017.

N Wongpanarak and S Chaleoykitti. Depression: A significant mental health problem of elderly. J. Royal Thai Army Nurs. 2014; 15, 24-31.

Bureau of Mental Health Promotion and Development, Department of Mental Health, Ministry of Public Health. Guidelines for Mental Health Promotion and Prevention in Elderly for Community Hospitals and Sub-district Health Promotion Hospitals. The National Buddhism Office, Bangkok, 2017, p. 1-2.

SS Deshpande, M Gadkari and SS Raje. Screening for depression and its risk factors in geriatric population: A rural community based study. Asian J. Psychiatr. 2011; 4, 284-87.

BA Gaudiano, CA Schofield, C Davis and LS Rifkin. Psychological inflexibility as a mediator of the relationship between depressive symptom severity and public stigma in depression. J. Context. Behav. Sci. 2017; 6, 159-65.

S Shimotsu and N Horikawa. Self-stigma in depressive patients: Association of cognitive schemata, depression, and self-esteem. Asian J. Psychiatr. 2016; 24, 125-9.

S Aekwarangkoon, N Noonil R Petsirasan U Nuampet and C Phonphet. Perception and needs for competency development in depression screening in the elderly community among village health volunteers. Thai J. Nurs. 2017; 66, 36-43.

TG Rhee, BD Capistrant, JC Schommer, RS Hadsall and DL Uden. Effects of depression screening on diagnosing and treating mood disorders among older adults in office-based primary care outpatient settings: An instrumental variable analysis. Prev. Med. 2017; 100, 101-11.

H Oyama and T Sakashita. Long-term effects of a screening intervention for depression on suicide rates among Japanese community-dwelling older adults. Am. J. Geriatr. Psychiatr. 2016; 24, 287-96.

Y Ni, JY Tein, M Zhang, Y Yang and G Wu. Changes in depression among older adults in China: A latent transition analysis. J. Affect. Disord. 2017; 209, 3-9.

ES Kim and SH Konrath. Volunteering is prospectively associated with health care use among older adults. Soc. Sci. Med. 2016; 149, 122-9.

M Nicola, L Helen, CG Carolyn, G Linda and B Peter. Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis. Brit. J. Psychiatr. 2010; 196, 96-101.

JM Azorin, A Kaladjian, E Fakra, M Adida, R Belzeaux, E Hantouche and S Lancrenon. Religious involvement in major depression: Protective or risky behavior? The relevance of bipolar spectrum. J. Affect. Disord. 2013; 150, 753-59.

YA Barton, L Miller, P Wickramaratne, M Gameroff and MM Weissman, Religious attendance and social adjustment as protective against depression: A 10-year prospective study. J. Affect. Disord. 2013; 146, 53-7.

LD Oakley, S Aekwarangkoon and E Ward. Successful holistic management of type 2 diabetes with depression: A very personal story. Holist. Nurs. Pract. 2011; 25, 88-96.

S Grover, S Sarkar, A Bhalla, S Chakrabarti and A Avasthi. Religious coping among self-harm attempters brought to emergency setting in India. Asian J. Psychiatr. 2016; 23, 78-86.

JT Marian, EM Marjolein, M Hilde and L Anneke. Effects of self-management support programmes on activities of daily living of older adults: A systematic review. Int. J. Nurs. Stud. 2016; 61, 230-47.

T Zimmermann, E Puschmann, HVD Bussche, B Wiese, A Ernst, S Porzelf, A Daubmann and M Scherer. Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study). Int. J. Nurs. Stud. 2016; 63, 101-11.

H Chaudhury, M Campo, Y Michael and A Mahmood. Neighbourhood environment and physical activity in older adults. Soc. Sci. Med. 2016; 149, 104-13.

SZ Ivan, A Koyanagi, S Tyrovolas and JM Haro. The association of relationship quality and social networks with depression, anxiety, and suicidal ideation among older married adults: Findings from a cross-sectional analysis of the Irish longitudinal study on aging (TILDA). J. Affect. Disord. 2015; 179, 134-41.

NSK Sadaghiani. The role of hardiness in decreasing the stressors and biological, cognitive and mental reactions. Proc. Soc. Behav. Sci. 2011; 30, 2427-30.

R Delahaij, AWK Gaillard and KV Dam. Hardiness and the response to stressful situations: Investigating mediating processed. Pers. Individ. Dif. 2010; 49, 386-90.