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Đề án mẫu Khương-Proposal - Suicide Prevention.V2
Đề án mẫu Khương-Proposal - Suicide Prevention.V2
I – PROJECT SUMMARY
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II – PROJECT DESCRIPTION
Abstract (provide a brief summary of your project)
Maximum 300 words
As a result of the ongoing pandemic, the dramatic rise in the number of adolescents’ suicidal
thoughts and attempts has been a global concern. Additionally, Vietnam has also reported an
increased risk of committing suicide among young individuals. As previous suicide prevention
programs in the world suggested, the role of school staff or teachers is the essential
connection for the comprehensive strategy for this social problem. To prevent such
unfortunate events, a program targeting secondary teachers’ awareness is proposed by
REACH project members. In this 6-months project, we aim to research and develop a suicide
prevention online program for Vietnamese high school teachers with culturally appropriate
adaptation and local referring/support systems, which aims to match these criteria: 1.
Evidence-based outcomes, 2. Sustainability; 3. Inclusivity.
Background/Introduction
Suicide is a global health issue. There are 703000 people who die by suicide every year
worldwide. 77% of suicidal cases occurred in low- and middle-income nations. Notably, suicide
is the fourth most common cause of death among those aged 15 to 29. Additionally, 88% of
adolescents who died by suicide were from low- and middle-income countries. (WHO, 2021a)
In Vietnam, although the rate of suicide among adolescents is low compared with other
countries in the region (Blum et al., 2012), suicide is an increasing concern, especially among
young people. Suicidal ideation, which contributes to the risk of committing suicide, is
increasing among adolescents (Udin et al., 2019; Tran et al, 2020). Nguyen et al., (2021a) found
that the prevalence of 12-month suicidal thoughts, suicide plans, and suicide attempts in high
school students in Hanoi were 14.2%, 5.5%, and 3.0%, respectively. This coincides with the results
reported by UNICEF in 2017 about suicide amongst children and young people in selected
provinces and cities in Vietnam. Furthermore, in the last two years, the pandemic, which is a
traumatic event with social isolation, school closure and uncertainty, has significantly
impacted adolescents' mental health. The pandemic has worsened adolescents' mental health
conditions, and they cannot get support from peers and helping services (Lee, 2020). Thus,
suicidal ideation and suicidal attempts among adolescents after the pandemic might be
increasing and at peaks.
Suicides are preventable. According to WHO, suicide prevention efforts require integrative and
comprehensive collaboration across sectors, including health, education, labour, agriculture,
business, justice, defence, politics, and the media (WHO, 2021b). Based on WHO
recommendation, the Centers for Disease Control and Prevention (CDC) recommended a
framework with the four-level social-ecological model to better understand violence (including
suicide) and have potential prevention strategies. The model includes the complex interplay
between individual, relationship, community, and societal factors. Our proposal focuses on the
community level, which explores the settings (i.e., schools, workplaces, neighborhoods) where
social relationships occur. For adolescents, school settings are where they spend most of the
time and develop social interaction. Thus, schools are ideal points for a focused suicide
prevention program (Yamaguchi et al., 2018).
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However, in the past, school-based programs often focused on students about suicidal
knowledge (e.g., risk factors, warning signs, etc.) but did not address prevention and
intervention to reduce actual suicidal behaviors (Miller & Mazza, 2018). Prevention programs
that provide services to identify individuals at risk for suicide and measure suicidal behavior
are more effective and comprehensive. Furthermore, in school settings, teachers and school
personnel are often the first to observe behavior that indicates either the development or
worsening of mental health problems. Additionally, teachers in Vietnam lack mental health
knowledge, especially suicide knowledge. This hinders teachers’ ability to solve mental health
problems and intervene in suicidal ideation and suicidal behaviours in students. Thus,
developing a mental health education program that focuses on suicidal knowledge can help
teachers better understand and reduce the risk of suicidal behavior in students. Most
assessments of mental education training reported significant improvements in teachers’
knowledge and attitudes towards suicide (Nguyen et al., 2020b; Yamaguchi et al., 2018).
Our Health education about Suicide Prevention for High school teachers and staff program is
based on some of the Suicide prevention programs in school existing in the world, namely
School-based gatekeeper, Suicide prevention training, WHO’s Suicide prevention program,
Living works’s Suicide prevention program. The subjects of these programs are those who are
close to students, can observe the changes in students about their appearance, and can keep
students safe and alive such as school personnel, teachers, or other people working in schools.
The goals of these programs are raising awareness about health literacy for teachers and
school personnel on suicide prevention, empowering them to recognize suicidal signs, and
providing life-saving support. So, these programs focus on informing about knowledge and
skills in identifying risk factors, developing plans to help students, and providing information
about local community resources and how to get these resources. Besides, these programs
build awareness about recognizing the risk for suicidal behaviors, determine if a student is at
risk for suicidal behaviors, and respond to students at risk for suicide, including referral to a
mental health /healthcare provider. These programs of beneficiaries, goals, and content fit
with our project. Therefore, we plan to adapt those programs in our project and fix them to be
suitable for Vietnamese culture because all of those programs were built in other countries,
unlike Vietnam.
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Name School-based Suicide Prevention WHO Living works
gatekeeper Training
Country All the world Indiana, US All the world All the world
Beneficiaries School personnels Teachers in grade Teachers and other Anyone, regardless
5-12 people working in of background or
schools experience, can
learn skills to keep
someone safe and
alive.
Target audience
In our project, high school teachers and staff can play a significant role in preventing suicidal
ideation and attempts among their pupils with educators working together to provide clear
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and consistent messages to students about the initial signs. School environments provide the
circumstances to enhance protective factors and reduce risks for these students.
● Direct beneficiaries:
○ In this project: minimum of 30 teachers (pilot - synchronous courses) and
○ After the project: more than 100 per year (online platform - asynchronous
courses)
● Indirect beneficiaries: more than 1,000 (students, parents...)
Piloting strategy
Members will be chosen by the diversification of (1) gender, (2) the school system (public and
private) they are working in, (3) school location (rural or urban), (4) region (North, Central,
South, Mekong delta), and (5) working experience (new and experienced teacher with cut off
point of 2 years).
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Based on the previous suicide prevention health education programs in schools around the
world, we suggest and identify these contents for our program in Vietnam.
*This will be reviewed by mental health professionals and head teachers in the next phases.
Time range Content Method Notes
15 min. Myths and facts about suicide in life and Facilitator (mental professional):
schools ● Introduce the main concepts
and instruct class activities
45 min. Understanding suicide in teens (causes, ● Connect previous knowledge
signs, psychopathological progress, and summarise brain-storming
consequences, biopsychosocial factors) ideas of the members
Class members:
15 min. (Online) Tea break ● Discuss in groups and present
their answers,
45 min. Risk and protective factors in schools and ● Role play (teachers and
the role of school teachers/staff in suicide students)
prevention
Total =
180 minutes
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III – PROJECT EVALUATION PLAN
How will you evaluate the success of the project, including sustainability? Please provide indicators of success and potential risks
associated with your project as well as solutions to overcome such risks.
CÁC TIÊU CHÍ ĐÁNH GIÁ MỨC ĐỘ TỰ BẰNG CHỨNG CÁCH CẢI THIỆN
DỰ ÁN ĐÁNH GIÁ
F - Feasible - Tính khả thi 5/5 Khảo sát và thử nghiệm trên pilot trước khi xây dựng
của dự án (số lượng đối khóa học trực tuyến
tượng, nguồn lực, khả Nhân sự đủ năng lực và đáp ứng các yêu cầu cơ bản
năng của nhóm dự án) để phát triển và triển khai khóa học
Sự hỗ trợ chuyên môn từ giảng viên USSH và nền tảng
từ VHATTC
I - Interesting - Tính thú vị 5/5 Dự án gắn liền với nhu cầu xã hội và khơi dậy sự kết
của dự án (với cộng đồng, nối từ nhà trường nơi gần gũi nhất với học sinh (nhóm
xã hội, khoa học, chính nguy cơ cao) và gia đình
sách,...) Đáp ứng với các chính sách nhà nước về việc đảm bảo
sự bình an cho học sinh - giáo viên
N - Novel - Tính mới của 5/5 Kể cả trên thế giới các chương trình nâng cao nhận
dự án (cách tiếp cận, thức về phòng ngừa tự sát cho giáo viên vẫn còn khá
phương pháp, câu hỏi mới mẻ (qua phần tổng quan)
mới,...) Đồng thời, dự án hướng tới sự trao quyền
(empowerment) như một nhân tố đảm bảo sự bền
vững của dự án
E - Ethical - Tính đạo đức 5/5 Dự án giáo dục này hoàn toàn đáp ứng các yêu cầu
của dự án (phù hợp với về đạo đức và văn hóa truyền thống về việc trợ giúp
pháp luật và văn hóa của người trẻ khi có ý định tự sát
Việt Nam,...) Hướng phát triển tiếp theo của nhóm dự án là lan tỏa
và định hình văn hóa trợ giúp trong và ngoài nhà
trường
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R - Relevant - Sự liên 5/5 Dự án song hành với các chương trình phòng ngừa tự
quan của dự án (với cộng sát đã diễn ra tại Việt Nam và hướng tới nhóm đối
đồng, xã hội, khoa học, tượng giáo viên vẫn còn là nguồn trợ giúp tiềm năng
chính sách…) nhưng còn bỏ ngỏ
S - Sustainable - Tính bền 4/5 Hệ thống khóa học trực tuyến vẫn diễn ra và cập nhật Duy trì họp định kỳ mỗi 6 tháng để xem xét các
vững của dự án sau khi thường niên với sự trợ giúp của nhóm chuyên môn báo cáo khóa học, lượng giá (evaluation), kết
kết thúc hợp tác với (tình nguyện) quả học tập (pre-post test) để điều chỉnh nội
REACH (tính ảnh hưởng Hoạt động gặp gỡ trực tuyến và hỗ trợ từ xa vẫn sẽ dung
lâu dài và các hoạt động góp phần giúp việc thực hành và hỏi đáp trở nên dễ Phối hợp với chuyên gia tại các trường đại học
có thể duy trì) tiếp cận với các thầy cô. hoặc trung tâm tại VN để duy trì hoạt động trao
(sustainable đổi trên mạng xã hội
assessment/rubric)
R - Risk - Khó khăn có thể 2/5 Các vấn đề về tư cách pháp nhân, chứng nhận tham Thiết lập mối quan hệ với các trung tâm có liên
gặp phải và biện pháp gia và sự hỗ trợ chuyên môn có thể sẽ gây ít nhiều quan đến việc hỗ trợ sức khỏe tại các trường
khắc phục (risk khó khăn cho nhóm dự án. đại học
assessment and plan) Các đơn vị dự kiến hợp tác:
● Trung tâm Chuyển giao Công nghệ Điều trị
Nghiện chất và HIV - VHATTC (ĐH Y Dược
TPHCM)
● Phòng Tham vấn và trị liệu tâm lý thuộc
trường ĐH KHXH NV (ĐHQG TP. HCM)
● Trung tâm tham vấn tâm lý (Đại học Hoa
Sen (Số 8, Nguyễn Văn Tráng, Q.1)
● Etc.
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IV – PROJECT PERSONNEL
STT Vai trò trong Họ tên, vị trí làm việc, đơn vị công tác Thông tin liên hệ
(No.) dự án (Full name and affiliation) (Contact information)
(Project Role)
1 Project Le Dao Anh Khuong, MSc in Public Email:
Coordinator Health khuongle@hcmussh.edu.vn
Lecturer and Researcher Phone: 0934.033.060
University of Social Sciences and Address: 1, Street 4, Linh
Humanities, Vietnam National University, Xuan ward, Thu Duc district,
HCMC Ho Chi Minh city
2 Quality Nguyen Thi Bao Tram, PhD Candidate Email:
Assessor in Health and Wellbeing tram.nguyen@vuw.ac.nz
Researcher and Teaching Assistant Phone: (+64) 272134270
Victoria University of Wellington, New Address: ⅙ Moncrieff Street,
Zealand Mount Victoria, Wellington,
NZ
3 Treasurer and Ngo Thi Thuy, BA in Psychology Email:
Secretary MSc student in Psychology ngothuyfos.ussh97@gmail.c
Southwest University, China om
Phone: (84) 375489948
Address: Cam Giang town,
Cam Giang, Hai Duong, VN
4 Project Bui Nguyen Nhat Dan, Undergraduate Email:
Assistant student in Psychology nbui9116@uni.sydney.edu.a
The University of Sydney, Australia u
Phone: +61 435 121 311
Address: 235 Homebush rd,
Strathfield NSW, AU
5 Project Pham Gia Phuong, BA in Psychology
Assistant
6 Project (To be recruited) To be updated
Assistant Undergraduate student in Psychology
University of Social Sciences and
Humanities, Vietnam
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V - APPENDICES
1 Know and manage your attitude and reactions toward suicide 1---2---3---4---5---6---7
2 …
3 …
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Suicide Competency Assessment Form (SCAE) from Cramer, R. J., Johnson, S. M., McLaughlin, J., Rausch, E.
M., & Conroy, M. A. (2013). Suicide risk assessment training for psychology doctoral programs: Core
competencies and a framework for training. Training and education in professional psychology, 7(1), 1.
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The Myths & Facts of Youth Suicide. Retrieved from https://suicideprevention.nv.gov/Youth/Myths
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Appendix 2. Evaluation form
Question #1. Did the training content meet your expectations?
Yes or No. Why or why not?
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
____________________________________________________________
Question #2. How would you rate the quality of the training?
A 1 to 5 option (1, 2, 3, 4, 5) with 1 = unacceptable and 5 = outstanding
Question #3. How would you rate the quality of the instructor?
1 = unacceptable; 5 = outstanding
● What was the instructor’s level of content knowledge?
● How was the speed of delivery?
● How would you rate their organization and preparation?
● How was their enthusiasm?
Please provide any additional feedback for the instructor.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
____________________________________________________________
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Appendix 3. Letter of Support (MOU)
Thân gửi nhóm REACH Vietnam 2022,
Cc: Mr. Le Dao Anh Khuong, University of Social Sciences and Humanities, VNU, HCMC
Chúng tôi được biết là các bạn REACH đang nộp dự án nâng cao kiến thức về phòng ngừa tự sát
cho giáo viên THCS tại TP. HCM. Trong bối cảnh đại dịch COVID-19, nhiều gia đình phải bận chăm
lo công việc tài chính mà không để ý đến con trẻ, và cộng thêm áp lực học hành, dễ dẫn đến suy
nghĩ tự sát,. Thông qua những báo cáo, số liệu cho thấy số lượng thanh thiếu niên tự sát hay có ý
nghĩ tự sát đã trở nên phổ biến hơn. Vấn đề này trở thành mối lo ngại nói chung tại Việt Nam và
đặc biệt là tại trường học của chúng tôi. Vì vậy, chúng tôi rất ủng hộ dự án này và mong muốn
thông qua dự án, giáo viên của chúng tôi sẽ được nâng cao nhận thức về cách phòng ngừa tự
sát, cũng như nâng cao kỹ năng hỗ trợ ban đầu cho học sinh, cha mẹ học sinh. Do đó, việc hợp
tác này không chỉ có ý nghĩa trong việc hỗ trợ, can thiệp các trường hợp học sinh có ý nghĩ tự sát
mà còn nhằm phòng ngừa những trường hợp tương tự trong tương lai.
We are informed that REACH members are promoting health education of suicide prevention for
secondary school teachers and any related staff in HCM city. In the advent of COVID-19, we have seen
teenagers being neglected due to family’s financial problems and school pressure, eventually leading
to suicidal thoughts or even suicide. There have been numerous cases reported in teenagers and
adolescents in many parts of Vietnam and our school in general. Therefore, we are highly supportive
of this project and it is our goal to raise teachers’ awareness of prevention schemes and early
resolutions to such problems as well as direct assistance to youth and families of these unfortunate
circumstances. Hence, we would like to work alongside you in this project to not only assist teachers in
dealing with cases but also to prevent it from occurring.
Cuối cùng, chúng tôi hy vọng sẽ nâng cao được nhận thức của cộng đồng, đặc biệt là các bậc
phụ huynh, về tầm quan trọng của việc không tạo quá nhiều áp lực cho trẻ và dẫn đến suy nghĩ
tự sát. Chúng tôi hiểu rằng, việc nâng cao nhận thức cho giáo viên về nội dung này, cũng sẽ giúp
ích cho việc nâng cao nhận thức của cha mẹ học sinh và cộng đồng nói chung. Chúng tôi hy
vọng, việc hợp tác giữa Nhà trường và nhóm REACH sẽ sớm được xúc tiến, để các hoạt động của
dự án sẽ diễn ra trong thời gian sớm nhất, với hiệu quả cao.
As a summary, we hope to raise awareness of the public, especially parents, about the importance of
preventing suicidal thoughts. Hence, it would be a great opportunity for us to collaborate with you in
implementing this project and to extend the knowledge of educators as well as the public in preventing
suicide.
Chúc nhóm REACH có thể được tài trợ dự án triển khai thành công!
Trân trọng,
Sincerely,
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Appendix 4. [Template] Certificate of Participant (Vietnamese)
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Appendix 5. eLearning (template)
VHATTC eLearning will be utilized for asynchronous courses.
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