Effectiveness of Resilience Enhancement Program with Psychosocial Care on Resilience Quotient in Patients with Attempted Suicide

Abstract

This quasi-experimental research aimed to evaluate the effectiveness of a resilience-enhancing program integrated with psychosocial care on the mental resilience of patients who have attempted suicide. The study focused on comparing the resilience levels of participants before and after the intervention, as well as comparing the intervention group against a control group receiving conventional nursing care. The sample consisted of 30 patients who sought treatment following suicide attempts at Camp Bang Rachan Hospital, Sing Buri Province. Participants were selected using purposive sampling and subsequently matched based on gender and age to ensure demographic consistency between the experimental and control groups. The research instruments included a structured resilience-building program combined with psychosocial support and the Mental Health Resilience Quotient (RQ) assessment developed by the Department of Mental Health, which demonstrated a reliability coefficient of 0.749. Data analysis was performed using descriptive statistics, including mean and standard deviation, while hypothesis testing was conducted via t-tests to determine significant differences between the groups. The findings revealed that participants in the experimental group exhibited significantly higher mental resilience scores following the completion of the program compared to their pre-test scores ($p < .01$). Furthermore, the mental resilience of the intervention group was significantly superior to that of the control group receiving standard care ($p < .01$). These results indicate that the resilience-enhancing program, when coupled with psychosocial interventions, is highly effective in bolstering the psychological strength of individuals following a suicide attempt. This integrated approach can be adapted for patients with diverse suicidal behaviors to prevent recidivism and self-harm recurrence. Ultimately, fostering such psychological fortitude serves as a critical clinical strategy to enhance the long-term quality of life and mental well-being of high-risk patients.