Главная Учебники - Разные Национальный доклад «Молодежь Казахстана – 2018»
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H EAL TH AND LE ISURE O F Y O UNG GE NE RA TIO N 323 CH APTE R 3 children and adolescents: 1. The SEYLE is a program to save and strengthen lives of young people in Europe. 2. WE-STAY is a program working with youth in order to prevent academic absenteeism in Europe. 3. SUPREME is a program to prevent suicide and promote mental health through the Internet and the media. These studies have shown themselves to be effective in preventing suicide attempts and suicidal thoughts. Based on research conducted by RSPCPPA, together with the UN Children’s Fund “UNICEF” (with the involvement of international experts of WHO, the authors of the WHO Global Imperative: “Prevention of suicide”) a multicomponent program for suicide prevention among minors was developed. Subsequently, the leading domestic experts, as well as, with the support of the UN Children’s Fund “UNICEF”, the best international experts in the field of suicidology were attracted to develop the Program. The program for the prevention of suicides among minors is aimed at improving the mental health of adolescents in general and specifically at preventing self-destructive behavior and includes the following components: 1. Adolescent awareness raising: conducting workshops, aimed at raising students’ awareness of mental health, developing their problem solving skills and encouraging the search for psychological support when the need arises. Information kits provided. 2. Staff training in education and health organizations. Since 2015, the training component of the program introduced in all regions and cities of republican significance. In total from 2015 to 2017, 11,695 education specialists (psychologists) and public health (general practitioners, psychiatrists) trained. 3. Identification of students at risk: a program designed for the early identification of students who are in a state of psychological stress and at risk for self-destructive behavior by filling out a questionnaire. All educational and informational materials (booklets, leaflets, posters, clinical guidelines, guidelines, etc.) programs for preventing suicide among minors developed jointly with international experts, translated into Kazakh and Russian languages and fully adapted to local conditions and realities. The pilot project of the program was launched in 2015 in the Kyzylorda region. The project involved 292 schools (students in grades 8-10) and 29 colleges (first-year students). The component of awareness raising among adolescents in the Kyzylorda region covered 34,808 adolescents, of which 33,195 minors took part in the questionnaire. At the same time, 1,128 adolescents at risk identified on the questionnaire, but after conducting a semi-structured interview, 974 minors left in this group, of whom 30 people did not receive any help (due to the refusal of legal representatives). The increase in the effectiveness of identifying risk groups for suicidal behavior has increased by almost 12 times. According to data provided by international experts, assessments of the effectiveness of the implementation of the program for the prevention of suicides among minors in the Kyzylorda region showed the following. After 12 month of the introduction of the program, conduct effectiveness evaluation based on a survey (3,748 students). According to the results of the Depression, Anxiety and Stress Scale, conducted in 2015 compared to 2016, there is a significant decrease in anxiety and stress symptoms, among boys and girls. The drop in depression score was not significant. Symptoms of suicidal thinking have improved significantly, but the decline in these indicators is significant only for girls. 18 (0.5 %) adolescents answered that they had attempted suicide within 12 months before the initial survey; 4 attempts were made within 12 months prior to the initial survey and required medical assistance. 15 (0.4%) adolescents answered that they attempted suicide within 12 months after the initial survey and nobody of them did not need medical assistance. Adolescents addressed teachers with various problems to discuss emotional problems (546), depression (437), self-destructive thoughts or behavior (395), how to cope with difficulties or problems (683), problems with alcohol or drug use (445), bullying and violence (432), problems with studies or difficulties in learning (827). According to the results of the assessment, there is a high level of adolescent satisfaction with the suicide prevention program: 97.2 % believe that it is a good idea to have mental health programs for young people in schools; 95.3 % answered that the topics covered in the program materials (a brochure for teenagers, posters, lectures) were interesting for them; 97.3 % answered that the information in the program materials (brochure for teens, posters, lectures) given in clear and understandable language; 96 % responded that the program helped them to better understand their emotions and feelings; |