Suicide and associated behaviors represent a significant health disparity among refugees and displaced persons. Despite this burden, evidence for prevention programing in these populations is limited. This study aimed to inform the selection and implementation of suicide prevention strategies in refugee camps in Northwestern, Thailand - camps that had experienced recent spikes in suicides and suicide attempts at the time of the study. We leveraged Community Based System Dynamics modeling through a series of four workshops with key local stakeholders and suicide prevention experts, to build a qualitative systems model that accounts for complexities and is aimed at assisting local partners with selecting the most promising strategies for implementation and evaluation. The process expanded local understanding of the causes and consequences of suicide and resulted in selection of priority interventions aimed at reducing suicide in this context. Our research illustrates the application of a novel methodology that aims to account for the complexities of suicide prevention in the context of displacement and helps to optimize local suicide prevention efforts.

中文翻译：

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泰国难民营的自杀预防规划：使用基于社区的系统动力学模型。

自杀和相关行为代表了难民和流离失所者之间的重大健康差异。尽管有这种负担，但在这些人群中进行预防规划的证据仍然有限。本研究旨在为泰国西北部难民营中自杀预防策略的选择和实施提供信息——在研究期间，这些难民营的自杀和自杀未遂事件最近激增。我们通过与当地主要利益相关者和自杀预防专家举行的四次系列研讨会，利用基于社区的系统动力学建模，建立一个考虑复杂性的定性系统模型，旨在帮助当地合作伙伴选择最有希望的实施和评估战略。该过程扩大了当地对自杀原因和后果的理解，并导致选择旨在减少这种情况下自杀的优先干预措施。我们的研究说明了一种新方法的应用，该方法旨在解释流离失所情况下自杀预防的复杂性，并有助于优化当地的自杀预防工作。