The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study


stress-coping behaviors
suicidal risk

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Kajai, C., Suksatan, W., Promkunta, N., & Kamkaew, N. (2022). The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study . Belitung Nursing Journal, 8(5), 446–452.
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Accepted for publication: 2022-09-02
Peer reviewed: Yes

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Background: The COVID-19 pandemic has resulted in severe mental health problems worldwide. Thus, in addition to the high number of people who have died from infection with complications, some have committed suicide.

Objective: This study aimed to determine the relationships between stress, stress-coping behaviors, and suicidal risk among those who had become unemployed in Thailand due to the COVID-19 pandemic.

Methods: This study had a cross-sectional correlational design and included 447 unemployed Thais at least 18 years of age who had become unemployed due to the COVID-19 pandemic. The participants were selected through multistage sampling. A self-administered questionnaire was used for data collection. The data were then analyzed using frequency, percentage, and Spearman’s correlation coefficient.

Results: Most participants had moderate-level stress (73.16%) and stress-coping behaviors (71.81%). Almost all the participants had no suicidal risk (76.73%). The stress level and overall stress-coping behavior were positively correlated with suicidal risk (r = 0.305, p <0.01 and r = 0.352, <0.01, respectively).

Conclusion: Stress and stress-coping behaviors were associated with suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic. Hence, nurses must screen patients with psychological problems, especially those who have become unemployed due to the COVID-19 pandemic, for suicide risk. Developing interventions to reduce such patients’ stress and promote appropriate stress-coping behaviors is essential.

Supporting Agencies

This study was funded by the Unit of Excellence in Clinical Research University of Phayao and Boromarajonani College of Nursing, Phayao, Faculty of Nursing, Praboromarajchanok Institute, Thailand


Copyright (c) 2022 Chalermpon Kajai, Wanich Suksatan, Nittaya Promkunta, Natakorn Kamkaew

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

None declared.


We would like to express our special gratitude to the Director of Phayao Health Promoting Hospital for allowing us to collect data and local coordinators for data collection of the unemployed who were respondents to the study.

Authors’ Contributions

SN, TW, and CM drafted the article and conducted a review of the literature. SN, CM, and WS performed the data collection and data analysis. SN, CM, and WS contributed to the design and concept and were involved in writing the manuscript, and all authors have approved the submitted and published versions.

Data Availability

The datasets generated during and analyzed in the study are available from the corresponding author upon reasonable request.


Allan, N. P., Volarov, M., Koscinski, B., Pizzonia, K. L., Potter, K., Accorso, C., Saulnier, K. G., Ashrafioun, L., Stecker, T., & Suhr, J. (2021). Lonely, anxious, and uncertain: Critical risk factors for suicidal desire during the COVID-19 pandemic. Psychiatry Research, 304, 114144.

Banerjee, D., Kosagisharaf, J. R., & Rao, T. S. S. (2021). ‘The dual pandemic’of suicide and COVID-19: A biopsychosocial narrative of risks and prevention. Psychiatry Research, 295, 113577.

Briere, J., Kwon, O., Semple, R. J., & Godbout, N. (2019). Recent suicidal ideation and behavior in the general population: The role of depression, posttraumatic stress, and reactive avoidance. The Journal of Nervous and Mental Disease, 207(5), 320-325.

Caballero-Domínguez, C. C., Jiménez-Villamizar, M. P., & Campo-Arias, A. (2022). Suicide risk during the lockdown due to coronavirus disease (COVID-19) in Colombia. Death Studies, 46(4), 885-890.

Centers for Disease Control and Prevention. (2022). Covid data tracker. Atlanta, GA: Centers for Disease Control and Prevention. Retrieved from

Chaniang, S., Klongdee, K., & Jompaeng, Y. (2022). Suicide prevention: A qualitative study with Thai secondary school students. Belitung Nursing Journal, 8(1), 60-66.

Choompunuch, B., Suksatan, W., Sonsroem, J., Kutawan, S., & In-udom, A. (2021). Stress, adversity quotient, and health behaviors of undergraduate students in a Thai university during COVID-19 outbreak. Belitung Nursing Journal, 7(1), 1-7.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.

Elbogen, E. B., Lanier, M., Blakey, S. M., Wagner, H. R., & Tsai, J. (2021). Suicidal ideation and thoughts of self‐harm during the COVID‐19 pandemic: The role of COVID‐19‐related stress, social isolation, and financial strain. Depression and Anxiety, 38(7), 739-748.

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.

Islam, S. M. D.-U., Bodrud-Doza, M., Khan, R. M., Haque, M. A., & Mamun, M. A. (2020). Exploring COVID-19 stress and its factors in Bangladesh: A perception-based study. Heliyon, 6(7), e04399.

Jalowiec, A., Murphy, S. P., & Powers, M. J. (1984). Psychometric assessment of the Jalowiec Coping Scale. Nursing Research, 33(3), 157-161.

Kudinova, A. Y., Bettis, A. H., Thompson, E. C., Thomas, S. A., Nesi, J., Erguder, L., MacPherson, H. A., Burke, T. A., & Wolff, J. C. (2022). COVID-19 related daily stressors, coping, and suicidal ideation in psychiatrically hospitalized youth. Child Youth Care Forum, 51, 579-592.

Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1(3), 141-169.

McGee, R. E., Windle, M., Cooper, H. L. F., & Thompson, N. J. (2021). Resilience among unemployed and underemployed emerging adults: A cross-sectional study of how stress and coping relate to depressive symptoms. Emerging Adulthood, 9(4), 372-383.

Mingkuan, P. (1999). Stress and coping in the elderly stroke patients [Master's Thesis, Chiang Mai University]. Chiang Mai, Thailand.

Mousteri, V., Daly, M., Delaney, L., Tynelius, P., & Rasmussen, F. (2019). Adolescent mental health and unemployment over the lifespan: Population evidence from Sweden. Social Science & Medicine, 222, 305-314.

Qin, P., & Mehlum, L. (2021). National observation of death by suicide in the first 3 months under COVID-19 pandemic. Acta Psychiatrica Scandinavica, 143(1), 92-93.

Ruksee, N., Donjdee, K., Songsiri, N., Deesawas, W., Janjaroen, S., & Yupu, A. (2021). A study of the stress, anxiety and family relationships among Thai people after the COVID-19 Pandemic in The early stages. Quality of Life and Law Journal, 17(1), 94-108.

Sher, L. (2020a). COVID-19, anxiety, sleep disturbances and suicide. Sleep Medicine, 70, 124.

Sher, L. (2020b). The impact of the COVID-19 pandemic on suicide rates. QJM: An International Journal of Medicine, 113(10), 707-712.

Simsir, Z., Koc, H., Seki, T., & Griffiths, M. D. (2022). The relationship between fear of COVID-19 and mental health problems: A meta-analysis. Death Studies, 46(3), 515-523.

Sonthe, K., Huttapanom, W., Romsai, P., & Chokrusamehirun, J. (2020). The development of a psychiatric inpatient suicide risk assessment. Journal of Suicide Prevention of Thailand, 1(1), 9-24.

Standish, K. (2021). A coming wave: Suicide and gender after COVID-19. Journal of Gender Studies, 30(1), 114-118.

Suksatan, W., Choompunuch, B., Koontalay, A., Posai, V., & Abusafia, A. H. (2021). Predictors of health behaviors among undergraduate students during the COVID-19 pandemic: A cross-sectional predictive study. Journal of Multidisciplinary Healthcare, 14, 727-734.

Suondusitpoll. (2021). The mental status of Thai people in COVID-19 era. Retrieved 9 May 2022 from

Suttipun, N., & Intarangkul, T. (2022). Anxiety, stress and self-protection of villagers under the lockdown from the Coronavirus 2019 outbreak in Mueang Buri Ram District. Medical Journal of Srisaket Surin Buriram Hospital, 37(1), 31-40.

World Health Organization. (2012). World Health Organization public health action for the prevention of suicide: A framework. Geneva: WHO.

World Health Organization. (2022). WHO health emergency dashboard. Retrieved 2 July 2022 from

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