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Perspectives of pupils, parents, and teachers on mental health problems among Vietnamese secondary school pupils

机译：越南中学生的学生，父母和老师对心理健康问题的看法

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Background Secondary school can be a stressful period for adolescents, having to cope with many life changes. Very little research has been conducted on the mental health status of secondary school pupils in South East Asian countries, such as Vietnam. The study aimed to explore perceptions of mental health status, risk factors for mental health problems and strategies to improve mental health among Vietnamese secondary school students. Methods A qualitative design was used to address the main study question including: six in-depth interviews conducted with professionals (with two researchers, two psychiatrists, and two secondary school teachers) to learn about their experience of mental health problems among secondary school pupils; 13 focus group discussions (four with teachers, four with parents, and five with pupils); and 10 individual in-depth interviews with pupils who did not take part in the FGDs, to reflect on the collected data and to deepen the authors’ understanding. All interviews and FGDs were audio-taped, transcribed and analyzed for the identification of emerging issues using qualitative techniques of progressive coding, analytic memoing and ongoing comparison. Results Our study confirms the need to pay attention to mental health of pupils in Vietnam. Depression, anxiety, stress, suicidal thoughts and suicide attempts were seen as major problems by all stakeholders. Mental health problems were mainly associated with academic pressure, resulting from an overloaded curriculum and pressure from teachers and parents to succeed. The study found that pupils’ mental health demands interventions at many levels, including at the level of government (Ministry of Education and Training), schools, communities, families and pupils themselves. Conclusions Vietnamese secondary school pupils feel that their mental health status is poor, because of many risk factors in their learning and living environment. The need now is to investigate further to identify and apply strategies to improve students’ mental health.
机译：背景中学可能是青少年的压力时期，必须应对许多生活变化。关于东南亚国家（例如越南）中学生的心理健康状况的研究很少。该研究旨在探索对越南中学生心理健康状况的看法，心理健康问题的风险因素以及改善心理健康的策略。方法采用定性设计解决主要研究问题，包括：与专业人员（两名研究人员，两名精神病医生和两名中学教师）进行了六次深度访谈，以了解他们在中学生中的心理健康问题的经历; 13个焦点小组讨论（四个与老师，四个与父母和五个与学生）;并对未参加FGD的学生进行10次单独的深度访谈，以反思收集的数据并加深作者的理解。使用渐进编码，分析性备忘和进行中的比较的定性技术，对所有采访和FGD进行录音，转录和分析，以识别新出现的问题。结果我们的研究证实越南有必要注意小学生的心理健康。所有利益相关者都将抑郁，焦虑，压力，自杀念头和自杀企图视为主要问题。心理健康问题主要与学业压力有关，这是由于课程负担过重以及老师和父母对成功的压力所致。研究发现，学生的心理健康需要在许多层面上进行干预，包括在政府（教育和培训部），学校，社区，家庭和学生自身层面上进行干预。结论越南中学生认为他们的心理健康状况较差，原因是学习和生活环境中存在许多危险因素。现在需要进一步调查，以确定并应用改善学生心理健康的策略。

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