Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait islanders who are experiencing suicidal thoughts and behaviour
Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait islanders who are experiencing suicidal thoughts and behaviour
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DOI：
10.1186/s12888-018-1809-5
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发表时间：
2018-07-16
期刊：
影响因子：
4.4
通讯作者：
Jorm, Anthony F.
中科院分区：
文献类型：
--
作者：
Armstrong, Gregory;Ironfield, Natalie;Jorm, Anthony F.
背景：自杀是澳大利亚土著居民死亡的主要原因。如果有人有自杀倾向，朋友、家人和一线工作者（例如教师、青年工作者）往往最适合提供初步帮助。2009年就如何向有自杀念头或行为的澳大利亚土著和托雷斯海峡岛民提供心理健康急救制定了文化上适当的专家共识准则。本研究描述了这些指南的重新开发，以确保它们包含最新建议的帮助行动。方法：采用德尔菲共识法对指南中包含的潜在帮助陈述达成共识。这些陈述描述了土著社区成员和非土著一线工作者可以采取的帮助行动，以及他们应该掌握的信息，以帮助那些有自杀念头或表现出自杀行为的人。成立了一个小组，由27名土著和托雷斯海峡岛民组成，他们在土著自杀预防方面具有专门知识。小组成员通过在线问卷获得了帮助性陈述，并被鼓励建议重新措辞陈述和原始问卷中未包含的任何其他帮助性陈述。只有得到b> = 90%的小组成员认可为必要或重要的陈述才被接受纳入指南。结果：从向专家小组展示的总共301个陈述中，有172个被认可为帮助陈述，包括在重新制定的指南中。结论：土著人和托雷斯海峡岛民自杀预防专家能够就向有自杀想法或行为的土著人或托雷斯海峡岛民提供心理健康急救的适当策略达成共识。准则的重新拟订产生了比前一版本更全面的指导，小组对166项有益的说明进行了评比，并核可了52项。这些重新制定的指导方针可用于土著自杀看门人培训课程。
Background: Suicide is a leading cause of death among Indigenous Australians. Friends, family and frontline workers (for example, teachers, youth workers) are often best positioned to provide initial assistance if someone is suicidal. Culturally appropriate expert consensus guidelines on how to provide mental health first aid to Australian Aboriginal and Torres Strait Islander persons who are experiencing suicidal thoughts or behaviour were developed in 2009. This study describes the re-development of these guidelines to ensure they contain the most current recommended helping actions.Methods: The Delphi consensus method was used to elicit consensus on potential helping statements to be included in the guidelines. These statements describe helping actions that Indigenous community members and nonIndigenous frontline workers can take, and information they should have, to help someone who is experiencing suicidal thoughts or displaying suicidal behaviour. A panel was formed, comprising 27 Aboriginal and Torres Strait Islander people who have expertise in Indigenous suicide prevention. The panellists were presented with the helping statements via online questionnaires and were encouraged to suggest re-wording of statements and any additional helping statements that were not included in the original questionnaire. Statements were only accepted for inclusion in the guidelines if they were endorsed by >= 90% of panellists as essential or important.Results: From a total of 301 statements shown to the expert panel, 172 were endorsed as helping statements to be including in the re-developed guidelines.Conclusions: Aboriginal and Torres Strait Islander suicide prevention experts were able to reach consensus on appropriate strategies for providing mental health first aid to an Aboriginal or Torres Strait Islander person experiencing suicidal thoughts or behaviour. The re-development of the guidelines has resulted in more comprehensive guidance than the earlier version, for which the panel had rated 166 helping statements and had endorsed 52. These re-developed guidelines can be used to inform Indigenous suicide gatekeeper training courses.