Universal Suicide Prevention in Young People An Evaluation of the safeTALK Program in Australian High Schools
Universal Suicide Prevention in Young People An Evaluation of the safeTALK Program in Australian High Schools
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DOI：
10.1027/0227-5910/a000465
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发表时间：
2017-09-01
影响因子：
3
通讯作者：
Robinson, Jo
中科院分区：
文献类型：
--
作者：
Bailey, Eleanor;Spittal, Matthew J.;Robinson, Jo
背景：学校的普遍教育和意识计划是一种很有前途的自杀预防干预措施，但迄今为止还没有研究评估过此类计划的医源性影响。目的：评估中学生安全谈话计划的有效性和可接受性，并确定其是否与任何医源性影响有关。方法：参与者为参加过safeTALK培训并同意参与评估的Alice Springs市三所主要高中的129名学生。参与者在训练前和训练后立即接受了一项专门设计的调查。在培训结束后4周进行在线问卷调查。结果：参与者表现出自杀知识的增加，谈论自杀相关问题的信心，谈论自杀的意愿，以及寻求自杀想法帮助的可能性。没有证据表明训练诱发了自杀念头或造成了痛苦；事实上，训练后两者都有所下降。大多数参与者并不觉得训练令人不安；他们报告说培训是值得的，大多数人说他们会把它推荐给朋友。局限性：缺乏对照组，使用未经验证的措施，相对较短的随访时间是本研究的局限性。结论：在学校开展普遍的自杀预防讲习班是有益的，而且似乎与医源性效应无关。
Background: Universal education and awareness programs in schools are a promising suicide prevention intervention but to date no research has evaluated the iatrogenic effects of such programs. Aims: To evaluate the efficacy and acceptability of the safeTALK program for secondary school students and determine whether it is associated with any iatrogenic effects. Method: Participants were 129 students from the three main high schools in Alice Springs who attended the safeTALK training and consented to participate in the evaluation. Participants were assessed immediately before and immediately after the training using a purpose-designed survey. Follow-up questionnaires were administered online 4 weeks after completion of the training. Results: Participants demonstrated increases in knowledge about suicide, confidence in talking about issues related to suicide, willingness to talk about suicide, and likelihood of seeking help for suicidal thoughts. There was no evidence that the training induced suicidal thoughts or caused distress; in fact both appeared to decrease following the training. Most participants did not find the training upsetting; they reported the training to be worthwhile and most said that they would recommend it to a friend. Limitations: The lack of control group, use of non-validated measures, and relatively short follow-up period are limitations of this study. Conclusion: Universal suicide prevention workshops in schools can be beneficial and do not appear to be associated with iatrogenic effects.