Suicide is a significant concern in Australia and globally. There is a strong argument for training community gatekeepers in how to recognise and support suicidal people in their social network. One such training course is the Mental Health First Aid for the Suicidal Person course. This course was developed using suicide prevention best practice guidelines based on expert opinion (determined using the Delphi Method). We evaluated the impact of attending the Mental Health First Aid for the Suicidal Person course on suicide literacy and stigma, confidence in and quality of intended and actual helping behaviours towards a person who is suicidal, and course satisfaction. Surveys were administered before and immediately after the course, and at 6-month follow-up. Data were analysed to yield descriptive statistics (percentages, means, standard deviations), with linear mixed models and generalized linear mixed models being used to test the statistical significance of changes over occasions of measurement. We recruited 284 participants from workplaces and general community networks. The mean age was 41 years and 74% were female. 85% of people undertook the course as part of professional development, and almost half (44%) did the course because they had contact with a suicidal person. The majority (59%) of participants had previous mental health and suicide prevention training. The majority of participants held knowledge (suicide literacy) before undertaking the course. The major effect of training was to strengthen this knowledge. There was a significant improvement from pre-course (M = 1.79, SD 0.56) to post-course (M = 1.48, SD 0.82, p < 0.0001), which was maintained at follow-up (M = 1.51, SD 0.49, p < 0.0001). Confidence in gatekeeper skills significantly improved after the course and at follow-up (M = 3.15, SD 0.95 before the course to M = 4.02, SD 0.68 afterward and 3.87, SD 0.77 at follow-up, p < 0.0001 and p < 0.0001, respectively). The quality of intended helping behaviours significantly improved from pre-course (intended actions M = 4.28, SD 0.58) and to post-course (M = 4.70, SD 0.50, p < 0.0001) and were maintained at follow-up (M = 4.64, SD 0.41, p < 0.0001). There was significant improvement in some of the actions taken by participants to help a suicidal person from pre-course to post-course (e.g. asking about suicidal thoughts and plan, contacting emergency services). The course was highly acceptable to participants. These results indicate that this course is an acceptable intervention that delivers a broad spectrum of beneficial outcomes to community and workplace gatekeepers.

中文翻译：

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针对自杀者的心理健康急救课程对自杀信念、污名化态度、帮助信心以及预期和实际帮助行动的影响：评估

自杀是澳大利亚和全球的一个重大问题。人们强烈主张培训社区看门人如何识别和支持社交网络中的自杀者。其中一个培训课程是自杀者心理健康急救课程。本课程是根据专家意见（使用德尔菲法确定）的自杀预防最佳实践指南开发的。我们评估了参加自杀者心理健康急救课程对自杀素养和耻辱感、对自杀者的预期和实际帮助行为的信心和质量以及课程满意度的影响。在课程之前、课程结束后以及 6 个月的随访时进行了调查。分析数据以产生描述性统计数据（百分比、平均值、标准差），并使用线性混合模型和广义线性混合模型来测试测量场合变化的统计显着性。我们从工作场所和一般社区网络招募了 284 名参与者。平均年龄为 41 岁，74% 为女性。85% 的人参加该课程是作为职业发展的一部分，几乎一半 (44%) 参加该课程是因为他们与有自杀倾向的人有过接触。大多数（59%）参与者之前接受过心理健康和自杀预防培训。大多数参与者在参加课程之前就掌握了相关知识（自杀素养）。培训的主要作用是加强这方面的知识。从疗程前（M = 1.79，SD 0.56）到疗程后（M = 1.48，SD 0.82，p < 0.0001）有显着改善，并且在随访中保持不变（M = 1.51，SD 0.49，p < 0.0001)。课程结束后和随访时，对看门人技能的信心显着提高（课程前 M = 3.15，SD 0.95，课程后 M = 4.02，SD 0.68，随访时 3.87，SD 0.77，p < 0.0001 和 p < 0.0001，分别）。预期帮助行为的质量从课程前（预期行动 M = 4.28，SD 0.58）和课程后（M = 4.70，SD 0.50，p < 0.0001）显着提高，并在随访中保持不变（M = 4.64） ，SD 0.41，p < 0.0001）。从课程前到课程后，参与者为帮助自杀者所采取的一些行动有显着改善（例如询问自杀想法和计划、联系紧急服务）。该课程受到参与者的高度认可。这些结果表明，本课程是一种可接受的干预措施，可为社区和工作场所的看门人带来广泛的有益成果。