Dos and Don'ts in Designing School-Based Awareness Programs for Suicide Prevention.,Crisis

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Dos and Don'ts in Designing School-Based Awareness Programs for Suicide Prevention.
Crisis ( IF 1.7 ) Pub Date : 2021-05-27 , DOI: 10.1027/0227-5910/a000783
Luna Grosselli ₁ , Kristina Herzog ₁ , Robert H Aseltine ₂ , Judit Balazs _{3,

4} , Vladimir Carli ₅ , Jerry Ciffone ₆ , Diego De Leo _{7,

8} , Christina van der Feltz-Cornelis ₉ , Keith Hawton ₁₀ , Ulrich Hegerl ₁₁ , Kairi Kõlves _{7,

12} , Stan Kutcher ₁₃ , Lars Mehlum ₁₄ , Thomas Niederkrotenthaler ₁₅ , Mohsen Rezaeian ₁₆ , Johanne Renaud _{17,

18} , Barbara Schneider ₁₉ , Ute Lewitzka ₂₀ , Jürgen Hoyer ₁ , Susanne Knappe ₁

Affiliation

Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.
Division of Behavioral Sciences and Community Health and Center for Population Health, UConn Health, University of Connecticut, Farmington, CT, USA.
Institute of Psychology, Eötvös Loránd University Budapest, Hungary.
Department of Psychology, Bjørknes University College, Oslo, Norway.
National Centre for Suicide Research and Prevention of Mental Ill-Health, Karolinska Institute, Stockholm, Sweden.
Private Practice, Saint Charles, IL, USA.
Australian Institute for Suicide Research and Prevention, Griffith University, Mount Gravatt, QLD, Australia.
Slovene Suicide Research Centre, Primorska University, Koper, Slovenia.
Department of Health Sciences, Hull York Medical School, University of York, UK.
Centre for Suicide Research, Department of Psychiatry, University of Oxford, UK.
Department of Psychiatry, Psychosomatics and Psychotherapy, Goethe-Universität Frankfurt, Germany.
WHO Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia.
Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.
National Centre for Suicide Research and Prevention, University of Oslo, Norway.
Unit Suicide Research & Mental Health Promotion, Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Austria.
Occupational Environmental Research Center, Epidemiology and Biostatistics Department, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, QC, Canada.
Manulife Centre for Breakthroughs in Teen Depression and Suicide Prevention, McGill University, Montreal, QC, Canada.
Department for Addictive Behavior, Psychiatry and Psychotherapy, LVR-Klinik Köln, Germany.
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden, Germany.

Background: Despite the promising evidence for the effectiveness of school-based awareness programs in decreasing the rates of suicidal thoughts and suicide attempts in young people, no guidelines on the targets and methods of safe and effective awareness programs exist. Aims: This study intends to distill recommendations for school-based suicide awareness and prevention programs from experts. Method: A three-stage Delphi survey was administered to an expert panel between November 2018 and March 2019. A total of 214 items obtained from open-ended questions and the literature were rated in two rounds. Consensus and stability were used as assessment criteria. Results: The panel consisted of 19 participants in the first and 13 in the third stage. Recommended targets included the reduction of suicide attempts, the enhancement of help-seeking and peer support, as well as the promotion of mental health literacy and life skills. Program evaluation, facilitating access to healthcare, and long-term action plans across multiple levels were among the best strategies for the prevention of adverse effects. Limitations: The study is based on opinions of a rather small number of experts. Conclusion: The promotion of help-seeking and peer support as well as facilitating access to mental health-care utilities appear pivotal for the success of school-based awareness programs.

中文翻译：

设计基于学校的自杀预防意识计划的注意事项。

背景：尽管有令人鼓舞的证据表明以学校为基础的意识项目在降低年轻人的自杀念头和自杀企图率方面的有效性，但没有关于安全和有效意识项目的目标和方法的指南。目的：本研究旨在提炼专家对学校自杀意识和预防计划的建议。方法：在 2018 年 11 月至 2019 年 3 月期间，对专家小组进行了三阶段的德尔菲调查。从开放式问题和文献中获得的总共 214 个项目分两轮进行评分。共识和稳定性被用作评估标准。结果：小组由第一阶段的 19 名参与者和第三阶段的 13 名参与者组成。建议的目标包括减少自杀企图，加强寻求帮助和同伴支持，以及提高心理健康素养和生活技能。计划评估、促进获得医疗保健以及跨多个级别的长期行动计划是预防不良反应的最佳策略之一。局限性：该研究基于少数专家的意见。结论：促进寻求帮助和同伴支持以及促进获得精神卫生保健设施似乎对于以学校为基础的意识计划的成功至关重要。该研究基于少数专家的意见。结论：促进寻求帮助和同伴支持以及促进获得精神卫生保健设施似乎对于以学校为基础的意识计划的成功至关重要。该研究基于少数专家的意见。结论：促进寻求帮助和同伴支持以及促进获得精神卫生保健设施似乎对于以学校为基础的意识计划的成功至关重要。

更新日期：2021-05-27

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