Depressive disorder is ranked as the largest contributor to non-fatal health burden. However, with prompt treatment, outcomes can improve. Family and friends are well placed to recognise the signs of depression and encourage early help seeking. Guidelines about how members of the public can provide mental health first aid to someone who is experiencing depression were developed in 2008. A Delphi study was conducted to re-develop these guidelines to ensure they are current and reflect best practice. A survey was developed using the 2008 depression mental health first aid guidelines and a systematic search of grey and academic literature. The questionnaire contained items about providing mental health first aid to a person with depression. These items were rated by two international expert panels – a lived experience panel (consumers and carers) and a professional panel. Three hundred and fifty-two items were rated by 53 experts (36 with lived experience and 17 professionals) according to whether they should be included in the revised guidelines. There were 183 items that met the criteria to be included in the updated guidelines. This re-development has added detail to the previous version of the guidelines, giving more guidance on the role of the first aider and allowing for a more nuanced approach to providing first aid to someone with depression. These guidelines are available to the public and will be used to update the Mental Health First Aid courses.

中文翻译：

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为抑郁症患者提供心理健康急救：德尔菲研究重新制定 2008 年发布的指南


抑郁症被列为造成非致命健康负担的最大因素。然而，通过及时治疗，结果可以改善。家人和朋友很容易识别抑郁症的迹象并鼓励尽早寻求帮助。 2008 年制定了关于公众如何向患有抑郁症的人提供心理健康急救的指南。德尔菲进行了一项研究，以重新制定这些指南，以确保它们是最新的并反映最佳实践。一项调查是根据 2008 年抑郁症心理健康急救指南和对灰色文献和学术文献的系统检索进行的。调查问卷包含有关向抑郁症患者提供心理健康急救的项目。这些项目由两个国际专家小组进行评级——一个是生活体验小组（消费者和护理人员），另一个是专业小组。 53位专家（36位有生活经验的专家和17位专业人士）对352个项目根据是否应纳入修订后的指南进行了评分。符合纳入更新指南标准的项目有 183 项。此次重新制定为之前版本的指南添加了细节，为急救人员的角色提供了更多指导，并允许采用更细致的方法为抑郁症患者提供急救。这些指南向公众开放，并将用于更新心理健康急救课程。