Capp K, Deane F P, Lambert G
Illawarra Institute for Mental Health, University of Wollongong, New South Wales.
Aust N Z J Public Health. 2001 Aug;25(4):315-21. doi: 10.1111/j.1467-842x.2001.tb00586.x.
Concern over the high rate of suicide among Aboriginal people on the south coast of NSW led to the development of a project aimed at preventing youth suicide in the Aboriginal communities of the Shoalhaven. This paper describes the development, implementation and evaluation of the project.
Following extensive consultation with the Aboriginal community, a range of culturally appropriate interventions were developed. The main focus was a series of community gatekeeper training workshops, which aimed to increase the potential of members of the Aboriginal community to identify and support people at risk of suicide and to facilitate their access to helping services.
Evaluation of the workshops demonstrated an increase in participants' knowledge about suicide, greater confidence in identification of people who are suicidal, and high levels of intentions to provide help. Attitudes, subjective norms and barriers predicted intentions to help.
The project indicated community members could be successfully trained in the recognition of individuals at risk of suicidal behaviour. Gatekeepers' attitudes and perceived barriers to helping predicted intentions to help those in need. There is a need for longer-term follow-up to assess the extent to which new knowledge and skills are used in practice.
Suicide awareness and skills training have been demonstrated to be an effective early intervention strategy. Gatekeeper training empowers Aboriginal communities and is generally accepted. There is demand for such programs outside the Shoalhaven. The project has a methodological framework that can be easily adapted by other communities.
对新南威尔士州南海岸原住民自杀率居高不下的担忧促使开展了一个旨在预防肖尔黑文原住民社区青少年自杀的项目。本文描述了该项目的开发、实施和评估情况。
在与原住民社区进行广泛协商后，制定了一系列符合文化习俗的干预措施。主要重点是一系列社区守门人培训工作坊，旨在提高原住民社区成员识别和支持有自杀风险者并帮助他们获得救助服务的能力。
对工作坊的评估表明，参与者关于自杀的知识有所增加，识别自杀者的信心增强，且提供帮助的意愿很高。态度、主观规范和障碍预测了提供帮助的意愿。
该项目表明可以成功培训社区成员识别有自杀行为风险的个体。守门人的态度和感知到的帮助障碍预测了帮助有需要者的意愿。需要进行长期随访，以评估新知识和技能在实践中的应用程度。
自杀意识和技能培训已被证明是一种有效的早期干预策略。守门人培训增强了原住民社区的能力且普遍被接受。肖尔黑文以外地区对这类项目有需求。该项目有一个方法框架，其他社区可轻松采用。
