Jones Sharon, Walker Coralanne, Miles Alison C J, De Silva Eve, Zimitat Craig
Kentish Regional Clinic Inc, Sheffield, Tasmania, Australia.
School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Rural Remote Health. 2015 Jan-Mar;15(1):2972. Epub 2015 Apr 2.
Suicide is a prominent public health issue in rural Australia and specifically in Tasmania, which has one of the highest suicide rates in the country. The Community Response to Eliminating Suicide (CORES) program was developed in rural Tasmania in response to a significant number of suicides over a short period of time. CORES is unique in that it is both a community-based and gatekeeper education model. CORES aims to build and empower communities to take ownership of suicide prevention strategies. It also aims to increase the individual community member's interpersonal skills and awareness of suicide risks, while building peer support and awareness of suicide prevention support services within the community itself. Pre- and post-test surveys after the CORES 1-day suicide awareness and intervention program (SAIP) showed significant increases in levels of comfort and confidence in discussing suicide with those who may be contemplating that action. CORES builds community capital through establishing new connections within communities. Establishment of local executive groups, funding and SAIP are key activities of successful CORES programs in communities around Australia. Over half of the initial leaders are still actively involved after a decade, which reflects positively on the quality and outcomes of the program. This study supports CORES as a beneficial and feasible community-based suicide intervention program for rural communities.
自杀是澳大利亚农村地区，尤其是塔斯马尼亚州一个突出的公共卫生问题，该州是澳大利亚自杀率最高的地区之一。为应对短期内大量自杀事件，塔斯马尼亚农村地区开展了“消除自杀的社区应对”（CORES）项目。CORES项目的独特之处在于它既是一种基于社区的模式，也是一种守门人教育模式。CORES旨在建设社区并赋予其权力，使其自主掌握自杀预防策略。它还旨在提高社区个体成员的人际交往能力和对自杀风险的认识，同时在社区内部建立同伴支持以及对自杀预防支持服务的认识。在CORES为期一天的自杀意识与干预项目（SAIP）前后进行的测试调查显示，在与可能有自杀想法的人讨论自杀问题时，舒适度和信心水平有显著提高。CORES通过在社区内建立新的联系来积累社区资本。成立地方执行小组、筹集资金和开展SAIP是澳大利亚各地社区成功实施CORES项目的关键活动。十年后，超过一半的最初领导者仍在积极参与，这对该项目的质量和成果是一个积极的反映。本研究支持CORES项目，认为它是一个对农村社区有益且可行的基于社区的自杀干预项目。
