1 Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Australia.
Crisis. 2018 Nov;39(6):438-450. doi: 10.1027/0227-5910/a000517. Epub 2018 Apr 5.
A suicide prevention media campaign aimed at family members and friends may be one useful population-level suicide prevention strategy for Australia. However, currently there is limited evidence of what messages would be acceptable and appropriate for inclusion.
This expert consensus study aimed to identify messages that experts with lived experience of suicide risk and suicide prevention professionals believed were most important to include in such a suicide prevention campaign.
Using an online survey method, 127 participants with lived experience (lived experience group) and 33 suicide prevention professionals (suicide prevention professionals group) rated 55 statements, drawn from an earlier Delphi study, from very low priority to very high priority for inclusion in a suicide prevention campaign.
There was significant agreement within and between the two participant groups on the most highly rated messages for inclusion. The mostly highly rated messages were that family members or friends should ask directly about suicidal thoughts and intentions, listen to responses without judgment, and tell the person at risk that they care and want to help.
We restricted ratings to just one round and may therefore have limited the level of consensus achieved. Use of a predefined set of suicide prevention messages might also have prevented us from identifying other important messages. Lived experience participants were drawn from one source and this might bias their responses through exposure to common suicide prevention messages that influence their points of view.
There is substantial agreement between professionals and people with lived experience on the most important messages to include in a suicide prevention campaign. These most highly rated messages could be adopted in a suicide prevention media campaign.
预防自杀的媒体宣传活动针对的是家庭成员和朋友，这可能是澳大利亚一种有用的人群层面的预防自杀策略。然而，目前关于哪些信息是可以接受和适当包含的，证据有限。
本专家共识研究旨在确定有自杀风险和预防自杀经验的专家认为在这样的预防自杀活动中最重要的信息。
使用在线调查方法，有自杀风险经验的 127 名参与者（有经验组）和 33 名预防自杀专业人员（预防自杀专业人员组）对 55 条从早期德尔菲研究中得出的陈述进行了评分，从非常低的优先级到非常高的优先级，以确定其是否包含在预防自杀活动中。
两个参与者组内部和之间对最需要包括的信息的评分有很大的一致性。评分最高的信息是，家庭成员或朋友应该直接询问关于自杀想法和意图的问题，倾听回应而不评判，并告诉有风险的人他们关心并想帮助。
我们将评分限制在一轮，因此可能限制了达成的共识水平。使用预定义的一组预防自杀信息也可能阻止我们发现其他重要的信息。有经验的参与者是从一个来源中抽取的，这可能会通过接触影响他们观点的常见预防自杀信息来影响他们的回答。
专业人员和有经验的人在预防自杀活动中最重要的信息包括方面有很大的一致性。这些评分最高的信息可以被采用在预防自杀的媒体宣传活动中。
