1 School of Nursing and Midwifery, University of South Australia, Adelaide, SA, Australia.
2 University Department of Rural Health, University of South Australia, Adelaide, SA, Australia.
Crisis. 2019 Jan;40(1):15-26. doi: 10.1027/0227-5910/a000524. Epub 2018 Jun 21.
Suicide rates are higher in rural and remote areas of Australia compared with major cities.
To evaluate the impact of a brief, community-based suicide prevention educational intervention on the attitudes and confidence of rural South Australian health and human service professionals.
Participants attended a 1-day suicide prevention education program, and completed a survey at four time points: baseline (T1), immediately pretraining (T2), immediately posttraining (T3), and 4-month follow-up (T4). Main outcome measures were self-reported attitudes and confidence when working with people vulnerable to suicide.
A total of 248 people attended the training, with 213 participants completing the survey at T1, 236 at T2, 215 at T3, and 172 at T4. There were significant improvements in 11 of the 14 attitude items between T2 and T3 (immediate change), and between T1 and T4 (maintained change). Further, there were significant improvements in all four confidence items between T2 and T3, and T1 and T4.
Despite the repeated-measures design, findings are limited by the lack of a control group.
Findings extend the international evidence by indicating the value of brief suicide prevention education for improving health and human service professionals' attitudes and confidence in rural Australia.
与主要城市相比，澳大利亚农村和偏远地区的自杀率更高。
评估一项基于社区的简短自杀预防教育干预对南澳大利亚农村地区卫生和人类服务专业人员的态度和信心的影响。
参与者参加了为期一天的预防自杀教育计划，并在四个时间点完成了一项调查：基线（T1）、培训前即刻（T2）、培训后即刻（T3）和 4 个月随访（T4）。主要的测量指标是自我报告的与易自杀人群合作时的态度和信心。
共有 248 人参加了培训，213 人在 T1 时完成了调查，236 人在 T2 时完成了调查，215 人在 T3 时完成了调查，172 人在 T4 时完成了调查。在 14 项态度项目中，有 11 项在 T2 和 T3 之间（立即变化），以及在 T1 和 T4 之间（持续变化）有显著改善。此外，在 T2 和 T3 之间，以及在 T1 和 T4 之间，四个信心项目均有显著改善。
尽管采用了重复测量设计，但由于缺乏对照组，研究结果受到限制。
研究结果扩展了国际证据，表明在澳大利亚农村地区，简短的预防自杀教育对于提高卫生和人类服务专业人员的态度和信心具有价值。
