Centre for Rural and Remote Mental Health, University of Newcastle, NSW, Australia.
Aust J Rural Health. 2020 Dec;28(6):579-587. doi: 10.1111/ajr.12671. Epub 2020 Nov 27.
This evaluation considered the potential of We-Yarn, a suicide prevention gatekeeper training workshop, to contribute to Aboriginal suicide prevention in rural New South Wales.
A mixed methods approach included surveys, in-depth interviews and workshop observations.
Aboriginal suicide prevention training in rural New South Wales, Australia.
Attendees at We-Yarn training.
We-Yarn provided culturally safe suicide prevention skills training for Aboriginal people and for those who work with Aboriginal communities and persons in rural New South Wales. Training workshops were delivered across multiple locations for 6 hours in one day. Workshops were facilitated by two facilitators with lived and professional experience; one Aboriginal and one non-Aboriginal facilitator. We-Yarn content was developed by staff from the Centre for Rural and Remote Mental Health, and in consultation with Aboriginal Elders and representatives of Aboriginal Medical Services to ensure relevance and cultural appropriateness.
Pre and post-workshop surveys captured capacity and participants' confidence in identifying and responding to a person at risk of suicide. Interviews explored participants' experiences of workshops, implementation of learning, and attitudes regarding social and emotional wellbeing and suicide. Observations detailed the workshop environment, participants' engagement, and participants' responses to facilitators and content.
We-Yarn was considered culturally appropriate. Participants responded to facilitators' lived experiences. Participants reported significant improvements in understanding the links between cultural strengths, social and emotional wellbeing and suicide prevention. However, health professionals with existing knowledge wanted a stronger focus on clinical training.
We-Yarn promoted discussion of suicide prevention within a holistic health framework, building on participants' pre-existing knowledge about social and emotional wellbeing. Importantly, skilful facilitators with lived experience were vital to the success of the workshops. Consideration should be given to attracting people with low suicide prevention knowledge to the workshops, developing tailored workshops for health professionals and ensuring prolonged engagement with communities. Multifaceted and long term responses in addition to this type of training are important.
本评估旨在考察 We-Yarn（一种自杀预防守门员培训讲习班）在新南威尔士州农村地区预防原住民自杀方面的潜力。
混合方法包括调查、深入访谈和讲习班观察。
澳大利亚新南威尔士州农村地区的原住民自杀预防培训。
参加 We-Yarn 培训的人员。
We-Yarn 为新南威尔士州农村地区的原住民以及与原住民社区和人员合作的人员提供了文化安全的自杀预防技能培训。培训讲习班在多个地点进行，为期一天，持续 6 小时。讲习班由两位具有生活和专业经验的协调员主持；一位是原住民，另一位是非原住民。We-Yarn 的内容由农村和偏远地区心理健康中心的工作人员开发，并与原住民长者和原住民医疗服务代表协商，以确保相关性和文化适宜性。
在讲习班前后的调查中，参与者的能力和信心得到了评估，以确定和回应有自杀风险的人。访谈探讨了参与者对讲习班的体验、学习的实施情况，以及他们对社会和情感健康以及自杀的态度。观察详细记录了讲习班的环境、参与者的参与情况以及参与者对协调员和内容的反应。
We-Yarn 被认为是文化适宜的。参与者对协调员的生活经验做出了回应。参与者报告说，他们对文化优势、社会和情感健康与自杀预防之间的联系有了更深入的理解。然而，具有现有知识的卫生专业人员希望更加强调临床培训。
We-Yarn 促进了在整体健康框架内讨论自杀预防问题，建立在参与者对社会和情感健康的预先存在的知识基础上。重要的是，具有生活经验的熟练协调员对讲习班的成功至关重要。应该考虑吸引那些对自杀预防知识了解较少的人参加讲习班，为卫生专业人员开发量身定制的讲习班，并确保与社区的长期参与。除了这种培训之外，还需要采取多方面和长期的应对措施。
