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社区主导的自杀预防措施的效果如何:卫斯理生命力量网络协调员的观点。

What Works in Community-Led Suicide Prevention: Perspectives of Wesley LifeForce Network Coordinators.

机构信息

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC 3010, Australia.

Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC 3010, Australia.

出版信息

Int J Environ Res Public Health. 2021 Jun 4;18(11):6084. doi: 10.3390/ijerph18116084.

Abstract

Community coalitions have been recognised as an important vehicle to advance health promotion and address relevant local health issues in communities, yet little is known about their effectiveness in the field of suicide prevention. The Wesley Lifeforce Suicide Prevention Networks program consists of a national cohort of local community-led suicide prevention networks. This study drew on a nationally representative survey and the perspectives of coordinators of these networks to identify the key factors underpinning positive perceived network member and community outcomes. Survey data were analysed through descriptive statistics and linear regression analyses. Networks typically reported better outcomes for network members and communities if they had been in existence for longer, had a focus on the general community, and had conducted more network meetings and internal processes, as well as specific community-focused activities. Study findings strengthen the evidence base for effective network operations and lend further support to the merit of community coalitions in the field of suicide prevention, with implications for similar initiatives, policymakers, and wider sector stakeholders seeking to address suicide prevention issues at a local community level.

摘要

社区联盟已被公认为推进社区健康促进和解决相关当地健康问题的重要手段,但对于它们在预防自杀领域的有效性知之甚少。卫斯理生命力量预防自杀网络计划由一个全国性的地方社区主导的预防自杀网络组成。本研究借鉴了一项全国代表性调查和这些网络协调员的观点,以确定支撑积极感知网络成员和社区成果的关键因素。通过描述性统计和线性回归分析对调查数据进行了分析。如果网络存在的时间更长、关注整个社区、开展了更多的网络会议和内部流程以及特定的以社区为重点的活动,那么网络通常会报告网络成员和社区的更好结果。研究结果为有效的网络运作提供了更有力的证据,并进一步支持了社区联盟在预防自杀领域的优势,这对类似的倡议、政策制定者和更广泛的部门利益相关者在当地社区一级解决预防自杀问题具有重要意义。

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本文引用的文献

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Suicide prevention strategies revisited: 10-year systematic review.自杀预防策略再探讨:十年系统综述
Lancet Psychiatry. 2016 Jul;3(7):646-59. doi: 10.1016/S2215-0366(16)30030-X. Epub 2016 Jun 8.
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Effects of suicide bereavement on mental health and suicide risk.自杀丧亲之痛对心理健康和自杀风险的影响。
Lancet Psychiatry. 2014 Jun;1(1):86-94. doi: 10.1016/S2215-0366(14)70224-X. Epub 2014 Jun 4.

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