Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, 3010, Australia.
Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
BMC Psychiatry. 2022 Jun 13;22(1):397. doi: 10.1186/s12888-022-04042-7.
Suicide is a major public health concern in Brazil, with nearly 115,000 Brazilians dying by suicide in 2010-2019. As support for individuals at risk of suicide may come from the community, particularly family and friends, it is fundamental that evidence-based programs or resources to improve such support are in place when needed. This study aimed to culturally adapt the mental health first aid guidelines for assisting a person at risk of suicide used in English-speaking countries for Brazil.
A Delphi expert consensus study was conducted among a diverse range of Brazilian health professionals and individuals with lived experience of suicide (n = 60). A total of 161 items from the mental health first aid questionnaire used in English-speaking countries were translated and used in the Brazilian questionnaire. Participants were asked to rate the appropriateness of those items to the Brazilian culture and to recommend any new items when appropriate.
Data were collected over two survey rounds. Consensus was achieved on 145 items. While 123 out of 161 items were adopted from the English guidelines, 22 new endorsed items were created from the expert panel comments.
Even though there were similarities among the Brazilian and English-language guidelines, the adapted guidelines incorporated actions that were specific to the Brazilian culture, such as new items emphasising the role of family and friends. Further research is warranted on dissemination and uptake of the guidelines in Brazil as well as research into incorporation of the guidelines into Mental Health First Aid (MHFA) training for Brazil.
自杀是巴西的一个主要公共卫生关注点，在 2010 年至 2019 年期间，近 11.5 万名巴西人自杀身亡。由于支持有自杀风险的个人可能来自社区，尤其是家人和朋友，因此当需要时，应制定基于证据的计划或资源来改善这种支持，这一点至关重要。本研究旨在为巴西文化改编用于英语国家的帮助有自杀风险的人的心理健康急救指南。
在巴西的卫生专业人员和有自杀经历的个人（n=60）中进行了德尔菲专家共识研究。从英语国家使用的心理健康急救问卷中翻译了总共 161 个项目，并在巴西问卷中使用。要求参与者评估这些项目是否适合巴西文化，并在适当情况下推荐任何新项目。
数据在两轮调查中收集。达成了 145 个项目的共识。虽然从英语指南中采用了 161 个项目中的 123 个，但从专家小组的意见中创建了 22 个新的认可项目。
尽管巴西和英语语言指南有相似之处，但改编的指南纳入了特定于巴西文化的行动，例如强调家人和朋友作用的新项目。有必要在巴西进一步研究指南的传播和采用情况，以及将指南纳入巴西心理健康急救（MHFA）培训的研究。
