Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
BMJ Open. 2023 Jan 11;13(1):e066043. doi: 10.1136/bmjopen-2022-066043.
Non-suicidal self-injury (NSSI) is a complex issue affecting Aboriginal and/or Torres Strait Islander Peoples in Australia. We evaluated the effects of an Aboriginal and Torres Strait Islander Mental Health First Aid (AMHFA) training course on assisting an Aboriginal and/or Torres Strait Islander person engaging in NSSI, including the effects on stigmatising attitudes, confidence in ability to assist, and intended and actual assisting actions.
Uncontrolled trial with precourse and postcourse measurement (n=49) and 6-month follow-up (n=17).
Participants attended courses that were run in Queensland and Victorian communities and through one national organisation.
Participants were 49 adults who worked directly with Aboriginal and/or Torres Strait Islander Peoples.
The 5-hour 'Talking About Non-Suicidal Self-Injury' course was delivered by accredited AMHFA instructors and teaches people how to support an Aboriginal and/or Torres Strait Islander person who is engaging in NSSI.
The outcome measures were stigmatising attitudes, confidence in ability to assist, and intended and actual actions to assist a person engaging in NSSI.
Improvements were observed in stigmatising attitudes, with significant changes from precourse in both the 'weak-not-sick' (postcourse p<0.0623; follow-up p=0.0058) and 'dangerous/unpredictable' (postcourse p<0.0001; follow-up p=0.0036) subscales. Participants' confidence in ability to assist increased significantly both postcourse (p<0.0001) and at follow-up (p<0.0001). Despite a high level of endorsement for the nine recommended assisting actions at precourse, significant improvements (p<0.05) were observed in endorsement for six and four of the assisting actions postcourse and at follow-up, respectively. Course content was rated as being somewhat (3.4%), mostly (13.8%) or very (82.7%) culturally appropriate by participants who identified as Aboriginal and/or Torres Strait Islander.
The results of this uncontrolled trial were encouraging, suggesting that the Talking About Non-Suicidal Self-Injury course was able to improve participants' attitudes, confidence and intended assisting actions.
非自杀性自伤（NSSI）是影响澳大利亚原住民和/或托雷斯海峡岛民的一个复杂问题。我们评估了原住民和/或托雷斯海峡岛民心理健康急救（AMHFA）培训课程对帮助从事 NSSI 的原住民和/或托雷斯海峡岛民的效果，包括对污名化态度、帮助能力信心以及预期和实际的帮助行为的影响。
无对照试验，包括课前和课后测量（n=49）和 6 个月随访（n=17）。
参与者参加了在昆士兰州和维多利亚州社区以及一个全国性组织举办的课程。
参与者为 49 名直接与原住民和/或托雷斯海峡岛民合作的成年人。
5 小时的“谈论非自杀性自我伤害”课程由经过认证的 AMHFA 讲师授课，教授人们如何支持从事 NSSI 的原住民和/或托雷斯海峡岛民。
结果测量包括污名化态度、帮助能力信心以及预期和实际的帮助从事 NSSI 的人的行为。
在污名化态度方面观察到了改善，在“弱而不病”（课后 p<0.0623；随访 p=0.0058）和“危险/不可预测”（课后 p<0.0001；随访 p=0.0036）子量表中，课前和随访均有显著变化。参与者的帮助能力信心显著提高，课后（p<0.0001）和随访时（p<0.0001）均有显著提高。尽管课前对九项推荐的帮助行为高度认可，但课后和随访时，对六项和四项帮助行为的认可显著提高（p<0.05）。认同原住民和/或托雷斯海峡岛民身份的参与者认为课程内容在某种程度上（3.4%）、主要方面（13.8%）或非常（82.7%）具有文化适宜性。
这项非对照试验的结果令人鼓舞，表明“谈论非自杀性自我伤害”课程能够改善参与者的态度、信心和预期的帮助行为。
