Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.
Australian National University, Canberra, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2023 Jun;58(6):871-881. doi: 10.1007/s00127-023-02429-9. Epub 2023 Feb 9.
In Australia and elsewhere, suicide rates among construction workers remain high. Construction workplaces are thus an important setting for targeted suicide prevention programs. This study aimed to compare suicide prevention literacy and help-seeking intentions among participants receiving face-to-face suicide prevention training, with those receiving face-to-face training augmented by a smartphone application.
A two-arm randomised controlled trial of a smartphone suicide prevention intervention was conducted among construction workers in four Australian states (trial registration number: ACTRN12619000625178). All participants received face-to-face training and were randomised to the control condition (face-to-face only, n = 575), or MATESmobile condition (face-to-face + smartphone application, n = 509). Surveys administered at baseline and 3-month follow-up measured suicide prevention literacy and help-seeking intentions for personal/emotional problems and suicidal thoughts. A mixed-model repeated measures (MMRM) analysis included all 1084 randomised participants.
Outcomes did not differ significantly for suicide prevention literacy, nor help-seeking intentions from formal sources, informal sources outside the workplace, or no one (did not intend to seek help from anyone). However, relative to those in the control condition, those in the MATESmobile group showed greater increase in help-seeking intentions for emotional problems from a MATES worker/Connector (mean difference 0.54, 95% CI 0.22-0.87) and help-seeking intentions for suicidal thoughts from a workmate (mean difference 0.47, 95% CI 0.10-0.83) or MATES worker/Connector (mean difference 0.47, 95% CI 0.09-0.85).
Results indicate that the MATESmobile application, together with face-to-face training, is beneficial in enhancing help-seeking intentions from MATES workers/Connectors and workmates to a greater extent than face-to-face training only. While this research provides some evidence that smartphone applications may support suicide prevention training, further research is needed.
在澳大利亚和其他地方，建筑工人的自杀率仍然很高。因此，建筑工地是有针对性的自杀预防计划的重要场所。本研究旨在比较接受面对面自杀预防培训的参与者和接受面对面培训并辅以智能手机应用程序的参与者的自杀预防知识和求助意向。
在澳大利亚的四个州（试验注册号：ACTRN12619000625178）对建筑工人进行了一项智能手机自杀预防干预的两臂随机对照试验。所有参与者均接受面对面培训，并随机分为对照组（仅接受面对面培训，n=575）或 MATESmobile 组（面对面+智能手机应用程序，n=509）。在基线和 3 个月随访时进行的调查测量了自杀预防知识和个人/情感问题及自杀念头的求助意向。采用混合模型重复测量（MMRM）分析包括所有 1084 名随机参与者。
自杀预防知识以及向正式来源、工作场所之外的非正式来源或无人求助的求助意向方面，两组结果无显著差异。然而，与对照组相比，MATESmobile 组在向 MATES 工作人员/联系人求助情感问题的意向（平均差异 0.54，95%CI 0.22-0.87）和向同事或 MATES 工作人员/联系人求助自杀念头的意向（平均差异 0.47，95%CI 0.10-0.83）方面的意向增加更为显著。
结果表明，MATESmobile 应用程序与面对面培训相结合，在增强向 MATES 工作人员/联系人以及同事求助的意向方面比仅接受面对面培训更有优势。虽然这项研究提供了一些证据表明智能手机应用程序可能支持自杀预防培训，但还需要进一步的研究。
