心理健康急救课程评估：对知识、污名化态度、信心和助人行为的影响。

Evaluation of the Mental Health First Aid Course: Effects on Knowledge, Stigmatising Attitudes, Confidence and Helping Behaviour.

机构信息

Mental Health First Aid Australia, Level 18, 150 Lonsdale Street, Melbourne, VIC 3000, Australia.

Centre for Mental Health, 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. 2023 Feb 20;20(4):3749. doi: 10.3390/ijerph20043749.

DOI:10.3390/ijerph20043749

PMID:36834439

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9963380/

Abstract

BACKGROUND

Non-suicidal self-injury (NSSI) is a common mental health problem, with a 19% lifetime prevalence in Australian adolescents and 12% in adults. Though rates of professional help-seeking for NSSI are low, disclosure to family and friends is more common, providing opportunities for them to encourage professional support. Mental Health First Aid Australia's course provides evidence-based training for the general public to support a person engaging in NSSI.

METHODS

This uncontrolled trial evaluated the effects of the course on participants' knowledge, confidence, stigmatising attitudes, and intended and actual helping behaviours. Surveys were administered pre- and post-course, and at a six-month follow-up. A linear mixed-model analysis determined mean change over time, and effect sizes were estimated using Cohen's d. Course satisfaction was assessed using descriptive statistics and summative content analysis of qualitative data.

RESULTS

The pre-course survey was completed by 147 Australian participants (77.5% female, mean age 45.8 years), 137 (93.2%) at post-course and 72 (49%) at follow-up. Knowledge, confidence, quality of intended helping behaviours, and quality of actual helping behaviours increased significantly at both time points. Social distance decreased significantly at all time points and stigma decreased significantly at post-course. The course was perceived to be highly acceptable by participants.

CONCLUSIONS

There is initial evidence that the course is effective and acceptable for members of the public who may support a person engaging in NSSI.

摘要

背景

非自杀性自伤（NSSI）是一种常见的心理健康问题，在澳大利亚青少年中的终身患病率为 19%，在成年人中为 12%。尽管寻求专业帮助的 NSSI 比率较低，但向家人和朋友透露的情况更为常见，这为他们鼓励寻求专业支持提供了机会。澳大利亚心理健康急救课程为公众提供了基于证据的培训，以支持有 NSSI 行为的人。

方法

本非对照试验评估了该课程对参与者的知识、信心、污名化态度以及预期和实际帮助行为的影响。在课程前后以及六个月的随访中进行了调查。线性混合模型分析确定了随时间的平均变化，并用 Cohen's d 估计了效应量。课程满意度使用描述性统计和定性数据的总结性内容分析进行评估。

结果

147 名澳大利亚参与者（77.5%为女性，平均年龄 45.8 岁）完成了预调查，其中 137 名（93.2%）在课程后完成了调查，72 名（49%）在随访时完成了调查。知识、信心、预期帮助行为的质量以及实际帮助行为的质量在两个时间点均显著增加。社会距离在所有时间点均显著下降，污名在课程后显著下降。参与者认为该课程非常可接受。