School of Welfare, Hokusei Gakuen University, Sapporo, Hokkaido, Japan.
Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
F1000Res. 2023 Jul 3;11:498. doi: 10.12688/f1000research.111002.2. eCollection 2022.
University students have specific risk factors for suicide, necessitating targeted prevention programs. This preliminary study evaluated the efficacy of the Crisis-management, Anti-stigma, Mental health literacy Program for University Students (CAMPUS) for reduction of risk factors and promotion of preventative behaviors. A total of 136 medical students attended the CAMPUS as a required course at the national university in Japan. The CAMPUS consisted of a lecture and two group sessions covering mental health literacy, self-stigma, and gatekeeper efficacy (e.g., identifying and helping at-risk individuals). The students were asked to role-play based on a movie about gatekeepers and scripts about self-stigma and suicide-related issues. Participants completed questionnaires on suicidal thoughts, depression, help-seeking intentions, self-efficacy as gatekeepers, self-concealment, and self-acceptance. A total of 121 students completed the questionnaires pre- and post-program, and 107 students also responded six months later. Students demonstrated significantly reduced overall suicide thoughts six months post-program compared to before the program. In addition, gatekeeper self-efficacy, help-seeking intentions for formal resources, and self-acceptance were improved in the students six month after the program. The CAMPUS suggested effective at reducing suicidal people and promoting preventative psychological tendencies among medial students. This study was a one-group pre post design study without control group. The CAMPUS program was delivered as a mandatory requirement to a group with relatively low suicide risk. Further studies are required to assess its suitability for the general university student population.
大学生有自杀的特定风险因素，需要有针对性的预防计划。本初步研究评估了大学生危机管理、反污名、心理健康素养计划（CAMPUS）对降低风险因素和促进预防行为的效果。共有 136 名医学生在日本国立大学作为必修课参加了 CAMPUS。CAMPUS 包括一个讲座和两个小组会议，涵盖心理健康素养、自我污名和守门人效能（例如，识别和帮助处于危险中的个人）。学生们根据一部关于守门人的电影和关于自我污名和与自杀相关问题的剧本进行角色扮演。参与者完成了关于自杀念头、抑郁、寻求帮助意向、作为守门人的自我效能、自我隐瞒和自我接受的问卷。共有 121 名学生在课程前后完成了问卷，其中 107 名学生在六个月后也做出了回应。与课程前相比，学生在课程六个月后自杀念头的总体发生率显著降低。此外，学生在课程六个月后的守门人自我效能、寻求正式资源的帮助意向和自我接受也得到了提高。CAMPUS 表明，该计划可以有效降低医学生的自杀率，并促进其预防心理倾向。本研究为单组前后设计研究，无对照组。CAMPUS 课程作为一项对自杀风险相对较低的群体的强制性要求来提供。需要进一步的研究来评估其是否适合普通大学生群体。
