Johnson Catherine L, Kelly Claire M, Jorm Anthony F, Garvey William, Hart Laura M
Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Centre for Community Child Health, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Health Expect. 2025 Feb;28(1):e70126. doi: 10.1111/hex.70126.
Adults who live or work with children are an important source of support and are gateways to professional help when a child is experiencing a mental health problem. This study aimed to develop consensus-based guidelines on how adults such as parents, educators or health professionals should approach a child aged 5-12 years to discuss concerns about the child's mental health and seek help.
A Delphi consensus method with three rounds was used. Experts were recruited from six countries to form three panels: health professionals, educators and people with lived experience (parents and carers, and young people with mental health problems). Statements to be rated were sourced from an online search of websites designed for adults who live or work with children. Further suggestions for statements came from panellists. Statements that reached 80% consensus across all panels were included in the guidelines.
132 participants completed the Round 1 survey, reducing to 54 by Round 3. A total of 248 statements were presented to panel members, with 151 being endorsed and included in the guidelines.
These guidelines represent the first recommendations developed for members of the public providing mental health first aid to children aged 5-12 years.
Lived experience advocates (i.e. those with lived experience of a mental health problem in childhood and/or caregiving experience of raising a child with a mental health problem) were involved at two stages of this research: As part of the Advisory Group for the project and as expert panel members. Advisory Group members provided input into the conduct of the study and the content and design of the research outputs. Panel members provided their expertise to review every item to be included in the guidelines, proposed new items to be included, and reviewed and approved the finalised output documents.
与儿童生活或共事的成年人是重要的支持来源，当儿童出现心理健康问题时，他们也是获得专业帮助的途径。本研究旨在制定基于共识的指南，指导父母、教育工作者或健康专业人员等成年人如何与5至12岁的儿童沟通，讨论对其心理健康的担忧并寻求帮助。
采用三轮德尔菲共识法。从六个国家招募专家组成三个小组：健康专业人员、教育工作者以及有实际经验的人（父母、照顾者以及有心理健康问题的年轻人）。待评级的陈述来自于对为与儿童生活或共事的成年人设计的网站的在线搜索。小组成员也提出了陈述的进一步建议。在所有小组中达成80%共识的陈述被纳入指南。
132名参与者完成了第一轮调查，到第三轮时减少至54名。总共向小组成员提出了248条陈述，其中151条得到认可并纳入指南。
这些指南是为向5至12岁儿童提供心理健康急救的公众成员制定的首批建议。
有实际经验的倡导者（即那些在童年时期有心理健康问题经历和/或养育有心理健康问题儿童的照顾经历的人）参与了本研究的两个阶段：作为项目咨询小组的一部分以及作为专家小组成员。咨询小组成员为研究的开展以及研究成果的内容和设计提供了意见。小组成员提供专业知识，审查指南中包含的每一项内容，提出应纳入的新项目，并审查和批准最终的输出文件。
