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First aid guidelines for psychosis in Asian countries: A Delphi consensus study
Anthony F Jorm1, Harry Minas, Robyn L Langlands
1ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia. ajorm@unimelb.edu.au
International Journal of Mental Health Systems
|February 23, 2008
Summary
Consensus was reached on core first aid items for assisting individuals experiencing psychosis across diverse Asian nations. This study provides a foundation for culturally relevant mental health first aid guidelines.
Area of Science:
- Cross-cultural mental health research
- Psychiatric first aid development
- Global public health initiatives
Background:
- Existing psychosis first aid guidelines are primarily for English-speaking countries.
- Cultural variations necessitate adapted mental health support strategies.
- A need exists for universally applicable, yet culturally sensitive, psychosis first aid.
Purpose of the Study:
- To achieve consensus on first aid guidelines for psychosis applicable across Asian countries.
- To explore cultural adaptability of mental health first aid.
- To establish a foundation for culturally specific psychosis intervention.
Main Methods:
- A Delphi consensus study involving 28 Asian mental health clinicians from 12 countries.
- Utilized a 211-item questionnaire to assess proposed first aid actions.
- Incorporated clinician-generated proposals for comprehensive guideline development.
Main Results:
- 128 first aid items achieved "essential" or "important" rating from over 80% of the panel.
- Consensus covered psychosis recognition, seeking help, interaction, and acute response.
- Key areas included managing aggression and refusal of professional help.
Conclusions:
- A core set of first aid interventions for psychosis was identified as suitable across diverse Asian cultures.
- The study highlights achievable consensus despite significant cultural diversity.
- Further research is recommended to tailor guidelines for specific national contexts.
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