Development of Chinese mental health first aid guidelines for problem drinking: a Delphi expert consensus study.

Area of Science:

• Public Health
• Mental Health
• Substance Use Disorders

Background:

• Alcohol use disorders are a leading cause of death in China.
• Early diagnosis and treatment can mitigate the impact of alcohol use disorders.
• Family and friends play a vital role in recognizing signs and seeking help for individuals with problem drinking.

Purpose of the Study:

• To develop evidence-based, Chinese-language mental health first aid guidelines for problem drinking.
• To adapt existing international guidelines for the Chinese context using Delphi consensus methodology.
• To empower the public to provide initial support to individuals experiencing problem drinking.

Main Methods:

• Delphi consensus methodology was employed.
• A Chinese-language questionnaire based on English guidelines was developed.
• Two expert panels (professional and lived experience) evaluated statements through three survey rounds.

Main Results:

• 181 statements met inclusion criteria, forming the final guidelines.
• Chinese expert panels emphasized family involvement and mutual support.
• The lived experience panel rejected statements related to low-risk drinking.

Conclusions:

• The developed guidelines offer practical first aid strategies for the public to assist individuals with problem drinking.
• These guidelines will be utilized as a standalone resource and integrated into Mental Health First Aid training in China.
• The guidelines aim to improve early intervention and support for alcohol use disorders in China.