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Suicide first aid guidelines for Indonesia: a Delphi consensus study.

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Developing suicide prevention guidelines for Indonesian community leaders is crucial. These guidelines help first aiders recognize warning signs and offer support, aligning with Indonesia's collectivist culture.

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Area of Science:

  • Public Health
  • Psychiatry
  • Community Psychology

Background:

  • The concept of suicide as preventable is emerging in Indonesia, with limited training for community leaders and laypeople.
  • In Indonesia's collectivist society, community leaders and social networks play a vital role in individual well-being.
  • There is an urgent need for culturally relevant guidelines to support first aiders in suicide prevention.

Purpose of the Study:

  • To develop guidelines for recognizing suicide warning signs in Indonesians.
  • To provide a framework for first aid support for individuals at immediate risk of suicide.
  • To ensure guidelines are culturally sensitive and contextually appropriate for Indonesia.

Main Methods:

  • A systematic literature review was conducted to identify existing knowledge and practices.
  • Focus group discussions and interviews were held to gather community perspectives.
  • An expert consensus was achieved using a multi-round Delphi approach to refine the guidelines.

Main Results:

  • 460 items were accepted out of 539, forming the basis of the guidelines.
  • The process highlighted unique aspects of suicide prevention within the Indonesian cultural context.
  • The developed guidelines are tailored to the Indonesian socio-cultural environment.

Conclusions:

  • Gatekeeper training is emphasized as the most effective method for disseminating these guidelines.
  • Community members, educated through gatekeeper training, can be empowered to assist in suicide prevention.
  • The guidelines provide a practical tool for community leaders and first aiders in Indonesia.